2026 NPPES data Pediatric Emergency Medicine (Pediatrics) Physician NPI 1053420257 MD
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MARK LOPEZ, MD

Pediatric Emergency Medicine (Pediatrics) Physician in AUGUSTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
16
Medicare Part D claims · 14 beneficiaries · Pediatric Emergency Medicine (Pediatrics) Physician avg: 162
MIPS score
83.9425/100
▲ 1 pts above national avg 83.1 · [object Object]
What the federal data reveals: MARK LOPEZ, MD is a Pediatric Emergency Medicine (Pediatrics) Physician ([object Object]) practicing in AUGUSTA, Georgia with a Medicare Part D prescribing footprint of 16 claims across 14 beneficiaries . Their CMS MIPS Final Score of 83.9425/100 (national average: 83.1) reflects performance across Quality, Cost, Interoperability, and Improvement Activities .

What stands out: MARK LOPEZ, MD reported a CMS MIPS final score of 83.9425 out of 100, above the 83.1 national average, and filed 16 Medicare Part D claims in 2023. Every figure on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

MARK LOPEZ, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

MARK LOPEZ, MD at a glance

Near national average

NPI registry status

Active

Issued 08/30/2006

NPI 1053420257

Primary specialty

Pediatric Emergency Medicine (Pediatrics) Physician

Niche

1,803 US NPIs in this specialty

Medicare Part D claims

16 90% vs specialty avg

2023 prescription claims

Specialty avg: 162

MIPS final score

83.9425/100 0.8425000000000011% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Georgia

How Pediatric Emergency Medicine (Pediatrics) Physician compares to other specialties among Georgia providers

Georgia providers

Pediatric Emergency Medicine (Pediatrics) Physician share within Georgia

1. Pediatric Emergency Medicine (Pediatrics) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Pediatric Emergency Medicine (Pediatrics) Physician share within Georgia

Medicare quality performance — MIPS

MARK LOPEZ, MD's 2023 MIPS final score plotted against the Pediatric Emergency Medicine (Pediatrics) Physician national average

Near national average
MIPS Final Score
83.9425/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 83.9425/100 vs national avg 83.1

0%100%National avg83%83.9%
MIPS final score (Pediatric Emergency Medicine (Pediatrics) Physician) — 83.9425/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

MARK LOPEZ, MD is a Pediatric Emergency Medicine (Pediatrics) Physician provider practicing in AUGUSTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1053420257. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

MARK LOPEZ, MD appears in the CMS NPPES registry as a Pediatric Emergency Medicine (Pediatrics) Physician provider holding MD credentials at 1120 15TH ST, AUGUSTA, GA, 30912, with a listed phone of (706) 721-4951. NPI 1053420257 was issued on 08/30/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what LOPEZ most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 16 prescription claims written by this provider, covering 14 Medicare beneficiaries and totaling roughly $468 in drug spend. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 83.9425/100 for the 2023 performance year (Quality 53.9845, Cost 100), compared with the national average of 83.1.

Pediatric Emergency Medicine (Pediatrics) Physician is a narrow specialty nationwide, with 1,803 enrolled providers across 47 states and an average of 162 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

1120 15TH ST
AUGUSTA, GA 30912

Provider Details

NPI 1053420257
Specialty Pediatric Emergency Medicine (Pediatrics) Physician
Credentials MD
Gender Male
NPI Issued 08/30/2006

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

83.9425
Final Score
Avg: 83.1
53.9845
Quality
100
Cost

Reporting: Group practice

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

16
Total Claims
$468
Total Drug Cost
14
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
16
Total Day Supply
243
Generic Drug Cost
$394

Patient Demographics

Average Patient Age
62.8 years
Avg HCC Risk Score
1.97

Pediatric Emergency Medicine (Pediatrics) Physician Overview

How MARK LOPEZ, MD fits within the Pediatric Emergency Medicine (Pediatrics) Physician landscape nationally.

1,803
Pediatric Emergency Medicine (Pediatrics) Physician Providers in US
47
States with Pediatric Emergency Medicine (Pediatrics) Physician
162
Avg Claims per Provider

MARK LOPEZ, MD's 16 claims are below the specialty average of 162.

Nearby Pediatric Emergency Medicine (Pediatrics) Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as LOPEZ.

Compare Pediatric Emergency Medicine (Pediatrics) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is MARK LOPEZ, MD's specialty?
MARK LOPEZ, MD specializes in Pediatric Emergency Medicine (Pediatrics) Physician and practices in AUGUSTA, Georgia. Credentials: MD.
How much does MARK LOPEZ, MD prescribe under Medicare Part D?
In 2023, MARK LOPEZ, MD wrote 16 Medicare Part D claims totaling $468 in drug costs for 14 beneficiaries.
What is MARK LOPEZ, MD's Medicare quality score?
MARK LOPEZ, MD has a CMS MIPS Final Score of 83.9425/100 (Quality: 53.9845, Cost: 100). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is MARK LOPEZ, MD located?
MARK LOPEZ, MD is located at 1120 15TH ST, AUGUSTA, GA, 30912. Phone: (706) 721-4951.
What is MARK LOPEZ, MD's NPI number?
MARK LOPEZ, MD's National Provider Identifier (NPI) is 1053420257, issued on 08/30/2006.
How many Pediatric Emergency Medicine (Pediatrics) Physician providers are there in the US?
There are 1,803 Pediatric Emergency Medicine (Pediatrics) Physician providers across 47 states in the US. The average Pediatric Emergency Medicine (Pediatrics) Physician provider writes 162 Medicare Part D claims per year.
Does MARK LOPEZ, MD accept Medicare?
MARK LOPEZ, MD appears in CMS Medicare data with 16 Part D claims and 14 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify MARK LOPEZ, MD's credentials?
MARK LOPEZ, MD's NPI is 1053420257 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology