Dr. Sebastian Lopez, MD - Surgery in Roswell, NM

Professional Overview & Biography Verified Profile Summary

Dr. Sebastian Lopez, MD is a certified Surgery practicing in Roswell, NM. With approximately 36 years of clinical experience since completing medical education in 1990, Dr. Lopez delivers high-quality medical care to the local community at 601 W COUNTRY CLUB RD.

Dr. Lopez is affiliated with Covenant Medical Group and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, subsequent hospital care with moderate levelof 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

601 W Country Club Rd
Suite 201

Roswell, NM 882015224

Telephone 5756270535

Associated Practice Facility / Clinic

🏢 Roswell Clinic Corp Facility NPI 1871713909

Medicare Profile & Education

Medical School

Other

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Roswell, NM

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +6.1 yrs vs City Avg

City Avg: 29.9 Yrs

State Avg: 22.5 Yrs

Regional Practice Density

13 Specialists

Practicing in Roswell, NM (251 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

47.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (36 Years) 36 Yrs

Roswell Specialty Average (29.9 Years) 29.9 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$202.00	$106.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$285.00	$147.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	16	16	$129.11	$86.18
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$205.31	$107.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$288.29	$159.48

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	47	47	$212.98	$109.53
99213 Established patient office or other outpatient visit, typically 15 minutes	38	32	$140.21	$88.27
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	17	$163.54	$68.48
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$287.58	$163.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$226.02	$108.55
99213 Established patient office or other outpatient visit, typically 15 minutes	21	20	$141.64	$89.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	58	58	$272.00	$103.44
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	48	29	$185.00	$72.42
99213 Established patient office or other outpatient visit, typically 15 minutes	40	35	$184.00	$72.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	32	30	$522.00	$201.42
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$566.00	$191.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	14	$271.00	$101.21
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$689.00	$93.80
45380 Biopsy of large bowel using an endoscope	14	14	$1153.00	$167.21
99284 Emergency department visit with moderate level of medical decision making	11	11	$438.00	$118.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	63	63	$272.00	$104.65
99213 Established patient office or other outpatient visit, typically 15 minutes	59	51	$184.00	$70.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	30	29	$522.00	$201.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	19	$185.00	$72.26
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	12	$267.00	$103.46
45380 Biopsy of large bowel using an endoscope	18	18	$1154.22	$197.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$271.00	$104.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	62	62	$272.00	$102.66
99213 Established patient office or other outpatient visit, typically 15 minutes	61	51	$184.00	$68.59
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	39	35	$522.00	$199.98
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	32	18	$185.00	$68.88
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	20	12	$267.00	$97.75
45380 Biopsy of large bowel using an endoscope	13	13	$1153.00	$162.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$271.00	$97.22

Medical Specialties & State Licenses

CMS Verified: 2020-12-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NM MD2008-0699

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 AZ 27867

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

479875 (AZ)

Medicaid State Provider ID

36128384 (NM)

Commercial Insurance / Payer ID Rr Medicare

020043666 (AZ)

Commercial Insurance / Payer ID Healthnet

2Z0574 (AZ)

Commercial Insurance / Payer ID Aetna

2214988 (AZ)

Commercial Insurance / Payer ID Blue Cross Blue Shield

AZ0850750 (AZ)

Hospital & Practice Group Affiliations

Covenant Medical Group

5419 N Lovington Hwy, Hobbs, NM 882409102

Phone: 5753923200

Secondary Practice Locations

1900 Hot Springs Blvd Ste A

Las Vegas, NM 877013480

Phone: 5054263795

Practice Associates & Co-Workers

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

7 Associated Practitioners

Dr. Maria De La Torre Herrera , MD

Surgery

NPI 1194362137

Doctor of Medicine (M.D.)

Dr. Elia Charbel Abboud , MD

Surgery

NPI 1316380751

Doctor of Medicine (M.D.)

Dr. Ankita Mishra , MD

Surgery

NPI 1336609163

Doctor of Medicine (M.D.)

Dr. Katherine Baugh , MD

Surgery

NPI 1558758359

Doctor of Medicine (M.D.)

Dr. Akbar Ali , MD

Surgery

NPI 1578558219

Doctor of Medicine (M.D.)

Dr. Zafar Parvez , MD

Surgery

NPI 1750392361

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) December 07, 2020

Surgery (License #MD2008-0699 in NM)

✅

NPI Profile Active June 10, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location June 10, 2009

Registered at 601 W COUNTRY CLUB RD, SUITE 201, ROSWELL, NM 882015224 (Tel: 5756270535)

📍

Updated Business Mailing Address June 10, 2009

Registered at 405 W COUNTRY CLUB RD, C/O MSO ADMINISTRATION, ROSWELL, NM 882015209 (Tel: 5756244777)

👤

Provider Name / Credentials Updated June 10, 2009

Recorded as SEBASTIAN LOPEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 10, 2009

Surgery (License #MD2008-0699 in NM)

🟢

Initial NPI Registration & Enumeration June 28, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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Dr. Sebastian Lopez , MD

Professional Overview & Biography Verified Profile Summary

Practice Location & Contact Primary Location

Medicare Profile & Education

Specialty Benchmarks & Practice Insights

Clinical Seniority & Experience Comparison

Performed Procedures & Service Volume

Medical Specialties & State Licenses

Additional State Medicaid & Healthcare Payer Identifiers

Hospital & Practice Group Affiliations

Covenant Medical Group

Secondary Practice Locations

Practice Associates & Co-Workers

Career & Practice History Timeline

Patient & Community Reviews

NPI Administrative Meta

Mailing Address