MISTY RENEE LOPEZ (PA-C) – Physician Assistant, NPI 1164513883
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,853 PHYSICIAN ASSISTANT in MO
Provider Addresses for MISTY RENEE LOPEZ (PA-C)
5100 N TOWNE CENTRE DR
OZARK, MO 657217479
Phone: (417) 269-2215
Fax: (417) 269-2427
Type: Location
Springfield, Boulevard Émile Krieps, Oberkorn, Differdange, Canton Esch-sur-Alzette, 4543, Luxembourg
SPRINGFIELD, MO 658084046
Phone: (417) 269-2215
Fax: (417) 269-2427
Type: Mailing
Farmer Branch Road, Ozark, Christian County, Missouri, United States
OZARK, MO 657215315
Phone: (417) 269-2215
Fax: (417) 269-2427
Type: Location
2052 W BUENA VISTA ST
SPRINGFIELD, MO 658101511
Phone: (417) 315-4911
Type: Location
PO BOX 802843
KANSAS CITY, MO 641802843
Phone: (417) 730-6430
Fax: (417) 269-7567
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 180 Open Payments records for all available years, with a total value of $3,412.
Total Amount is formed as General ($3,412) + Research ($0) + Ownership ($0) = $3,412.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($622).
Total Amount
$3,412
General + Research + Ownership
Payments
180
Total payment records
General Amount
$3,412
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $622 |
| Lilly USA, LLC | $453 |
| Axsome Therapeutics, Inc. | $372 |
| PFIZER INC. | $309 |
| ABBVIE INC. | $279 |
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: 2005-10-10
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 |
|---|---|---|---|---|
| I20051010000177 | I | Physician Assistant | MO | 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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 138 | 78 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 130 | 80 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 64 | 54 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 48 | 48 | $0 |
| 81003 | Automated urinalysis test | 14 | 14 | $0 |
Insurance plans in this area (ZIP 65721)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MO | |
| Physician Assistant | MO | |
| Family Practice | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| O P T O M E T R Y | MO | |
| Family Practice | MO | |
| Nurse Practitioner | MO | |
| Nurse Practitioner | MO | |
| P S Y C H I A T R Y | GA |
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