Rafael A. Lopez Hernandez, M.D.
NPI 1497740849ActiveIndividual· Orthopaedic Surgery· San Juan, PR
Orthopaedic Surgery (M.D.) in San Juan, Puerto Rico, trained at University of Puerto Rico School of Medicine (class of 1987). Their prescriptions cost Medicare Part D more than their services did: $15,181 for 619 claims, against $8,861 paid for services in 2024.
Overview
| NPI | 1497740849 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | Yes |
| NPI issued | Sep 13, 2005 |
| Last updated in NPPES | Jun 9, 2021 |
| Certified by provider | May 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Orthopaedic Surgery Primary | 207X00000X | 11039 | PR |
| Orthopaedic Surgery | 207X00000X | ME131587 | FL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Orthopedic Surgery (PR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 33 |
|---|---|
| Services billed | 65 across 9 procedure codes |
| Paid by Medicare | $8,861 |
Part D prescriptions in 2024
| Prescriptions (claims) | 619 · 622 30-day fills |
|---|---|
| Patients | 345 |
| Total drug cost | $15,181 |
| Generic share | 93% of claims |
Education and affiliations
| Medical school | University of Puerto Rico School of Medicine |
|---|---|
| Graduation year | 1987 |
| Medicare specialty | Orthopedic Surgery |
Hospital affiliation
- Hospital Menonita de CayeyCayey, PR
Other facilities
- Servicios de Salud En El Hogar MenonitaHome health agency · Caguas, PR
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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