JENNIFER LOPEZ MD
NPI 1285194761
Ophthalmology - Retina Specialist in San Jose, CA

NPI Status: Active since March 21, 2019

Contact Information

751 S BASCOM AVE
SAN JOSE, CA
ZIP 95128
Phone: (408) 885-5000

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  • Individual
  • Female
  • Years of Experience 7
  • Ophthalmology
  • Retina Specialist
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JENNIFER LOPEZ

This page provides the complete NPI Profile along with additional information for Jennifer Lopez, a provider established in San Jose, California with a medical specialization in Ophthalmology, focusing in retina specialist and more than 7 years of experience. She graduated from New York University School Of Medicine in 2019. The healthcare provider is registered in the NPI registry with number 1285194761 assigned on March 2019. The practitioner's primary taxonomy code is 207WX0107X with license number DR.0070212 (CO). The provider is registered as an individual and her NPI record was last updated February 2025.

NPI
1285194761
Provider Name
JENNIFER LOPEZ MD
Gender
Female
Entity Type
Individual
Location Address
751 S BASCOM AVE SAN JOSE, CA 95128
Location Phone
(408) 885-5000
Mailing Address
PO BOX 110429 AURORA, CO 80042
Medical School Name
NEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year
2019
Is Sole Proprietor?
No
Enumeration Date
03-21-2019
Last Update Date
02-11-2025
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Location Map

Secondary Locations

  • 1675 Aurora Ct
    Aurora, CO 80045
    (720) 848-0000
  • 777 Bannock St
    Denver, CO 80204
    (303) 436-4949

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

Ophthalmology Retina Specialist

Taxonomy Code
207WX0107X
Type
Allopathic & Osteopathic Physicians
License No.
DR.0070212
License State
CO
Taxonomy Description
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medica Insure Bronze $0 Copay PCP Visits - EPO
  • Medica Insure Bronze Premier - EPO
  • Medica Insure Bronze Share - EPO
  • Medica Insure Expanded Bronze Standard - EPO
  • Medica Insure Gold $0 Copay PCP Visits - EPO
  • Medica Insure Gold Share - EPO
  • Medica Insure Gold Standard - EPO
  • Medica Insure Silver $0 Copay PCP Visits - EPO
  • Medica Insure Silver Share - EPO
  • Medica Insure Silver Standard - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jennifer Lopez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

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.

  • PECOS PAC ID: 1658773957

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20230512001926

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $39.16 for a new patient copayment and $21.64 for an established patient copayment.

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 95128 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $156.67
  • Minimum New Patient Price $70.37
  • Maximum New Patient Price $206.04
  • Average New Patient Copayment $39.16
  • Minimum New Patient Copayment $17.59
  • Maximum New Patient Copayment $51.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $86.56
  • Minimum Established Patient Price $23.96
  • Maximum Established Patient Price $169.6
  • Average Established Patient Copayment $21.64
  • Minimum Established Patient Copayment $5.99
  • Maximum Established Patient Copayment $42.4

* 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 JENNIFER LOPEZ MD

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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.
1285194761
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22165298712
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 1 + 6 + 5 + 2 + 9 + 8 + 7 + 1 + 2 + 24 = 69
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 69 = 11

The NPI number 1285194761 is valid because the calculated check digit 1 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
1568454866MR. ERIC BOWEN CALL NP
Individual
Nurse Practitioner751 S BASCOM AVE LABOR & DELIVERY
SAN JOSE, CA 95128
(408) 885-6400
1295720613DR. ALFONSO F BANUELOS MD
Individual
Internal Medicine751 S BASCOM AVE HOSPITAL ADMINISTRATION
SAN JOSE, CA 95128
(408) 885-4001
1558343632 PRACHI S BHISE MD
Individual
Pediatrics751 S BASCOM AVE
SAN JOSE, CA 95128
(408) 885-5000
1811970973DR. JENNY DAI BILLER M.D.
Individual
Obstetrics & Gynecology751 S BASCOM AVE DEPARTMENT OF OB/GYN
SAN JOSE, CA 95128
(408) 885-5550
1710962998 EDWARD KIRK NEELY MD
Individual
Pediatrics (Pediatric Endocrinology)751 S BASCOM AVE
SAN JOSE, CA 95128
(408) 885-7422
1225008394 SANGEETA AGGARWAL MD
Individual
Internal Medicine751 S BASCOM AVE ONCOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-5000
1790757441 ABOLGHASEM ABDOLI MD
Individual
Pediatrics751 S BASCOM AVE PEDIATRICS DEPT
SAN JOSE, CA 95128
(408) 885-6616
1154393809 CHRISTINA GABRIELA ANDERSON MD
Individual
Pediatrics751 S BASCOM AVE NEONATOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-5420
1790757219 CATHY DUGAR ANGELL MD
Individual
Pediatrics751 S BASCOM AVE NEONATOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-5420
1316919830 ROBERT WILLIAM REID ARCHIBALD MBCHB
Individual
Pathology (Anatomic Pathology)751 S BASCOM AVE PATHOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-6553
1174596621 HOLLISTER PETER BREWSTER MD
Individual
Internal Medicine751 S BASCOM AVE CARDIOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-4373
1922070440 RAYMOND LEE AZZI MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)751 S BASCOM AVE PATHOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-6552
1437122975 LEE ANNA SCHWARTZ BOTKIN MD
Individual
Pediatrics751 S BASCOM AVE PEDIATRICS DEPT
SAN JOSE, CA 95128
(408) 885-5445
1588637037 MICHAEL ALLEN BRESSACK MD
Individual
Pediatrics751 S BASCOM AVE PEDIATRICS DEPT
SAN JOSE, CA 95128
(408) 885-5405
1740253244 MARK R BRUGUERA PHD
Individual
Psychologist (Forensic)751 S BASCOM AVE MAIN JAIL-PSYCHOLOGY
SAN JOSE, CA 95128
(408) 808-5212
1285607572 BALVEER SINGH BHATI MD
Individual
Anesthesiology751 S BASCOM AVE ANESTHESIOLOGY DEPT
SAN JOSE, CA 95128
(408) 885-5745
1679546766 MICHAEL H BERLLY MD
Individual
Physical Medicine & Rehabilitation751 S BASCOM AVE PM&R DEPT
SAN JOSE, CA 95128
(408) 885-2021
1063485167 KATHERINE ARDIS BLENKO MD
Individual
Obstetrics & Gynecology751 S BASCOM AVE OB/GYN DEPT
SAN JOSE, CA 95128
(408) 885-5550
1447223276 NEIL SAMUEL ADLER PA
Individual
Physician Assistant (Surgical)751 S BASCOM AVE
SAN JOSE, CA 95128
(408) 885-5000
1689649287 DOLLY CHANDRA GOEL MD
Individual
Internal Medicine751 S BASCOM AVE MEDICAL ADMINISTRATION
SAN JOSE, CA 95128
(408) 885-5105

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285194761, enumerated in the NPI registry as an "individual" on March 21, 2019

The provider is located at 751 S Bascom Ave San Jose, Ca 95128 and the phone number is (408) 885-5000

The provider's speciality is Ophthalmology with taxonomy code 207WX0107X with a focus in Retina Specialist

The provider has more than 7 years of experience. She graduated from New York University School Of Medicine in 2019.

The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Medicare beneficiaries should expect a typical cost of $156.67 with an average copayment of $39.16 for new patient appointments. Established patients should expect a typical charge of $86.56 and an average copayment of 21.64. Please review your insurance plan or contact the provider directly to determine your specific costs.

This NPI record was last updated on March 21, 2019. 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.