DR. MICHAEL ANTHONY LOPEZ (MD) – Ophthalmology Physician, NPI 1205192135
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for DR. MICHAEL ANTHONY LOPEZ (MD)
601 5TH ST S STE 601
ST PETERSBURG, FL 337014804
Phone:
Type: Mailing
3333 W Tech Rd
Miamisburg, OH 453420955
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
3535 Southern Blvd
Kettering, OH 454291221
Phone: (937) 641-4000
Type: Location
3115 W Swann Ave
Tampa, FL 336094617
Phone: (813) 492-2020
Fax: (813) 492-2099
Type: Location
10080 Balaye Run Dr
Tampa, FL 336197902
Phone: (727) 767-4393
Type: Location
403 Vonderburg Dr
Brandon, FL 335115982
Phone: (813) 681-1122
Fax: (813) 684-4924
Type: Location
5800 49th St N Ste S108
St Petersburg, FL 337092146
Phone: (727) 390-3937
Fax: (727) 390-3940
Type: Location
PO BOX 933432
CLEVELAND, OH 441930039
Phone: (937) 641-5072
Fax: (937) 641-6129
Type: Mailing
1 CHILDRENS PLZ
DAYTON, OH 454041873
Phone: (937) 641-4000
Fax: (937) 641-4500
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $375.
Total Amount is formed as General ($375) + Research ($0) + Ownership ($0) = $375.
Last reported payment date: 2024-11-15 • Largest payer in this snapshot: Davol Inc. ($255).
Total Amount
$375
General + Research + Ownership
Payments
3
Total payment records
General Amount
$375
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-15
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Davol Inc. | $255 |
| Penumbra, Inc. | $119 |
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: 2024-12-06
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 |
|---|---|---|---|---|
| I20170713001087 | I | Ophthalmology | FL | TBD |
| I20241206002418 | I | Ophthalmology | OH | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 33701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O P H T H A L M O L O G Y | FL | |
| Ophthalmology, Pediatric Medicine | FL |
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