DR. LUIS ALFONSO LOPEZ (MD) – Pediatrics Physician, NPI 1083600035
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
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Provider Addresses for DR. LUIS ALFONSO LOPEZ (MD)
20642, Stone Oak Parkway, Stone Oak, San Antonio, Bexar County, Texas, 78258, United States
STE 105
SAN ANTONIO, TX 78258
Phone: (210) 650-0814
Fax: (210) 650-0926
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 41 Open Payments records for all available years, with a total value of $909.
Total Amount is formed as General ($909) + Research ($0) + Ownership ($0) = $909.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: Tris Pharma Inc ($166).
Total Amount
$909
General + Research + Ownership
Payments
41
Total payment records
General Amount
$909
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Tris Pharma Inc | $166 |
| Phadia US Inc. | $144 |
| SANOFI PASTEUR INC. | $140 |
| NuVasive, Inc. | $115 |
| Ironshore Pharmaceuticals Inc. | $82 |
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: 2022-05-04
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 |
|---|---|---|---|---|
| I20220504001089 | I | Pediatric Medicine | TX | 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 78258)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| R H E U M A T O L O G Y | TX | |
| Mental Health Counselor | TX | |
| Family Practice | TX | |
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Nurse Practitioner | TX | |
| Family Practice | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| O B S T E T R I C S/ G Y N E C O L O G Y | TX | |
| Family Practice | TX |
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