EDWIN C LOPEZ (PA-C) – Internal Medicine Physician, NPI 1649363706

EDWIN C LOPEZ (PA-C) is a healthcare provider. based in Tacoma, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA10000864 (WA). The NPI Number for EDWIN C LOPEZ (PA-C) is 1649363706

Main info

Male
44 Years Of Experience
Accepts Medicare Assignment
Name
EDWIN C LOPEZ (PA-C)
NPI
1649363706
Phone
(253) 426-6341
Address
1717 S J St
Enumeration Date
2 October 2006
Last Update Date
29 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5099439104
Graduation Year
1982 (44 years ago)
PAC ID
8123010758
Group Practice PAC ID
1850642562
Professional Enrollment ID
I20040401001398
Address ID
WA993543300RI1175XDRXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience67
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for EDWIN C LOPEZ (PA-C)

  • 1717 S J St

    Tacoma, WA 984054933

    Phone: (253) 426-6341

    Fax: (253) 426-6344

    Type: Location

  • 1455 BATTERSBY AVE

    ENUMCLAW, WA 980223634

    Phone: (253) 426-6341

    Fax: (253) 426-6344

    Type: Location

  • Saint Joseph Medical Center, 1717, South J Street, G Street Neighborhood, Tacoma, Pierce County, Washington, 98405, United States

    TACOMA, WA 984054933

    Phone: (253) 426-6341

    Fax: (253) 426-6344

    Type: Location

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: 2004-04-01

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
I20040401001398IPhysician AssistantWATBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes6729$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3022$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes2524$0
99239Hospital discharge day management, more than 30 minutes2424$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes1616$0
View full utilization report →

Insurance plans in this area (ZIP 98405)

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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: 1850642562View full group profile
NameSpecialtyState
-WA
Mental Health CounselorWA
-TX
Nurse PractitionerOH
Nurse PractitionerWA
Clinical Social WorkerWA
General SurgeryNY
Internal Medicine, Pulmonary Disease, Critical Care (Intensivists)WA
Physician AssistantWA
-WA

Reviews

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Frequently asked questions

How do I look up EDWIN C LOPEZ (PA-C) by NPI?
Use NPI 1649363706 when you need to reference EDWIN C LOPEZ (PA-C) in forms, claims, or directories.
Is EDWIN C LOPEZ (PA-C)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize EDWIN C LOPEZ (PA-C)'s specialty in plain language?
Clinically, the directory lists EDWIN C LOPEZ (PA-C) with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for EDWIN C LOPEZ (PA-C)?
The page summarizes Tacoma, Washington for EDWIN C LOPEZ (PA-C); expand the address list for detail.
What if Tacoma, Washington seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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