Active NPI 1497862478 Individual Practitioner Male Practitioner

Dr. Peter P Lopez , MD

Surgery • Clinton Township, MI

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Peter Lopez, MD is a certified Surgery practicing in Clinton Township, MI. With approximately 40 years of clinical experience since graduating from University Of Illinois College Of Med (Chi/Peor/Rock/Chm-Urb) in 1986, Dr. Lopez delivers high-quality medical care to the local community at 43331 COMMONS DR.

Dr. Lopez is affiliated with Henry Ford Macomb Hospital Corporation and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, emergency department visit with moderate level of medical decision making, initial hospital care with straightforward or low-level medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

43331 Commons Dr

Clinton Township, MI 480381109

Telephone 5862635410

Fax 5862637131

Associated Practice Facility / Clinic

🏢 Surgical Associates Of Macomb, Plc Facility NPI 1316031339

Medicare Profile & Education

Medical School

University Of Illinois College Of Med (Chi/peor/rock/chm-Urb)

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Clinton Township, MI

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +16.3 yrs vs City Avg

City Avg: 23.7 Yrs

State Avg: 25.8 Yrs

Regional Practice Density

9 Specialists

Practicing in Clinton Township, MI (1479 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

66.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (40 Years) 40 Yrs

Clinton Township Specialty Average (23.7 Years) 23.7 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	290	146	$228.00	$79.16
99284 Emergency department visit with moderate level of medical decision making	134	126	$401.00	$124.29
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	127	121	$432.00	$131.90
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	50	$125.00	$50.07
99238 Hospital discharge day management, 30 minutes or less	53	53	$229.00	$81.06
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	45	$642.96	$170.20
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	44	23	$326.00	$119.07
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$146.00	$91.03
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	15	$93.00	$56.49
99283 Emergency department visit with low level of medical decision making	23	23	$211.00	$72.54
99285 Emergency department visit for life threatening or functioning severity	17	17	$590.00	$180.24
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$283.00	$135.05
47562 Removal of gallbladder using an endoscope	12	12	$2240.00	$710.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	377	145	$228.00	$80.56
99231 Follow-up hospital inpatient care per day, typically 15 minutes	260	105	$125.00	$51.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	101	99	$432.00	$133.02
99238 Hospital discharge day management, 30 minutes or less	93	90	$229.00	$81.98
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	60	59	$640.00	$176.55
99284 Emergency department visit with moderate level of medical decision making	46	46	$401.00	$125.24
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	45	27	$326.00	$121.16
99213 Established patient office or other outpatient visit, typically 15 minutes	37	28	$141.97	$89.34
99283 Emergency department visit with low level of medical decision making	32	32	$211.00	$74.95
99221 Initial hospital inpatient care per day, typically 30 minutes	26	25	$330.00	$85.87
99285 Emergency department visit for life threatening or functioning severity	14	14	$590.00	$182.90
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$195.00	$112.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	364	126	$105.36	$40.38
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	221	79	$225.68	$73.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	74	30	$326.00	$105.78
99238 Hospital discharge day management, 30 minutes or less	67	67	$227.70	$73.30
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	45	44	$334.04	$138.27
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$640.00	$201.46
99213 Established patient office or other outpatient visit, typically 15 minutes	42	23	$130.36	$94.45
99221 Initial hospital inpatient care per day, typically 30 minutes	34	34	$255.59	$105.75
99284 Emergency department visit with moderate level of medical decision making	27	27	$378.63	$129.44
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$91.65	$58.24
99285 Emergency department visit for life threatening or functioning severity	13	13	$590.00	$188.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	492	151	$94.61	$39.90
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	195	86	$217.50	$74.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	101	39	$326.00	$107.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	79	76	$338.03	$142.06
99238 Hospital discharge day management, 30 minutes or less	75	74	$227.07	$74.83
99221 Initial hospital inpatient care per day, typically 30 minutes	62	60	$196.61	$106.72
99213 Established patient office or other outpatient visit, typically 15 minutes	33	18	$124.09	$93.30
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	31	31	$640.00	$208.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$170.67	$88.51
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	15	15	$178.67	$55.00
99284 Emergency department visit with moderate level of medical decision making	14	14	$368.64	$130.93
99283 Emergency department visit with low level of medical decision making	12	12	$150.00	$77.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$257.00	$143.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	444	212	$104.71	$41.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	102	67	$214.20	$75.99
99238 Hospital discharge day management, 30 minutes or less	102	100	$223.08	$76.20
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	92	91	$359.80	$145.60
99221 Initial hospital inpatient care per day, typically 30 minutes	89	86	$213.26	$108.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	52	26	$94.23	$47.49
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	47	30	$322.79	$109.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	35	35	$632.43	$213.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$257.00	$133.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$168.00	$83.35
99284 Emergency department visit with moderate level of medical decision making	14	14	$379.43	$129.61
99217 Hospital observation care on day of discharge	13	13	$226.92	$76.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$169.46	$80.89
99283 Emergency department visit with low level of medical decision making	12	12	$150.00	$69.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	689	231	$94.31	$40.61
99238 Hospital discharge day management, 30 minutes or less	125	123	$216.90	$75.12
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	114	74	$201.77	$75.74
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	104	104	$366.97	$142.29
99221 Initial hospital inpatient care per day, typically 30 minutes	63	63	$211.11	$106.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	55	29	$80.55	$45.81
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	52	$568.78	$209.39
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	39	19	$325.15	$108.64
99224 Subsequent observation care, typically 15 minutes per day	27	20	$106.19	$40.79
99219 Hospital observation care, typically 50 minutes	24	24	$327.08	$138.52
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$255.24	$131.05
99220 Hospital observation care, typically 70 minutes	21	21	$388.57	$187.69
99217 Hospital observation care on day of discharge	21	20	$212.14	$75.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	18	$75.48	$26.71
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$125.00	$74.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	436	171	$71.48	$39.63
99238 Hospital discharge day management, 30 minutes or less	84	84	$169.44	$72.70
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	76	40	$105.87	$74.70
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	70	68	$216.36	$137.24
99220 Hospital observation care, typically 70 minutes	48	48	$370.31	$185.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	46	$331.17	$205.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	45	28	$80.11	$43.45
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$147.11	$104.24
99217 Hospital observation care on day of discharge	34	34	$170.15	$73.32
99219 Hospital observation care, typically 50 minutes	33	33	$273.48	$136.59
99224 Subsequent observation care, typically 15 minutes per day	28	22	$92.14	$40.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	12	$145.00	$107.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	16	$64.41	$26.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$145.00	$80.85
99213 Established patient office or other outpatient visit, typically 15 minutes	14	12	$96.71	$52.78

