Lidya Margarita Lataban-Lopez, MD
NPI 1275581829ActiveIndividual· General Practice· Palm Coast, FL
General Practice (MD) with Conviva Medical Center Management, LLC, practicing in Palm Coast, Florida. Their prescriptions cost Medicare Part D more than their services did: $188,867 for 2,664 claims, against $18,613 paid for services in 2024. Dexcom, Inc. reported $23.76 in payments in 2024, mostly food and beverage. Lists Adventhealth Palm Coast Parkway and 1 other hospital as hospital affiliations.
Overview
| NPI | 1275581829 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | May 5, 2006 |
| Last updated in NPPES | Feb 17, 2026 |
| Certified by provider | Feb 17, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | ACN911 | FL |
| General Practice | 208D00000X | 15204 | PR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - General Practice (FL); Practitioner - General Practice (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 70 |
|---|---|
| Services billed | 289 across 28 procedure codes |
| Paid by Medicare | $18,613 |
Part D prescriptions in 2024
| Prescriptions (claims) | 2,664 · 5,648 30-day fills |
|---|---|
| Patients | 545 |
| Total drug cost | $188,867 |
| Generic share | 90% of claims |
Education and affiliations
| Graduation year | 1990 |
|---|---|
| Medicare specialty | General Practice |
| Telehealth | Offers telehealth |
Medical group
- Conviva Medical Center Management, LLCMargate, FL · 512 clinicians
Hospital affiliations
- Adventhealth Palm Coast ParkwayPalm Coast, FL
- Adventhealth Palm CoastPalm Coast, FL
Other facilities
- Adventhealth Home HealthHome health agency · Ormond Beach, FL
- Trilogy Home HealthcareHome health agency · Jacksonville, FL
Industry payments (Open Payments)
- 2024$23.76 · 1 payment from 1 company
Top paying companies in 2024
| Company | Amount | Payments |
|---|---|---|
| Dexcom, Inc. | $23.76 | 1 |
What the 2024 payments were for
- Food and Beverage$23.76 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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