PEDRO JUAN LOPEZ (M.D.) – Internal Medicine Physician, NPI 1649276601

PEDRO JUAN LOPEZ (M.D.) is a healthcare provider. based in Weatherford, Oklahoma. specializing in Internal Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 11556 (PR). The NPI Number for PEDRO JUAN LOPEZ (M.D.) is 1649276601

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
PEDRO JUAN LOPEZ (M.D.)
NPI
1649276601
Phone
(580) 774-2835
Address
920 LANTERN LN
Enumeration Date
23 June 2005
Last Update Date
15 November 2010

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
9183426200
Graduation Year
1991 (35 years ago)
PAC ID
5294753158
Group Practice PAC ID
9436069911
Professional Enrollment ID
I20051109000355
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for PEDRO JUAN LOPEZ (M.D.)

  • Lantern Lane, Weatherford, Custer County, Oklahoma, 73096, United States

    WEATHERFORD, OK 730965820

    Phone: (580) 774-2835

    Type: Mailing

  • RR 1 BOX 3060

    CLINTON, OK 736019303

    Phone: (580) 331-3340

    Fax: (580) 331-3349

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $132.

Total Amount is formed as General ($132) + Research ($0) + Ownership ($0) = $132.

Last reported payment date: 2024-05-22 • Largest payer in this snapshot: ABIOMED ($132).

Total Amount

$132

General + Research + Ownership

Payments

2

Total payment records

General Amount

$132

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABIOMED$132
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: 2025-03-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20051109000355IInternal MedicineTXTBD
I20250317003417IInternal MedicinePRTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes221141$0
99214Established patient office or other outpatient visit, 30-39 minutes194128$0
99212Established patient office or other outpatient visit, 10-19 minutes6451$0
View full utilization report →

Insurance plans in this area (ZIP 73096)

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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: 9436069911View full group profile

Reviews

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Frequently asked questions

Where can patients find PEDRO JUAN LOPEZ (M.D.)'s NPI?
You can confirm PEDRO JUAN LOPEZ (M.D.) with NPI 1649276601; it appears in the national provider directory.
Does this profile mean PEDRO JUAN LOPEZ (M.D.) is currently active?
Yes — PEDRO JUAN LOPEZ (M.D.) appears active in the national provider directory.
Can you summarize PEDRO JUAN LOPEZ (M.D.)'s specialty in plain language?
Clinically, the directory lists PEDRO JUAN LOPEZ (M.D.) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location shows for PEDRO JUAN LOPEZ (M.D.)?
We surface Weatherford, Oklahoma for PEDRO JUAN LOPEZ (M.D.) based on available NPPES addresses.
What if Weatherford, Oklahoma seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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