EUSTORGIO A. LOPEZ (M.D., D.D.S.) – Oral & Maxillofacial Surgery (D.M.D.), NPI 1730145061
Oral & Maxillofacial Surgery (D.M.D.)
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for EUSTORGIO A. LOPEZ (M.D., D.D.S.)
3200 S UNIVERSITY DR
DAVIE, FL 333282018
Phone: (954) 262-7153
Fax: (954) 262-1793
Type: Mailing
Jackson Memorial Hospital, 1611, Northwest 12th Avenue, Miami, Miami-Dade County, Florida, 33136, United States
NORTH WING SUITE 101
MIAMI, FL 331361005
Phone: (305) 585-3483
Fax: (305) 585-7361
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $202.
Total Amount is formed as General ($202) + Research ($0) + Ownership ($0) = $202.
Last reported payment date: 2023-08-01 • Largest payer in this snapshot: AXOGEN ($149).
Total Amount
$202
General + Research + Ownership
Payments
4
Total payment records
General Amount
$202
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-08-01
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AXOGEN | $149 |
| Integra LifeSciences Corporation | $35 |
| Nobel Biocare USA | $18 |
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: 2007-11-01
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
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 |
|---|---|---|---|---|
| I20071101000270 | I | Maxillofacial Surgery | FL | 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 33328)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | PA | |
| Nurse Practitioner | FL | |
| Internal Medicine | FL | |
| Certified Registered Nurse Anesthetist (Crna) | FL | |
| - | FL | |
| Internal Medicine | FL | |
| Nurse Practitioner | FL | |
| P S Y C H I A T R Y | FL | |
| General Surgery | FL | |
| Nurse Practitioner | FL |
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