Active NPI
Jessica Lynn Buicko Lopez, MD
- Surgery Physician
- Houston, TX
National Provider Identifier
1477895282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- U5081
- Practice address
- 11920 Astoria Blvd Ste 460
Houston, TX 77089-6155 - Phone
- (713) 486-7650
- Fax
- (865) 328-0686
- NPI assigned
- Mar 19, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME137796 | FL | |
| Student in an Organized Health Care Education/Training Program | 390200000X | B200-432-87-867-0 | FL | |
| Surgery Physician | 208600000X | U5081 | TX | Primary |
Addresses
Primary practice location
11920 Astoria Blvd Ste 460
Houston, TX 77089-6155
Mailing address
12923 Lott Ave
Houston, TX 77089-1705
Phone (518) 229-7711
Other names 1
- Dr. Jessica Lynn Buicko
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- University of Miami, LM Miller School of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10905 Memorial Hermann Dr
Pearland, TX 77584-3490
11800 Astoria Blvd
Houston, TX 77089-6041
Phone (281) 929-6100
11920 Astoria Blvd
Houston, TX 77089-6155
6410 Fannin St
Houston, TX 77030-3005
Hospital & facility affiliations
- Memorial Hermann Hospital System
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137796 | FL | MD | Surgery Physician |
| U5081 | TX | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Surgery | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
11920 Astoria Blvd
Ste 460
Houston, TX 77089
Phone (713) 486-1330
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
Interoperability endpoints
- jbuickolopez29858@memorialhermann.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1696291200000",
"number": "1477895282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12923 LOTT AVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770891705",
"telephone_number": "518-229-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11920 ASTORIA BLVD STE 460",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770896155",
"telephone_number": "713-486-7650",
"fax_number": "865-328-0686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUICKO LOPEZ",
"first_name": "JESSICA",
"middle_name": "LYNN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-19",
"last_updated": "2023-10-03",
"certification_date": "2023-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME137796",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "B200-432-87-867-0",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "TX",
"license": "U5081",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JESSICA",
"last_name": "BUICKO",
"middle_name": "LYNN",
"prefix": "DR.",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.