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Active NPI 1649363706 Individual Practitioner Male Practitioner

Edwin C Lopez , PA-C

Physician Assistant • Enumclaw, WA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Edwin Lopez, PA-C is a certified Physician Assistant practicing in Enumclaw, WA. With approximately 44 years of clinical experience since completing medical education in 1982, Edwin Lopez delivers high-quality medical care to the local community at 1455 BATTERSBY AVE.

Edwin Lopez is affiliated with Lourdes Hospital Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least, hospital discharge day management, more than. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1455 Battersby Ave

Enumclaw, WA 980223634

Telephone 2534266341
Fax 2534266344
Associated Practice Facility / Clinic
🏢 Enumclaw Radiologists Pllc Facility NPI 1750482915

Medicare Profile & Education

Medical School

Other

Graduation Year

1982

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Enumclaw, WA

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
44 Yrs +28.6 yrs vs City Avg
City Avg: 15.4 Yrs
State Avg: 12.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Enumclaw, WA (3774 Statewide)

Telehealth Adoption Rate
25.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
47.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lopez (44 Years) 44 Yrs
Enumclaw Specialty Average (15.4 Years) 15.4 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
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
18 17 $275.00 $143.51

Medical Specialties & State Licenses

CMS Verified: 2024-03-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License WA PA10000864

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
1045085 (WA)
Commercial Insurance / Payer ID State L&i
0127911 (WA)
Commercial Insurance / Payer ID Medicare Railroad
970007234 (WA)
Commercial Insurance / Payer ID State Crime Victims
8902557 (WA)

Hospital & Practice Group Affiliations

Lourdes Hospital Llc

1175 Carondelet Dr, Richland, WA 993543300

Phone: 5099439104

Lourdes Hospital Llc

7425 Wrigley Dr, Pasco, WA 993015292

Secondary Practice Locations

1717 S J St

Tacoma, WA 984054933

Phone: 2534266341

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jessica Tam , MD

Internal Medicine

NPI 1013106582

Doctor of Medicine (M.D.)

NPI 1013570159

Doctor of Medicine (M.D.)

Dr. David Bhaskar , MD

Obstetrics & Gynecology

NPI 1013925049

Doctor of Medicine (M.D.)

Priscilla James , AGACNP-BC

Nurse Practitioner - Gerontology

NPI 1023570231

Adult-Gerontology Acute Care Nurse Practitioner (Board Certified)

NPI 1023742780

Doctor of Medicine (M.D.)

Kevin Trippe , ARNP

Nurse Practitioner - Gerontology

NPI 1033721667

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location March 29, 2024

Registered at 1455 BATTERSBY AVE, ENUMCLAW, WA 980223634 (Tel: 2534266341)

👤
Provider Name / Credentials Updated March 29, 2024

Recorded as EDWIN LOPEZ, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 29, 2024

Physician Assistant (License #PA10000864 in WA)

NPI Profile Active November 17, 2010

NPI status registered as active in NPPES database

📍
Updated Practice Location November 17, 2010

Registered at 1717 S J ST, TACOMA, WA 984054933 (Tel: 2534266341)

📍
Updated Business Mailing Address November 17, 2010

Registered at 1717 S J ST, TACOMA, WA 984054933 (Tel: 2534266341)

👤
Provider Name / Credentials Updated November 17, 2010

Recorded as EDWIN LOPEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 17, 2010

Internal Medicine (License #PA10000864 in WA)

🟢
Initial NPI Registration & Enumeration October 02, 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: 1649363706
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 02, 2006
Last Update: March 29, 2024
Sole Proprietor: No

Mailing Address

1717 S J St

Tacoma, WA 984054933

Phone: 2534266341

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.