DR. RAFAEL LOPEZ (M.D.) – Family Medicine Physician, NPI 1609873058
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,705 FAMILY PRACTICE in TX
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Provider Addresses for DR. RAFAEL LOPEZ (M.D.)
351, North Sam Houston Boulevard, San Benito, Cameron County, Texas, 78586, United States
SAN BENITO, TX 785864656
Phone: (956) 399-2443
Fax: (956) 399-6331
Type: Location
502 S CLOSNER BLVD
EDINBURG, TX 785394660
Phone: (956) 468-2999
Fax: (956) 468-2997
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 26 Open Payments records for all available years, with a total value of $498.
Total Amount is formed as General ($498) + Research ($0) + Ownership ($0) = $498.
Last reported payment date: 2024-11-20 • Largest payer in this snapshot: Lilly USA, LLC ($138).
Total Amount
$498
General + Research + Ownership
Payments
26
Total payment records
General Amount
$498
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Lilly USA, LLC | $138 |
| PFIZER INC. | $88 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $85 |
| Exact Sciences Corporation | $34 |
| ABBVIE INC. | $27 |
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: 2010-01-04
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 |
|---|---|---|---|---|
| I20100104000617 | I | Family Practice | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 259 | 129 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 228 | 42 | $0 |
| J0696 | Injection, ceftriaxone sodium, per 250 mg | 149 | 22 | $0 |
| J3301 | Injection, triamcinolone acetonide, not otherwise specified, 10 mg | 134 | 19 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 130 | 92 | $0 |
Insurance plans in this area (ZIP 78586)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | TX | 20610 | Aspiration and/or injection of large joint or joint capsule | 19 | 17 |
| FAMILY MEDICINE | TX | 83036 | Hemoglobin A1C level | 245 | 172 |
| FAMILY MEDICINE | TX | 85610 | Blood test, clotting time | 34 | 13 |
| FAMILY MEDICINE | TX | 90670 | Pneumococcal vaccine for injection into muscle | 115 | 115 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | TX | |
| Physician Assistant | TX | |
| Physician Assistant | TX | |
| Family Practice | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Nurse Practitioner | TX | |
| Internal Medicine | TX | |
| Physician Assistant | TX |
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