Mario Lopez, MD
NPI 1316380819 · Family Medicine Physician · Miami, FL
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mario Lopez, MD is a Family Medicine Physician provider in Miami, FL (NPI 1316380819).
Provider details
- NPI number
- 1316380819
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME129533 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
13 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
361 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 109 | $176 |
| Advance Care Planning, First 30 Minutes99497 | 84 | $77 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 50 | $133 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 39 | $121 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 34 | $80 |
| Critical Care, First 30-74 Minutes99291 | 24 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 4 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Azithromycin | 28 | 27 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 18 |
| Doxycycline Hyclate | 13 | 13 |
| Prednisone | 13 | 12 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (2)
- 4300 Alton RdMiami Beach, FL 33140Phone: (305) 481-9776
- 4501 W 64th StChicago, IL 60629-5501Phone: (773) 979-2525
Registry dates
- Enumerated
- 2013-04-15
- Last updated
- 2024-07-16
- Certified
- 2024-07-16
Frequently asked questions
- What is Mario Lopez's NPI number?
- Mario Lopez's National Provider Identifier (NPI) is 1316380819, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mario Lopez's specialty?
- Mario Lopez is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Mario Lopez located?
- Mario Lopez's practice location on file with NPPES is 2150 N Bayshore Dr Apt 1006, Miami, FL 33137-5457.
- What is Mario Lopez's phone number?
- The practice phone number listed in the NPPES registry for Mario Lopez is (773) 979-2525.
- Does Mario Lopez accept Medicare?
- Mario Lopez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mario Lopez's NPI active?
- Yes — Mario Lopez's NPI (1316380819) is active in the NPPES registry as of the last update on 2024-07-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.