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	576	194	$72.22	$38.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	133	64	$101.48	$73.39
99238 Hospital discharge day management, 30 minutes or less	101	99	$166.40	$71.46
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	81	80	$218.64	$135.94
99220 Hospital observation care, typically 70 minutes	54	53	$371.76	$179.84
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	44	44	$353.18	$199.08
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	35	25	$145.00	$106.47
99217 Hospital observation care on day of discharge	33	33	$165.00	$72.10
99219 Hospital observation care, typically 50 minutes	24	24	$275.00	$133.22
99221 Initial hospital inpatient care per day, typically 30 minutes	24	24	$145.42	$102.54
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	14	$71.09	$42.36
99224 Subsequent observation care, typically 15 minutes per day	17	16	$88.06	$39.78
99213 Established patient office or other outpatient visit, typically 15 minutes	14	13	$93.29	$50.84
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	11	11	$98.00	$54.36

Medical Specialties & State Licenses

CMS Verified: 2021-02-03

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License MI 4301056111

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License TX 41107

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

177143801 (TX)

Commercial Insurance / Payer ID Group Npi

1316031339 (MI)

Hospital & Practice Group Affiliations

Henry Ford Macomb Hospital Corporation

15855 19 Mile Rd, Clinton Township, MI 480383504

Phone: 5862632300

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Laura Dalla Vecchia , MD

Surgery

NPI 1083775407

Doctor of Medicine (M.D.)

Dr. Alfred Schneider , MD

Surgery

NPI 1154486637

Doctor of Medicine (M.D.)

Dr. John Lim , MD

Surgery

NPI 1407970585

Doctor of Medicine (M.D.)

Dr. Prabhaker Reddy , MD

Surgery

NPI 1659430437

Doctor of Medicine (M.D.)

Dr. Michael Noorily , MD

Surgery

NPI 1821112558

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location February 03, 2021

Registered at 43331 COMMONS DR, CLINTON TOWNSHIP, MI 480381109 (Tel: 5862635410)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 03, 2021

Surgery (License #4301056111 in MI)

✅

NPI Profile Active February 11, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location February 11, 2014

Registered at 27209 LAHSER RD, STE 128, SOUTHFIELD, MI 480348401 (Tel: 3056085977)

📍

Updated Business Mailing Address February 11, 2014

Registered at 880 N CRANBROOK RD, BLOOMFIELD HILLS, MI 483012617 (Tel: 3056085977)

👤

Provider Name / Credentials Updated February 11, 2014

Recorded as PETER LOPEZ, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) February 11, 2014

Surgery (License #41107 in TX)

🟢

Initial NPI Registration & Enumeration August 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1497862478

Entity Type:

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

Enumeration Date: August 24, 2006

Last Update: February 03, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

880 N Cranbrook Rd

Bloomfield Hills, MI 483012617

Phone: 3056085977

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.