MR. JORGE LUIS LOPEZ PA
NPI 1104952209
Physician Assistant in Fort Carson, CO
NPI Status: Active since February 26, 2007
Contact Information
1650 COCHRANE CIR
ATTN CREDENTIALS OFFICE
FORT CARSON, CO
ZIP 80913
Phone: (719) 526-7844
Fax: (719) 526-7984
- Individual
- Male
- Physician Assistant
- Accepts Insurance
- PECOS Enrolled
About JORGE LOPEZ
This page provides the complete NPI Profile along with additional information for Jorge Lopez, a primary care provider established in Fort Carson, Colorado with a medical specialization in Physician Assistant. The healthcare provider is registered in the NPI registry with number 1104952209 assigned on February 2007. The practitioner's primary taxonomy code is 363A00000X. The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1104952209
- Provider Name
- MR. JORGE LUIS LOPEZ PA
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1650 COCHRANE CIR ATTN CREDENTIALS OFFICE FORT CARSON, CO 80913
- Location Phone
- (719) 526-7844
- Location Fax
- (719) 526-7984
- Mailing Address
- EVANS ARMY COMMUNITY HOSPITAL (EACH) USA MEDDAC 1650 COCHRANE CIRCLE, ATTN CREDENTIALS OFFICE COLORADO SPINGS, CO 80913
- Mailing Phone
- (719) 526-7844
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-26-2007
- Last Update Date
- 07-08-2007
- Code Navigator
A primary care provider (PCP) like Jorge Lopez sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant
- Taxonomy Code
- 363A00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- Taxonomy Description
- A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver (Select) - HMO
- Bronze Classic Standard (Select) - HMO
- Gold Classic (Select) - HMO
- Gold Classic Standard (Select) - HMO
- Gold Elite Saver Plus (Select) - HMO
- Secure (Select) - HMO
- Silver Classic Standard (Select) - HMO
- Silver Elite Saver Plus (Select) - HMO
- Silver Simple Chronic Care CKM (Select) - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 | with Atrium Health - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard | with Atrium Health - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Bronze Elite + PCP Saver Plus | with Atrium Health - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard | with Atrium Health - HMO
- Gold Elite Saver Plus - HMO
- Gold Elite Saver Plus | with Atrium Health - HMO
- Bronze Classic 4700 - HMO
- Bronze Classic 4700 (Select) - HMO
- Bronze Classic PCP Saver Plus Rx Copay (Select) - HMO
- Bronze Classic Standard - HMO
- Bronze Classic Standard (Choice) - HMO
- Bronze Classic Standard (Select) - HMO
- Bronze Elite + PCP Saver Plus - HMO
- Gold Classic - HMO
- Gold Classic Standard - HMO
- Gold Classic Standard (Choice) - HMO
- Bronze Classic - EPO
- Bronze Classic 4700 - EPO
- Bronze Classic 4700 - PPO
- Bronze Classic 4700 | MercyOne - EPO
- Bronze Classic Standard - EPO
- Bronze Classic Standard - PPO
- Bronze Classic Standard | MercyOne - EPO
- Bronze Elite + PCP Saver - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Bronze Elite + PCP Saver Plus - PPO
- Bronze Classic 4700 - EPO
- Bronze Classic Standard - EPO
- Bronze Elite + PCP Saver Plus - EPO
- Gold Classic Standard - EPO
- Gold Elite - EPO
- Gold Elite Saver Plus - EPO
- Secure - EPO
- Silver Classic Standard - EPO
- Silver Elite - EPO
- Silver Simple Chronic Care CKM - EPO
- Bronze Classic PCP Saver - HMO
- Bronze Classic Standard - HMO
- Bronze Simple HSA - HMO
- Gold Classic Standard - HMO
- Gold Elite - HMO
- Gold Elite Saver Plus - HMO
- Secure - HMO
- Silver Classic Standard - HMO
- Silver Elite Saver Plus - HMO
- Silver Simple Chronic Care CKM - HMO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Jorge Lopez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 80913 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $89.43
- Minimum New Patient Price $58.06
- Maximum New Patient Price $174.82
- Average New Patient Copayment $22.35
- Minimum New Patient Copayment $14.51
- Maximum New Patient Copayment $43.7
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99213
- Average Established Patient Price $72.2
- Minimum Established Patient Price $18.88
- Maximum Established Patient Price $142.79
- Average Established Patient Copayment $18.05
- Minimum Established Patient Copayment $4.72
