SANDRA B LOPEZ (PA) – Medical Physician Assistant, NPI 1770676884
Medical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
9,231 PHYSICIAN ASSISTANT in FL
Provider Addresses for SANDRA B LOPEZ (PA)
5807 NW ALLYSE DR
PORT ST LUCIE, FL 349864650
Phone: (772) 905-2583
Fax: (772) 335-1116
Type: Mailing
9850 S FEDERAL HIGHWAY
PORT ST LUCIE, FL 34972
Phone: (772) 335-1500
Fax: (772) 335-1116
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 40 Open Payments records for all available years, with a total value of $853.
Total Amount is formed as General ($853) + Research ($0) + Ownership ($0) = $853.
Last reported payment date: 2024-12-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($368).
Total Amount
$853
General + Research + Ownership
Payments
40
Total payment records
General Amount
$853
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-16
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2008-09-15
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 |
|---|---|---|---|---|
| I20080915000437 | I | Physician Assistant | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 17003 | Destruction of precancer skin growth, 2-14 growths | 5,250 | 760 | $0 |
| 17000 | Destruction of precancer skin growth, 1 growth | 1,511 | 1,035 | $0 |
| 11102 | Biopsy of related skin growth, first growth | 1,248 | 916 | $0 |
| 11103 | Biopsy of related skin growth, each additional growth | 1,224 | 551 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 1,045 | 771 | $0 |
Insurance plans in this area (ZIP 34986)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| D E R M A T O L O G Y | FL | |
| D E R M A T O L O G Y | FL | |
| Radiation Oncology | FL | |
| Physician Assistant | NJ | |
| Internal Medicine | FL | |
| Radiation Oncology | IN | |
| D E R M A T O L O G Y | FL | |
| Plastic And Reconstructive Surgery | FL | |
| - | FL |
Reviews
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