MARYALICE LOPEZ (MD) – Obstetrics & Gynecology Physician, NPI 1033554480
Obstetrics & Gynecology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
201 OBSTETRICS/GYNECOLOGY in ID
Provider Addresses for MARYALICE LOPEZ (MD)
333 N 1ST ST STE 240
BOISE, ID 837026132
Phone: (208) 338-8900
Fax: (208) 947-1190
Type: Mailing
520 S Eagle Rd
Meridian, ID 836426351
Phone: (208) 381-2222
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $2,368.
Total Amount is formed as General ($2,368) + Research ($0) + Ownership ($0) = $2,368.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($2,277).
Total Amount
$2,368
General + Research + Ownership
Payments
15
Total payment records
General Amount
$2,368
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Intuitive Surgical, Inc. | $2,277 |
| Astellas Pharma US Inc | $29 |
| ABBVIE INC. | $25 |
| Exeltis, USA Inc. | $24 |
| CooperSurgical, Inc. | $13 |
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: 2019-02-14
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 |
|---|---|---|---|---|
| I20190214002341 | I | Obstetrics/Gynecology | ID | 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 83702)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | UT | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| O B S T E T R I C S/ G Y N E C O L O G Y | NC | |
| O B S T E T R I C S/ G Y N E C O L O G Y | ID | |
| Nurse Practitioner | ID | |
| Nurse Practitioner | ID |
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