JERRY LOPEZ (P.A.) – Surgical Physician Assistant, NPI 1710947650

JERRY LOPEZ (P.A.) is a healthcare provider. based in Leander, Texas. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials P.A.. They hold a License No. PA03921 (TX). The NPI Number for JERRY LOPEZ (P.A.) is 1710947650

Main info

Male
27 Years Of Experience
Accepts Medicare Assignment
Name
JERRY LOPEZ (P.A.)
NPI
1710947650
Phone
(512) 439-1000
Address
10861 183A Toll Road
Enumeration Date
24 March 2006
Last Update Date
6 March 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5124391000
Graduation Year
1999 (27 years ago)
PAC ID
1456337971
Group Practice PAC ID
9931529062
Professional Enrollment ID
I20040625000741
Address ID
TX786653025RO4700XDRXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

8,497 PHYSICIAN ASSISTANT in TX

Provider Addresses for JERRY LOPEZ (P.A.)

  • 10861 183A Toll Road

    Bldg 1200, Ste 1200

    Leander, TX 786411257

    Phone: (512) 439-1000

    Type: Location

  • 4700, Seton Center Parkway, Quarry, Austin, Travis County, Texas, 78759, United States

    SUITE 200

    AUSTIN, TX 787595295

    Phone: (512) 439-1000

    Fax: (512) 439-1081

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2004-06-25

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
I20040625000741IPhysician AssistantTXTBD

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
27447Replacement of knee joint, both sides of knee2423$0
20610Aspiration and/or injection of fluid from large joint1211$0
View full utilization report →

Insurance plans in this area (ZIP 78641)

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Provider's Procedures

JERRY LOPEZ (P.A.) performs procedures in PHYSICIAN ASSISTANT. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTTX27447Repair of knee joint3433

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: 9931529062View full group profile
NameSpecialtyState
Orthopedic SurgeryTX
Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerLA
P O D I A T R YTX
Physician AssistantTX
Physician AssistantTX
Hand Surgery, Orthopedic SurgeryTX
Physician AssistantTX
Nurse PractitionerTX

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Frequently asked questions

Where can patients find JERRY LOPEZ (P.A.)'s NPI?
You can confirm JERRY LOPEZ (P.A.) with NPI 1710947650; it appears in the national provider directory.
Is JERRY LOPEZ (P.A.) currently active in the NPI registry?
CMS-published data lists JERRY LOPEZ (P.A.) as an active registrant.
Can you summarize JERRY LOPEZ (P.A.)'s specialty in plain language?
Clinically, the directory lists JERRY LOPEZ (P.A.) with Surgical Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place JERRY LOPEZ (P.A.)?
The snapshot lists Leander, Texas for JERRY LOPEZ (P.A.); download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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