- Maximum Established Patient Copayment $35.69
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for MR. JORGE LUIS LOPEZ PA
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 0 | 4 | 9 | 5 | 2 | 2 | 0 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 0 | 4 | 18 | 5 | 4 | 2 | 0 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 0 + 4 + 1 + 8 + 5 + 4 + 2 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1104952209 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1790779585 | PATRICIA LYNN MONEY N.P. Individual | Nurse Practitioner (Women's Health) | 1650 COCHRANE CIR EVANS ARMY COMMUNITY HOSPITAL FORT CARSON, CO 80913 (719) 526-7165 |
| 1558349407 | DR. MARK P. GAUL MD, MPH Individual | Preventive Medicine (Aerospace Medicine) | 1650 COCHRANE CIR BLDG 7500 FT CARSON, CO 80913 (719) 526-7844 |
| 1134108509 | MR. RONALD ANTHONY DEUTSCH PA Individual | Physician Assistant (Medical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7489 |
| 1306825773 | MRS. SHIRLEY JEAN TYLER PA-C Individual | Physician Assistant | 1650 COCHRANE CIR EVANS FAMILY MEDICINE CLINIC FORT CARSON, CO 80913 (719) 524-4068 |
| 1851370225 | DR. KAY BEAULIEU PSYD Individual | Psychologist | 1650 COCHRANE CIR BEHAVIORAL HEALTH FORT CARSON, CO 80913 (719) 576-9890 |
| 1225017601 | MS. BONNIE CASTRO CRT Individual | Respiratory Therapist, Certified | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 524-4100 |
| 1740269075 | STEPHEN RANDALL JONES D.O. Individual | Obstetrics & Gynecology | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7172 |
| 1811976079 | MR. CHESTER STEVEN SULLIVAN PA-C Individual | Physician Assistant (Medical) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 524-4068 |
| 1821078908 | DR. CHARLES DAVIES AMOS ED.D., MSW Individual | Social Worker (Clinical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7085 |
| 1265412050 | MRS. SUSAN CHRISTINE ALTENBURG CNM Individual | Advanced Practice Midwife | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 520-8595 |
| 1457321671 | SCOTT ERIN STANFIELD Individual | Licensed Practical Nurse | 1650 COCHRANE CIR BOX #23 FT CARSON, CO 80913 (816) 786-4158 |
| 1497725535 | MRS. LAURIE K ISAACSON RN Individual | Registered Nurse (Emergency) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7964 |
| 1871564138 | MRS. MABEL L GUERRA LCSW Individual | Social Worker (Clinical) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (361) 549-3024 |
| 1689644007 | MS. CATHEY YVETTE MOORE RN Individual | Registered Nurse (Obstetric, Inpatient) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7090 |
| 1215908314 | DR. WILLIAM L BLACK M.D. Individual | Emergency Medicine | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7844 |
| 1538131834 | MRS. SHIRLEY ANN JOHNSON CNM Individual | Registered Nurse (Women's Health Care, Ambulatory) | 1650 COCHRANE CIR FT CARSON, CO 80913 (719) 526-7172 |
| 1861464869 | ANNE KIDD Individual | Social Worker (Clinical) | 1650 COCHRANE CIR ATTN: CREDENTIALS OFFICE FT CARSON, CO 80913 (719) 526-7844 |
| 1891767356 | MS. MELANIE JO CRAIG RD Individual | Dietitian, Registered | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7968 |
| 1164494795 | DR. CLIFTON STEVER SLADE MD Individual | Ophthalmology | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-7450 |
| 1477525095 | MS. LYNNE A PROUHET FNP Individual | Nurse Practitioner (Family) | 1650 COCHRANE CIR FORT CARSON, CO 80913 (719) 526-5174 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104952209, enumerated in the NPI registry as an "individual" on February 26, 2007
The provider is located at 1650 Cochrane Cir Attn Credentials Office Fort Carson, Co 80913 and the phone number is (719) 526-7844
The provider's speciality is Physician Assistant with taxonomy code 363A00000X
The provider might be accepting Accepts: Oscar Health Insurance, Oscar Health Plan of North. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $89.43 with an average copayment of $22.35 for new patient appointments. Established patients should expect a typical charge of $72.2 and an average copayment of 18.05. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on February 26, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.