TOBIAS M LOPEZ (PA-C) – Medical Physician Assistant, NPI 1760736177

TOBIAS M LOPEZ (PA-C) is a healthcare provider. based in Spokane, Washington. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA60602551 (WA). The NPI Number for TOBIAS M LOPEZ (PA-C) is 1760736177

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
TOBIAS M LOPEZ (PA-C)
NPI
1760736177
Phone
(888) 227-3312
Address
105 E MISSION AVE STE D
Enumeration Date
7 November 2012
Last Update Date
4 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5094448200
Graduation Year
2012 (14 years ago)
PAC ID
8921250556
Group Practice PAC ID
9638063217
Professional Enrollment ID
I20240124002734
Address ID
WA990060000DE401XXAVEX401
Telehealth
Yes

Contacts

Secure Messaging
tlopez330442@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness85
Years active:13State licenses:1Other namesUpdated within 12 months

4,282 PHYSICIAN ASSISTANT in WA

Provider Addresses for TOBIAS M LOPEZ (PA-C)

  • 105 E MISSION AVE STE D

    SPOKANE, WA 992026002

    Phone: (888) 227-3312

    Type: Mailing

  • 5304 N ROAD 68

    PASCO, WA 993018078

    Phone: (509) 543-9300

    Fax: (509) 545-5049

    Type: Location

  • 611 N IRON BRIDGE WAY

    SPOKANE, WA 992024932

    Phone: (509) 444-8888

    Type: Mailing

  • 4327 N ASH ST

    SPOKANE, WA 992051411

    Phone: (509) 444-8200

    Type: Location

  • 105 E Mission Ave Ste D

    Spokane, WA 992026002

    Phone: (888) 227-3312

    Fax: (509) 622-2711

    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: 2012-12-06

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
I20121206000220IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes7166$0
99203New patient office or other outpatient visit, 30-44 minutes5353$0
81003Automated urinalysis test2221$0
87635Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen1616$0
View full utilization report →

Insurance plans in this area (ZIP 99202)

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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: 9638063217View full group profile
NameSpecialtyState
Physician AssistantWA
Nurse PractitionerWA
Nurse PractitionerWA
Certified Nurse Midwife (Cnm)WA
Certified Nurse Midwife (Cnm)WA
Physician AssistantWA
-WA
Nurse PractitionerWA
-WA
Mental Health CounselorWA

Reviews

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Frequently asked questions

What number should I use to identify TOBIAS M LOPEZ (PA-C) for billing?
Administrative and clinical systems typically use NPI 1760736177 for TOBIAS M LOPEZ (PA-C).
Does the public listing show TOBIAS M LOPEZ (PA-C) as active?
TOBIAS M LOPEZ (PA-C)'s NPI record reflects an active status in NPPES.
What does the directory say TOBIAS M LOPEZ (PA-C) does?
Insurance directories may phrase it differently, but here TOBIAS M LOPEZ (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to TOBIAS M LOPEZ (PA-C)?
The directory associates TOBIAS M LOPEZ (PA-C) with Spokane, Washington. Check all listed addresses for suites or satellite offices.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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