Active NPI 1124006358 Individual Practitioner Male Practitioner

Dr. Rafael Roberto Lopez , MD

Urology • Wellington, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Rafael Lopez, MD is a certified Urology practicing in Wellington, FL. With approximately 47 years of clinical experience since graduating from Columbia University College Of Physicians And Surgeons in 1979, Dr. Lopez delivers high-quality medical care to the local community at 3347 STATE ROAD 7.

Dr. Lopez is affiliated with Genesiscare Usa Of Florida Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, urinalysis, manual test, ultrasound measurement of bladder capacity after voiding. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3347 State Road 7
Suite 101

Wellington, FL 334498095

Telephone 5617902111

Fax 5617900893

Associated Practice Facility / Clinic

🏢 Cardiology Partners Pl Facility NPI 1518978626

Medicare Profile & Education

Medical School

Columbia University College Of Physicians And Surgeons

Graduation Year

1979

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Urology in Wellington, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

47 Yrs +10.6 yrs vs City Avg

City Avg: 36.4 Yrs

State Avg: 29.7 Yrs

Regional Practice Density

9 Specialists

Practicing in Wellington, FL (1082 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (47 Years) 47 Yrs

Wellington Specialty Average (36.4 Years) 36.4 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	282	193	$335.81	$135.97
81002 Urinalysis, manual test	236	179	$11.18	$3.36
51798 Ultrasound measurement of bladder capacity after voiding	232	179	$65.06	$11.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	50	50	$527.57	$179.85
52000 Diagnostic exam of bladder and urethra using an endoscope	41	34	$710.58	$249.29
76775 Limited ultrasound scan behind abdominal cavity	34	24	$333.57	$58.60
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	19	17	$655.65	$45.24
76856 Complete ultrasound scan of pelvis	19	16	$393.49	$103.03
51741 Electronic assessment of bladder emptying	19	17	$291.87	$7.55
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$236.72	$97.32

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	338	215	$334.56	$131.63
81002 Urinalysis, manual test	295	207	$11.15	$3.39
51798 Ultrasound measurement of bladder capacity after voiding	272	195	$64.68	$11.06
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$525.99	$174.05
51702 Simple insertion of temporary bladder tube	55	14	$252.17	$64.10
76775 Limited ultrasound scan behind abdominal cavity	39	32	$349.78	$55.89
52000 Diagnostic exam of bladder and urethra using an endoscope	34	34	$705.42	$249.95
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	26	25	$671.97	$64.59
76856 Complete ultrasound scan of pelvis	21	19	$405.80	$109.31
51741 Electronic assessment of bladder emptying	19	19	$297.18	$7.75
51792 Assessment of muscle signal of pelvic nerves	17	17	$759.20	$250.81
76872 Ultrasound scan of pelvic region through rectum	16	16	$429.78	$131.20
99213 Established patient office or other outpatient visit, typically 15 minutes	15	14	$226.12	$93.72
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	12	$1088.80	$389.15
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$439.35	$181.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	387	254	$334.56	$132.46
81002 Urinalysis, manual test	348	236	$11.15	$3.41
51798 Ultrasound measurement of bladder capacity after voiding	254	194	$64.68	$10.97
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	117	16	$684.76	$176.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$525.99	$177.60
52000 Diagnostic exam of bladder and urethra using an endoscope	44	42	$705.42	$260.40
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	36	31	$671.97	$45.85
51741 Electronic assessment of bladder emptying	35	33	$297.18	$7.82
76775 Limited ultrasound scan behind abdominal cavity	34	30	$363.55	$61.65
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	31	17	$113.15	$34.71
76856 Complete ultrasound scan of pelvis	26	22	$405.80	$112.67
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$226.12	$95.68
76872 Ultrasound scan of pelvic region through rectum	17	17	$458.43	$145.49
51797 Insertion of device into abdomen with pressure and urine flow rate study	15	15	$439.35	$208.15
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	15	15	$1088.80	$415.05
55899 Other procedure on male genital system	13	12	$1200.00	$138.03
51792 Assessment of muscle signal of pelvic nerves	13	13	$759.20	$289.95
55700 Biopsy of prostate gland	11	11	$770.84	$259.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
81002 Urinalysis, manual test	292	223	$11.15	$3.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	287	206	$334.56	$135.82
51798 Ultrasound measurement of bladder capacity after voiding	237	177	$64.68	$10.84
99213 Established patient office or other outpatient visit, typically 15 minutes	188	144	$226.12	$95.95
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	104	12	$684.76	$180.47
51702 Simple insertion of temporary bladder tube	81	18	$252.17	$67.44
51741 Electronic assessment of bladder emptying	54	48	$297.18	$8.40
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	48	42	$671.97	$40.22
76775 Limited ultrasound scan behind abdominal cavity	46	38	$363.55	$60.03
52000 Diagnostic exam of bladder and urethra using an endoscope	44	41	$705.42	$244.33
76856 Complete ultrasound scan of pelvis	40	34	$405.80	$115.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$341.62	$119.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	29	29	$525.99	$178.59
55899 Other procedure on male genital system	28	23	$1177.57	$276.52
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	26	13	$113.15	$34.09
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	25	19	$2463.41	$858.03
51792 Assessment of muscle signal of pelvic nerves	15	15	$759.20	$283.27
76872 Ultrasound scan of pelvic region through rectum	12	12	$458.43	$144.93
51797 Insertion of device into abdomen with pressure and urine flow rate study	12	12	$439.35	$196.67
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	12	12	$1088.80	$418.29
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$136.10	$58.93

