Gerardo Lopez, MD FACOG
NPI 1558337543 · Obstetrics & Gynecology Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Obstetrics/Gynecology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Gerardo Lopez, MD FACOG is a Obstetrics & Gynecology Physician provider in Toms River, NJ (NPI 1558337543).
Provider details
- NPI number
- 1558337543
- Entity type
- Individual
- Primary specialty
- Obstetrics & Gynecology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD FACOG
- Sex
- Male
- Sole proprietor
- No
- License
- MA70374 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
390 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
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 .
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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 214 | $98 |
| Cervical Or Vaginal Cancer Screening; Pelvic and Clinical Breast ExaminationG0101 | 59 | $43 |
| Screening Papanicolaou Smear; Obtaining, Preparing and Conveyance of Cervical Or Vaginal Smear to LaboratoryQ0091 | 43 | $48 |
| Ultrasound Scan of Uterus, Ovaries, Tubes, Cervix and Pelvic Area Through Vagina76830 | 34 | $131 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 21 | $138 |
| New Patient Office Or Other Outpatient Visit With Low Level of Medical Decision Making, If Using Time, 30 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 15 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Nystatin | 95 | 54 |
| Fluconazole | 91 | 65 |
| Triamcinolone Acetonide | 65 | 44 |
| Norethindrone-E.estradiol-Ironbrand: Junel Fe | 39 | — |
| Estradiol | 34 | 15 |
| Nitrofurantoin Monohyd/M-Crystbrand: Nitrofurantoin Mono-Macro | 26 | 22 |
| Metronidazole | 18 | 14 |
| Acyclovir |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$32 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-02-28
- Last updated
- 2011-02-01
Frequently asked questions
- What is Gerardo Lopez's NPI number?
- Gerardo Lopez's National Provider Identifier (NPI) is 1558337543, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Gerardo Lopez's specialty?
- Gerardo Lopez is listed in the NPPES registry with a primary specialty of Obstetrics & Gynecology Physician (Allopathic & Osteopathic Physicians).
- Where is Gerardo Lopez located?
- Gerardo Lopez's practice location on file with NPPES is 79 Route 37 W, Toms River, NJ 08755-9998.
- What is Gerardo Lopez's phone number?
- The practice phone number listed in the NPPES registry for Gerardo Lopez is (732) 244-9444.
- Does Gerardo Lopez accept Medicare?
- Gerardo Lopez is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Gerardo Lopez's NPI active?
- Yes — Gerardo Lopez's NPI (1558337543) is active in the NPPES registry as of the last update on 2011-02-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.