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IRINA KORABLEVA MD
NPI 1093793994
Internal Medicine - Endocrinology, Diabetes & Metabolism in Covington, KY

Active since January 03, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
1500 JAMES SIMPSON JR WAY, COVINGTON, KY 41011(859) 655-8910(859) 655-8911 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Irina Korableva Md NPPES

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

IRINA KORABLEVA MD (NPI 1093793994) is an individual endocrinology, diabetes & metabolism provider in Covington, Kentucky, licensed in Kentucky (54205) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Ft Thomas, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1093793994
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameIRINA KORABLEVACredential: MD
Location Address1500 JAMES SIMPSON JR WAYCovington, KY 41011-0801
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 655-8910 · Fax (859) 655-8911
Phone(859) 655-8910
Fax(859) 655-8911
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 3, 2006
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1093793994 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
Licenses✔ Licensed in KY · 54205✔ Licensed in OH · 35-07-7122K
Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

1500 JAMES SIMPSON JR WAY, Covington, KY 41011
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Other Identifiers 1

Medicaid2137084OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.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

Irina Korableva 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 ID3476682600
PECOS Enrollment IDI20210312001838
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 4

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.
346 services164 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
124 services73 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
76 services33 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
62 services62 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Ft Thomas

Acute Care Hospitals · Fort Thomas, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180001
Location85 North Grand AvenueFort Thomas, KY 41075 · Campbell County
Emergency services

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

St Elizabeth Florence

Acute Care Hospitals · Florence, KY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180045
Location4900 Houston RoadFlorence, KY 41042 · Boone County
Emergency services

St Elizabeth Grant

Critical Access Hospitals · Williamstown, KY
OwnershipVoluntary non-profit - Church
CMS Certification Number181311
Location238 Barnes RoadWilliamstown, KY 41097 · Grant County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41011 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
$122.77 typical visit price
range $52.76 – $162.27
Typical copayment $30.69 (range $13.19 – $40.56)
Most-billed visit code 99204
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
86%293 patients4/55-star benchmark: 100%
Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
90%1,004 patients4/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
94%1,004 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%5,101 patients4/55-star benchmark: 100%
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.
94%11,586 patients4/55-star benchmark: 100%
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…
54%110 patients3/55-star benchmark: 96%
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.
100%221 patients5/55-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.
66%3,041 patients3/55-star benchmark: 99%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
99%799 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 2,353 patients
Patients tobacco: 98% · 2,353 patients
82%207 patients4/55-star benchmark: 98%
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…
97%3,041 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…
23%3,041 patients2/55-star benchmark: 59%
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 3

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
16 suppliers46 claims143 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers11 claims20 services$0.86 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
7 suppliers135 claims135 services$182.68 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 20

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

KENNETRA BRADSHAW RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
DR. EUGENE JAMES BURCHELL JR. M.D.
Obstetrics & Gynecology
1500 JAMES SIMPSON JR WAY, WOULD CARE DEPT.
COVINGTON, KY 41011
Kenton County (859) 655-1100
WAEL E EID MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1500 JAMES SIMPSON JR WAY, SUITE 301
COVINGTON, KY 41011
Kenton County (859) 655-8910
MR. ERIC R WOOD PA-C
Physician Assistant
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-1100
MRS. BRIANA L. VITUCCI RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
RAE ELIZAGARAY RD
Dietitian, Registered
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-8910
DR. NED MEHLMAN M.D.
Internal Medicine (Cardiovascular Disease)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 655-9500
SHELBY MAUREEN KLINGENSMITH APRN-CNP, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1500 JAMES SIMPSON JR WAY
COVINGTON, KY 41011
Kenton County (859) 301-5901

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 Irina Korableva's NPI number?

The NPI number for Irina Korableva is 1093793994. It was assigned to this individual provider in the NPPES registry on January 3, 2006.

Where is Irina Korableva located?

Irina Korableva practices at 1500 James Simpson Jr Way, Covington, KY 41011. The listed phone number is (859) 655-8910.

What is Irina Korableva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Irina Korableva enrolled in Medicare?

Yes. Irina Korableva 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 Irina Korableva accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource and 1 other insurer list Irina Korableva 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 Irina Korableva affiliated with any hospitals?

According to CMS data, Irina Korableva is affiliated with St Elizabeth Ft Thomas, St Elizabeth Edgewood, St Elizabeth Florence and St Elizabeth Grant.

When was this NPI record last updated?

The NPPES record for Irina Korableva was last updated on March 8, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.