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	538	330	$334.56	$113.64
81002 Urinalysis, manual test	446	278	$11.15	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	302	205	$64.68	$10.67
99213 Established patient office or other outpatient visit, typically 15 minutes	174	114	$226.74	$79.17
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	128	20	$684.76	$222.51
51702 Simple insertion of temporary bladder tube	87	19	$252.17	$65.44
51741 Electronic assessment of bladder emptying	84	79	$297.18	$8.79
76775 Limited ultrasound scan behind abdominal cavity	72	55	$363.55	$59.66
52000 Diagnostic exam of bladder and urethra using an endoscope	71	63	$705.42	$224.20
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	70	64	$671.97	$45.82
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$341.62	$109.79
76856 Complete ultrasound scan of pelvis	60	56	$405.80	$113.99
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	40	40	$990.64	$222.35
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	34	21	$113.15	$33.09
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	30	25	$2463.41	$807.97
51792 Assessment of muscle signal of pelvic nerves	27	27	$759.20	$260.39
51797 Insertion of device into abdomen with pressure and urine flow rate study	19	19	$439.35	$170.83
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	19	19	$1088.80	$397.82
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$136.10	$48.19
76872 Ultrasound scan of pelvic region through rectum	16	16	$458.43	$140.50
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	15	14	$74.90	$14.10
55700 Biopsy of prostate gland	12	12	$770.84	$246.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	668	396	$334.56	$112.46
81002 Urinalysis, manual test	535	331	$11.15	$3.37
51798 Ultrasound measurement of bladder capacity after voiding	348	233	$64.68	$13.11
99213 Established patient office or other outpatient visit, typically 15 minutes	249	158	$226.12	$76.83
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	168	19	$684.76	$225.93
51741 Electronic assessment of bladder emptying	134	110	$297.18	$8.19
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	125	103	$671.97	$38.06
76775 Limited ultrasound scan behind abdominal cavity	92	67	$363.55	$59.20
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	88	71	$990.64	$184.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	87	87	$341.62	$113.92
51702 Simple insertion of temporary bladder tube	86	18	$252.17	$64.94
76856 Complete ultrasound scan of pelvis	84	67	$405.80	$111.65
52000 Diagnostic exam of bladder and urethra using an endoscope	81	70	$705.42	$197.48
51792 Assessment of muscle signal of pelvic nerves	47	46	$759.20	$229.09
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	43	20	$113.15	$31.69
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	43	21	$136.10	$46.92
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	40	38	$2463.41	$767.40
51797 Insertion of device into abdomen with pressure and urine flow rate study	31	31	$439.35	$139.96
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	31	31	$1088.80	$362.99
76872 Ultrasound scan of pelvic region through rectum	29	28	$458.43	$131.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	26	$126.16	$41.54
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	22	21	$74.90	$17.22
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	22	22	$641.46	$59.13
55700 Biopsy of prostate gland	21	21	$770.84	$264.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$450.38	$146.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	670	411	$334.56	$110.15
81002 Urinalysis, manual test	583	361	$11.15	$3.37
51798 Ultrasound measurement of bladder capacity after voiding	377	246	$64.68	$16.13
99213 Established patient office or other outpatient visit, typically 15 minutes	245	158	$226.12	$74.64
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	146	20	$684.76	$212.92
51741 Electronic assessment of bladder emptying	126	103	$297.18	$9.86
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	83	$136.10	$45.43
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	99	89	$671.97	$44.20
76775 Limited ultrasound scan behind abdominal cavity	99	73	$363.55	$58.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	93	93	$341.62	$111.96
76856 Complete ultrasound scan of pelvis	91	73	$405.80	$111.51
51702 Simple insertion of temporary bladder tube	82	20	$252.17	$66.69
52000 Diagnostic exam of bladder and urethra using an endoscope	75	67	$705.42	$171.48
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	56	45	$2463.41	$726.69
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	48	23	$113.15	$31.39
51728 Complex measurement of pressure of urine flow in bladder with voiding pressure studies	47	45	$990.64	$185.39
J0696 Injection, ceftriaxone sodium, per 250 mg	45	12	$2.76	$0.60
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	41	38	$74.90	$21.00
51792 Assessment of muscle signal of pelvic nerves	38	38	$759.20	$216.06
76872 Ultrasound scan of pelvic region through rectum	37	36	$458.43	$99.17
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	30	30	$1088.80	$355.57
51797 Insertion of device into abdomen with pressure and urine flow rate study	30	30	$439.35	$117.76
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	27	27	$641.46	$61.77
55700 Biopsy of prostate gland	26	26	$770.84	$262.71
J1580 Injection, garamycin, gentamicin, up to 80 mg	16	11	$2.88	$1.44
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	14	14	$450.38	$150.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$641.62	$212.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	785	443	$334.56	$110.07
81002 Urinalysis, manual test	728	433	$11.15	$3.38
51798 Ultrasound measurement of bladder capacity after voiding	469	297	$64.68	$20.12
99213 Established patient office or other outpatient visit, typically 15 minutes	226	138	$226.12	$75.14
J9217 Leuprolide acetate (for depot suspension), 7.5 mg	174	22	$684.76	$209.54
51741 Electronic assessment of bladder emptying	125	100	$297.18	$11.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	120	85	$136.10	$45.05
76775 Limited ultrasound scan behind abdominal cavity	106	76	$363.55	$60.01
52000 Diagnostic exam of bladder and urethra using an endoscope	95	79	$705.42	$170.73
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	89	89	$341.62	$113.01
51702 Simple insertion of temporary bladder tube	74	23	$252.17	$65.78
51784 Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings	74	64	$671.97	$57.25
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	54	53	$641.62	$211.29
96402 Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle	54	27	$113.15	$32.32
76856 Complete ultrasound scan of pelvis	53	45	$405.80	$114.05
52224 Destruction of (less than 0.5 centimeters) growths of the bladder and bladder canal (urethra) using an endoscope	52	44	$2463.41	$717.70
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	50	32	$74.90	$24.60
51792 Assessment of muscle signal of pelvic nerves	38	38	$759.20	$207.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	38	38	$525.99	$171.39
51729 Complex measurement of pressure of urine flow in bladder with urethra pressure and voiding pressure studies	32	32	$1088.80	$343.07
51797 Insertion of device into abdomen with pressure and urine flow rate study	32	32	$439.35	$112.27
76872 Ultrasound scan of pelvic region through rectum	30	29	$458.43	$88.57
55700 Biopsy of prostate gland	22	22	$770.84	$239.87
76942 Ultrasonic guidance imaging supervision and interpretation for insertion of needle	19	19	$641.46	$58.93
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	16	$450.38	$149.54
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	13	$126.16	$41.01

