DR. MANUEL ENRIQUE LOPEZ DIEZ (M.D.) – Pain Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1144458100
Pain Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
671 PAIN MANAGEMENT in FL
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Provider Addresses for DR. MANUEL ENRIQUE LOPEZ DIEZ (M.D.)
905, Alameda Lane, Switzerland, Fruit Cove, Saint Johns County, Florida, 32259, United States
SAINT JOHNS, FL 322596904
Phone: (904) 707-5498
Fax: (904) 212-1351
Type: Mailing
4863, Palm Coast Parkway Northwest, Palm Coast, Flagler County, Florida, 32137, United States
PALM COAST, FL 321373666
Phone: (386) 222-7746
Fax: (904) 212-1351
Type: Location
155 BENT TRL
PONTE VEDRA, FL 320810846
Phone: (904) 707-5498
Fax: (904) 212-1351
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 52 Open Payments records for all available years, with a total value of $2,152.
Total Amount is formed as General ($2,152) + Research ($0) + Ownership ($0) = $2,152.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Vertos Medical, Inc. ($450).
Total Amount
$2,152
General + Research + Ownership
Payments
52
Total payment records
General Amount
$2,152
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Vertos Medical, Inc. | $450 |
| SPR Therapeutics, Inc | $413 |
| PAINTEQ LLC | $308 |
| Boston Scientific Corporation | $293 |
| Abbott Laboratories | $152 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2022-12-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130305000477 | I | Pain Management | FL | TBD |
| I20221206000879 | I | Pain Management | NC | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| Q9966 | Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml | 4,935 | 200 | $0 |
| J1100 | Injection, dexamethasone sodium phosphate, 1 mg | 4,077 | 357 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 2,760 | 563 | $0 |
| 80307 | Testing for presence of drug, by chemistry analyzers | 1,007 | 511 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 286 | 285 | $0 |
Insurance plans in this area (ZIP 32259)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PAIN MANAGEMENT | FL | 64493 | Injections of lower or sacral spine facet joint using imaging guidance | 36 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | FL | |
| Interventional Pain Management, Pain Management | FL | |
| Pain Management, Emergency Medicine, Emergency Medicine | FL |
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