Active NPI 1134769292 Individual Practitioner Female Practitioner

Stacey Lopez , PA-C

Physician Assistant • Burleson, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Stacey Lopez, PA-C is a certified Physician Assistant practicing in Burleson, TX. With approximately 8 years of clinical experience since completing medical education in 2018, Stacey Lopez delivers high-quality medical care to the local community at 621 SW JOHNSON AVE STE C.

Stacey Lopez is affiliated with Prestige Dermatology Pllc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, destruction of precancer skin growth, 2-14 growths, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

621 Sw Johnson Ave Ste C

Burleson, TX 760285834

Telephone 8177667421

Fax 8174478100

Associated Practice Facility / Clinic

🏢 Ips Burleson Facility NPI 1720320567

Medicare Profile & Education

Medical School

Other

Graduation Year

2018

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Burleson, TX

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

8 Yrs -2.4 yrs vs City Avg

City Avg: 10.4 Yrs

State Avg: 13.9 Yrs

Regional Practice Density

25 Specialists

Practicing in Burleson, TX (11140 Statewide)

Telehealth Adoption Rate

16.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

51.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (8 Years) 8 Yrs

Burleson Specialty Average (10.4 Years) 10.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	544	331	$135.00	$71.28
17003 Destruction of precancer skin growth, 2-14 growths	219	62	$10.00	$5.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	177	141	$179.58	$100.84
17000 Destruction of skin growth	143	105	$110.00	$45.29
11102 Tangential biopsy of single skin lesion	126	104	$140.00	$74.37
17110 Destruction of up to 14 skin growths	106	79	$167.92	$87.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	45	45	$170.56	$88.24
11103 Biopsy of related skin growth, each additional growth	29	25	$75.00	$38.69
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	21	20	$346.00	$174.09
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	15	14	$415.00	$151.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$245.00	$131.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	642	378	$135.00	$71.02
17003 Destruction of precancer skin growth, 2-14 growths	364	77	$10.00	$5.25
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	214	145	$174.58	$100.83
17000 Destruction of skin growth	185	124	$110.00	$45.51
17110 Destruction of up to 14 skin growths	158	114	$160.00	$89.41
11102 Tangential biopsy of single skin lesion	139	117	$140.00	$75.08
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$160.00	$87.82
11103 Biopsy of related skin growth, each additional growth	31	25	$75.00	$39.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$245.00	$131.76
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	17	16	$346.00	$188.79
11104 Punch biopsy, first skin growth	14	14	$180.00	$98.39

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	681	115	$10.00	$5.62
99213 Established patient office or other outpatient visit, typically 15 minutes	461	294	$129.58	$74.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	346	208	$160.00	$105.57
17000 Destruction of skin growth	261	168	$110.00	$46.07
17110 Destruction of up to 14 skin growths	182	132	$160.00	$93.76
11102 Tangential biopsy of single skin lesion	126	102	$140.00	$78.11
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$245.00	$137.10
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$160.00	$91.77
17111 Destruction of skin growth, 15 or more growths	28	23	$191.00	$109.70
11103 Biopsy of related skin growth, each additional growth	24	17	$75.00	$42.38
12031 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less	20	20	$346.00	$208.44
11104 Punch biopsy, first skin growth	14	14	$180.00	$105.54
17004 Destruction of precancer skin growth, 15 or more growths	12	12	$219.00	$139.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J7345 Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg	4,400	13	$2.59	$1.53
17003 Destruction of precancer skin growth, 2-14 growths	450	96	$10.00	$5.43
99213 Established patient office or other outpatient visit, typically 15 minutes	423	265	$115.00	$75.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	348	228	$160.00	$107.53
17000 Destruction of skin growth	208	143	$110.00	$47.01
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	138	11	$160.00	$98.91
17110 Destruction of up to 14 skin growths	135	109	$160.00	$94.60
11102 Tangential biopsy of single skin lesion	123	114	$140.00	$77.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	57	57	$160.00	$92.82
17111 Destruction of skin growth, 15 or more growths	38	27	$191.00	$110.77
11103 Biopsy of related skin growth, each additional growth	25	21	$75.00	$43.97
11104 Punch biopsy, first skin growth	23	22	$180.00	$108.32
96574 Application of light with debridement to destroy precancer skin growth	22	13	$350.00	$241.38
17004 Destruction of precancer skin growth, 15 or more growths	19	17	$219.00	$137.77
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$245.00	$138.88
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	14	$442.00	$247.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	306	205	$115.00	$62.12
17003 Destruction of precancer skin growth, 2-14 growths	283	58	$10.00	$5.01
96910 Skin application of tar and ultraviolet B or petrolatum and ultraviolet B	112	11	$160.00	$95.12
17000 Destruction of skin growth	108	85	$110.00	$42.96
17110 Destruction of up to 14 skin growths	92	76	$160.00	$92.10
11102 Tangential biopsy of single skin lesion	62	55	$140.00	$73.58
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$160.00	$89.31
17004 Destruction of precancer skin growth, 15 or more growths	17	15	$219.00	$131.43
11103 Biopsy of related skin growth, each additional growth	15	12	$75.00	$44.09

Medical Specialties & State Licenses

CMS Verified: 2022-05-20

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License TX PA13099

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Prestige Dermatology Pllc

621 Sw Johnson Ave, Burleson, TX 760285834

Phone: 8177667421

Prestige Dermatology Pllc

264 Exchange St, Burleson, TX 760284575

Phone: 8177667421

Practice Associates & Co-Workers

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

5 Associated Practitioners

Amy Sanders

Nurse Practitioner

NPI 1093194789

Stephanie Nguyen

Physician Assistant - Medical

NPI 1316257314

Dr. Ryan Pham , DO

Dermatology

NPI 1407173230

Doctor of Osteopathic Medicine (D.O.)

Teena Pham

Physician Assistant

NPI 1457131096

Hong Do , FNP-BC

Nurse Practitioner

NPI 1639683576

Family Nurse Practitioner (Board Certified)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 07, 2020

NPI status registered as active in NPPES database

📍

Updated Practice Location January 07, 2020

Registered at 621 SW JOHNSON AVE STE C, BURLESON, TX 760285834 (Tel: 8177183571)

📍

Updated Business Mailing Address January 07, 2020

Registered at 621 SW JOHNSON AVE STE C, BURLESON, TX 760285834 (Tel: 8177183571)

👤

Provider Name / Credentials Updated January 07, 2020

Recorded as STACEY LOPEZ, PA-C

🎓

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

Physician Assistant (License #PA13099 in TX)

🟢

Initial NPI Registration & Enumeration January 07, 2020

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: 1134769292

Entity Type:

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

Enumeration Date: January 07, 2020

Last Update: May 20, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

621 Sw Johnson Ave Ste C

Burleson, TX 760285834

Phone: 8177183571

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.