Active NPI 1710333620 Individual Practitioner Female Practitioner

Dr. Michelle Lopez , MD

Internal Medicine • Mcallen, TX

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michelle Lopez, MD is a certified Internal Medicine practicing in Mcallen, TX. With approximately 10 years of clinical experience since completing medical education in 2016, Dr. Lopez delivers high-quality medical care to the local community at 205 E TORONTO AVE.

Dr. Lopez maintains professional affiliations with Md Hospitalists Pllc, Hni Medical Services 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, hospital discharge day management, more than, initial hospital care with moderate level of 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

205 E Toronto Ave

Mcallen, TX 785031209

Telephone 8338874863

Fax 9562966857

Associated Practice Facility / Clinic

🏢 Physicians Educational Foundation Facility NPI 1184761728

Medicare Profile & Education

Medical School

Other

Graduation Year

2016

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Mcallen, TX

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

10 Yrs -11.9 yrs vs City Avg

City Avg: 21.9 Yrs

State Avg: 26.2 Yrs

Regional Practice Density

52 Specialists

Practicing in Mcallen, TX (9538 Statewide)

Telehealth Adoption Rate

19.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

59.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (10 Years) 10 Yrs

Mcallen Specialty Average (21.9 Years) 21.9 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
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	32	$276.93	$113.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	35	17	$181.71	$75.13
99239 Hospital discharge day management, more than 30 minutes	17	17	$257.06	$102.69

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	65	26	$151.31	$77.43
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	60	31	$213.87	$116.50
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	53	$353.67	$169.80
99239 Hospital discharge day management, more than 30 minutes	19	19	$213.00	$111.94
99238 Hospital discharge day management, 30 minutes or less	19	18	$147.00	$78.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	13	13	$256.15	$127.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	83	46	$198.34	$97.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	82	40	$139.00	$68.34
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	64	63	$383.56	$189.32
99239 Hospital discharge day management, more than 30 minutes	27	27	$204.30	$100.71
99238 Hospital discharge day management, 30 minutes or less	21	21	$139.95	$68.82
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	12	12	$192.17	$94.70

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	148	51	$202.03	$100.07
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	113	42	$139.19	$69.61
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	57	53	$388.26	$193.93
99239 Hospital discharge day management, more than 30 minutes	46	40	$206.65	$103.06
99238 Hospital discharge day management, 30 minutes or less	14	13	$143.00	$69.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	237	114	$206.00	$100.22
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	141	87	$142.00	$70.40
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	133	131	$399.00	$195.82
99239 Hospital discharge day management, more than 30 minutes	70	67	$211.00	$104.70
99238 Hospital discharge day management, 30 minutes or less	48	48	$143.00	$69.92
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	24	24	$269.71	$134.36

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	121	60	$142.00	$70.74
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	73	36	$206.00	$101.16
99238 Hospital discharge day management, 30 minutes or less	37	36	$143.00	$70.89
99239 Hospital discharge day management, more than 30 minutes	27	27	$211.00	$104.03
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	21	21	$399.00	$196.68
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$270.00	$133.08

Medical Specialties & State Licenses

CMS Verified: 2024-09-23

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License TX S1168

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

3996282-01 (TX)

Commercial Insurance / Payer ID Bcbs-Tx

H08LJ20301 (TX)

Hospital & Practice Group Affiliations

Md Hospitalists Pllc

110 E Savannah Ave, Mcallen, TX 785031241

Hni Medical Services

101 E Ridge Rd, Mcallen, TX 785031847

Phone: 9566326000

Md Hospitalists Pllc

110 E Savannah Ave, Mcallen, TX 785031241

Phone: 9566867611

Hni Medical Services

512 Victoria Ln, Harlingen, TX 785503228

Phone: 9564406300

Md Hospitalists Pllc

110 E Savannah Ave Blg B, Mcallen, TX 785031241

Practice Associates & Co-Workers

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

6 Associated Practitioners

Alex Alejandro

Physical Therapist

NPI 1154212066

Eduardo Trevino , RN

Registered Nurse - Oncology

NPI 1225965544

Registered Nurse

Tyrel Santiago

Nurse Practitioner - Family

NPI 1437793551

Vergil Datu , RN, MSN, FNP, AGACNP

Nurse Practitioner - Acute Care

NPI 1629303946

Registered Nurse, Master of Science in Nursing, Family Nurse Practitioner, Adult-Gerontology Acute Care Nurse Practitioner

Tu Riccel Conje , AGACNP-BC

Nurse Practitioner - Acute Care

NPI 1881134708

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

Dr. Alvaro Orue Quintana , MD

Family Medicine

NPI 1902500689

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

11 Historical Events

📍

Updated Practice Location September 23, 2024

Registered at 205 E TORONTO AVE, MCALLEN, TX 785031209 (Tel: 8338874863)

📍

Updated Business Mailing Address September 23, 2024

Registered at PO BOX 531968, HARLINGEN, TX 785531968 (Tel: 8338874863)

📍

Updated Practice Location August 12, 2019

Registered at 5423 S MCCOLL RD, EDINBURG, TX 785399183 (Tel: 9563623575)

📍

Updated Business Mailing Address July 01, 2019

Registered at 5423 S MCCOLL RD, EDINBURG, TX 785399183 (Tel: 8322535453)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 01, 2019

Internal Medicine (License #S1168 in TX)

✅

NPI Profile Active May 23, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location May 23, 2016

Registered at 11715 TURTLE LAKE DR, HOUSTON, TX 770642234 (Tel: 8322535453)

📍

Updated Business Mailing Address May 23, 2016

Registered at 11715 TURTLE LAKE DR, HOUSTON, TX 770642234 (Tel: 8322535453)

👤

Provider Name / Credentials Updated May 23, 2016

Recorded as MICHELLE LOPEZ, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 23, 2016

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration May 10, 2016

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: 1710333620

Entity Type:

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

Enumeration Date: May 10, 2016

Last Update: September 23, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 531968

Harlingen, TX 785531968

Phone: 8338874863

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.