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
- 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
- Code Navigator
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.
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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 | 2 | 8 | 5 | 1 | 9 | 4 | 7 | 6 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 16 | 5 | 2 | 9 | 8 | 7 | 12 | |
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 = 1 | 1 |
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 |
---|---|---|---|
1568454866 | MR. ERIC BOWEN CALL NP Individual | Nurse Practitioner | 751 S BASCOM AVE LABOR & DELIVERY SAN JOSE, CA 95128 (408) 885-6400 |
1295720613 | DR. ALFONSO F BANUELOS MD Individual | Internal Medicine | 751 S BASCOM AVE HOSPITAL ADMINISTRATION SAN JOSE, CA 95128 (408) 885-4001 |
1558343632 | PRACHI S BHISE MD Individual | Pediatrics | 751 S BASCOM AVE SAN JOSE, CA 95128 (408) 885-5000 |
1811970973 | DR. JENNY DAI BILLER M.D. Individual | Obstetrics & Gynecology | 751 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 Medicine | 751 S BASCOM AVE ONCOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5000 |
1790757441 | ABOLGHASEM ABDOLI MD Individual | Pediatrics | 751 S BASCOM AVE PEDIATRICS DEPT SAN JOSE, CA 95128 (408) 885-6616 |
1154393809 | CHRISTINA GABRIELA ANDERSON MD Individual | Pediatrics | 751 S BASCOM AVE NEONATOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5420 |
1790757219 | CATHY DUGAR ANGELL MD Individual | Pediatrics | 751 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 Medicine | 751 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 | Pediatrics | 751 S BASCOM AVE PEDIATRICS DEPT SAN JOSE, CA 95128 (408) 885-5445 |
1588637037 | MICHAEL ALLEN BRESSACK MD Individual | Pediatrics | 751 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 | Anesthesiology | 751 S BASCOM AVE ANESTHESIOLOGY DEPT SAN JOSE, CA 95128 (408) 885-5745 |
1679546766 | MICHAEL H BERLLY MD Individual | Physical Medicine & Rehabilitation | 751 S BASCOM AVE PM&R DEPT SAN JOSE, CA 95128 (408) 885-2021 |
1063485167 | KATHERINE ARDIS BLENKO MD Individual | Obstetrics & Gynecology | 751 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 Medicine | 751 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].
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