MR. EDWIN PEREZ-LOPEZ (MD) – Family Medicine Physician, NPI 1447272299

MR. EDWIN PEREZ-LOPEZ (MD) is a healthcare provider. based in Benton, Kentucky. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 39144 (KY). The NPI Number for MR. EDWIN PEREZ-LOPEZ (MD) is 1447272299

Main info

Male
24 Years Of Experience
Name
MR. EDWIN PEREZ-LOPEZ (MD)
NPI
1447272299
Phone
(270) 527-8601
Address
83 WELLNESS WAY
Enumeration Date
24 July 2006
Last Update Date
4 December 2023

Doctor Profile

Medical School Name
UNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
2002 (24 years ago)
PAC ID
4587609417
Group Practice PAC ID
3375581986
Professional Enrollment ID
I20050622000236
Address ID
KY420255042BE619XXRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

1,717 FAMILY PRACTICE in KY

Provider Addresses for MR. EDWIN PEREZ-LOPEZ (MD)

  • 83 WELLNESS WAY

    BENTON, KY 420257156

    Phone: (270) 527-8601

    Fax: (270) 527-9615

    Type: Location

  • 83 WELLNESS WAY STE 101&201

    BENTON, KY 420257156

    Phone:

    Type: Mailing

  • Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452636961

    Phone: (513) 981-5130

    Fax: (513) 981-5015

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 75 Open Payments records for all available years, with a total value of $1,186.

Total Amount is formed as General ($1,186) + Research ($0) + Ownership ($0) = $1,186.

Last reported payment date: 2023-11-02 • Largest payer in this snapshot: ABBVIE INC. ($280).

Total Amount

$1,186

General + Research + Ownership

Payments

75

Total payment records

General Amount

$1,186

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-02

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2005-06-22

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050622000236IFamily PracticeKYTBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes675294$0
99307Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes44898$0
99213Established patient office or other outpatient visit, 20-29 minutes321160$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg20040$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit169169$0
View full utilization report →

Insurance plans in this area (ZIP 42025)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3375581986View full group profile
NameSpecialtyState
Physician AssistantKY
Certified Registered Nurse Anesthetist (Crna)KY
Certified Registered Nurse Anesthetist (Crna)KY
-KY
Cardiovascular Disease (Cardiology), Internal MedicineKY
Orthopedic SurgeryKY
-KY
-IL
General SurgeryKY
Nurse PractitionerKY

Reviews

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Frequently asked questions

How is MR. EDWIN PEREZ-LOPEZ (MD) identified in CMS data?
CMS-hosted NPPES data lists MR. EDWIN PEREZ-LOPEZ (MD) with NPI 1447272299.
Does CMS list MR. EDWIN PEREZ-LOPEZ (MD) as active?
Yes — MR. EDWIN PEREZ-LOPEZ (MD) is active in the NPI listing used on this page.
What is MR. EDWIN PEREZ-LOPEZ (MD)'s specialty?
The listing groups MR. EDWIN PEREZ-LOPEZ (MD) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What address line appears for MR. EDWIN PEREZ-LOPEZ (MD)?
MR. EDWIN PEREZ-LOPEZ (MD)'s geographic hint is Benton, Kentucky in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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