Medical Specialties & State Licenses

Urology Primary Specialty

NUCC Taxonomy Code: 208800000X

State License FL ME58240

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

064063800 (FL)

Commercial Insurance / Payer ID Aetna

4200237 (FL)

Commercial Insurance / Payer ID Careplus

1004922 (FL)

Commercial Insurance / Payer ID Wellcare

1249241 (FL)

Commercial Insurance / Payer ID Dimension Health

7851 (FL)

Commercial Insurance / Payer ID Rr Medicare

P01606329 (FL)

Commercial Insurance / Payer ID Bcbs

11453 (FL)

Hospital & Practice Group Affiliations

Genesiscare Usa Of Florida Llc

1100 S Main St, Belle Glade, FL 334304910

Phone: 5617902111

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Genesiscare Usa Of Florida Llc

1419 Se 8th Ter, Cape Coral, FL 339903213

Phone: 2397723202

Genesiscare Usa Of Florida Llc

1620 S Congress Ave, Palm Springs, FL 334612128

Phone: 5617902111

Genesiscare Usa Of Florida Llc

3347 S State Rd, Wellington, FL 334498148

Phone: 5617902111

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

13 Associated Practitioners

Justin Ballard , PA-C

Physician Assistant

NPI 1013283324

Physician Assistant (Certified)

Samuel Cyril , PA

Physician Assistant

NPI 1104804210

Physician Assistant

Dr. Sean Sawh , MD

Urology

NPI 1154593689

Doctor of Medicine (M.D.)

Dr. Edward Becker , MD

Urology

NPI 1194703223

Doctor of Medicine (M.D.)

Dr. Damian Portela , MD

Urology

NPI 1194703330

Doctor of Medicine (M.D.)

Carlos Pernas , PA

Physician Assistant

NPI 1275511388

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active November 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 15, 2016

Registered at 3347 STATE ROAD 7, SUITE 101, WELLINGTON, FL 334498095 (Tel: 5617902111)

📍

Updated Business Mailing Address November 15, 2016

Registered at 2234 COLONIAL BLVD, ATTN: PAYER CONTRACTING & RELATIONS DEPT., FORT MYERS, FL 339071412 (Tel: 2399317342)

👤

Provider Name / Credentials Updated November 15, 2016

Recorded as RAFAEL LOPEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2016

Urology (License #ME58240 in FL)

🟢

Initial NPI Registration & Enumeration January 06, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Rafael Lopez. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124006358

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 06, 2006

Last Update: November 15, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

2234 Colonial Blvd, Attn: Payer Contracting & Relations Dept.

Fort Myers, FL 339071412

Phone: 2399317342

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.