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NADIA STOILOVA-KARANFILOV MD
NPI 1013202357
Internal Medicine in Columbus, OH

Active since June 15, 2011PECOS EnrolledAccepts Medicare Assignment
4310 CLIME RD, COLUMBUS, OH 43228(614) 274-7799(614) 274-3209 Get Directions Write a Review

NPPES record last updated: June 10, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nadia Stoilova-karanfilov Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NADIA STOILOVA-KARANFILOV MD (NPI 1013202357) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35126907) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Riverside Methodist Hospital, and maintains a secondary practice location in Dublin.

NPPES Registry Identity

NPI1013202357
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameNADIA STOILOVA-KARANFILOVCredential: MD
Location Address4310 CLIME RDColumbus, OH 43228-3496
Mailing Address5378 Avery RdDublin, OH 43016-6933 · (614) 771-9871 · Fax (614) 771-9877
Phone(614) 274-7799
Fax(614) 274-3209
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2011
Enumeration DateJune 15, 2011
Last NPPES UpdateJune 10, 2019
✔ NPI 1013202357 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35126907
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4310 CLIME RD, Columbus, OH 43228
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Other Names 1

Former Name (1)Nadica Stoilova Md

Secondary Practice Location 1

Location 15378 Avery RdDublin, OH 43016-6933 · Phone (614) 771-9871 · Fax (614) 771-9877

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Insurance, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nadia Stoilova-karanfilov Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7113156803
PECOS Enrollment IDI20180827001158
Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
296 services128 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
74 services74 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
28 services22 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
25 services25 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
16 services15 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Riverside Methodist Hospital

Acute Care Hospitals · Columbus, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360006
Location3535 Olentangy River RdColumbus, OH 43214 · Franklin County
Emergency services Birthing friendly

Mount Carmel East & West

Acute Care Hospitals · Columbus, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360035
Location6001 East Broad StreetColumbus, OH 43213 · Franklin County
Emergency services Birthing friendly

Doctors Hospital

Acute Care Hospitals · Columbus, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360152
Location5100 West Broad StreetColumbus, OH 43228 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43228 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%927 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
23%204 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
96%167 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
94%388 patients4/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
89%388 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
21%388 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
40%388 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers17 claims38 services$5.91 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHWESTERN INTERNAL MEDICINE ASSOC INC
Internal Medicine
4310 CLIME RD, STE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799
CHRISTINA CHAN DO
Internal Medicine
4310 CLIME RD, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799
SALVATORE DICARLO
Pediatrics (Adolescent Medicine)
4310 CLIME RD, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799
MOUNT CARMEL HEALTH PROVIDERS INC
Family Medicine
4310 CLIME RD, SUITE C
COLUMBUS, OH 43228
Franklin County (614) 276-2400
DR. CHRISTOPHER PHILIP BARAN AGPCNP-BC, PHD
Nurse Practitioner (Primary Care)
4310 CLIME RD, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799
GENEVIEVE TAN CO FAUSTINO MD
Internal Medicine
4310 CLIME RD, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799
MOUNT CARMEL HEALTH PROVIDERS TWO, LLC
Internal Medicine
4310 CLIME RD
COLUMBUS, OH 43228
Franklin County (614) 221-1009
MOUNT CARMEL HEALTH PROVIDERS INC
Internal Medicine
4310 CLIME RD, SUITE B
COLUMBUS, OH 43228
Franklin County (614) 274-7799

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nadia Stoilova-karanfilov's NPI number?

The NPI number for Nadia Stoilova-karanfilov is 1013202357. It was assigned to this individual provider in the NPPES registry on June 15, 2011. The provider is also known as Nadica Stoilova MD.

Where is Nadia Stoilova-karanfilov located?

Nadia Stoilova-karanfilov practices at 4310 Clime Rd, Columbus, OH 43228. The listed phone number is (614) 274-7799.

What is Nadia Stoilova-karanfilov's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Nadia Stoilova-karanfilov enrolled in Medicare?

Yes. Nadia Stoilova-karanfilov is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nadia Stoilova-karanfilov accept?

Health plans from Oscar Health Insurance and UnitedHealthcare list Nadia Stoilova-karanfilov as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Nadia Stoilova-karanfilov affiliated with any hospitals?

According to CMS data, Nadia Stoilova-karanfilov is affiliated with Riverside Methodist Hospital, Mount Carmel East & West and Doctors Hospital.

When was this NPI record last updated?

The NPPES record for Nadia Stoilova-karanfilov was last updated on June 10, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.