MARGARET ANN QUATE-OPERACZ M.D.
NPI 1093895450
Internal Medicine in Mishawaka, IN

Active since October 17, 2006PECOS EnrolledAccepts Medicare Assignment
66.57/100
CMS Quality Rating
3665 PARK PL W, SUITE 300, MISHAWAKA, IN 46545(574) 607-4724(574) 607-4725 Get Directions Write a Review

NPPES record last updated: December 6, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Margaret Ann Quate-operacz M.d. NPPES

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

MARGARET ANN QUATE-OPERACZ M.D. (NPI 1093895450) is an individual internal medicine provider in Mishawaka, Indiana, licensed in Indiana (01063507A) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Saint Joseph Regional Medical Center, and is a graduate of University Of Cincinnati College Of Medicine (2001).

NPPES Registry Identity

NPI1093895450
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMARGARET ANN QUATE-OPERACZCredential: M.D.
Location Address3665 PARK PL W, SUITE 300Mishawaka, IN 46545-3566
Mailing Address3665 Park Pl W, Suite 300Mishawaka, IN 46545-3566 · (574) 607-4724 · Fax (574) 607-4725
Fax(574) 607-4725
Sole ProprietorNo
Medical School CMSUniversity Of Cincinnati College Of MedicineGraduated 2001
Enumeration DateOctober 17, 2006
Last NPPES UpdateDecember 6, 2012
NPI 1093895450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in IN · 01063507A
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.
Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License 01063507A (IN)
3665 PARK PL W, Mishawaka, IN 46545

Other Identifiers 4

Other000000696783IN · Bcbs
Medicaid200862790IN
Medicare PINM400037654
Medicare UPINP00943357IN

Accepted 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

Margaret Ann Quate-operacz M.d. 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 ID7618075474
PECOS Enrollment IDI20070604000111
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 9

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.
619 services431 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
350 services87 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
114 services35 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
79 services79 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
64 services60 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
43 services43 patients

Hospital Affiliations CMS Care Compare 5

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

Saint Joseph Regional Medical Center

Acute Care Hospitals · Mishawaka, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150012
Location5215 Holy Cross PkwyMishawaka, IN 46545 · St. Joseph County
Emergency services Birthing friendly

Elkhart General Hospital

Acute Care Hospitals · Elkhart, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150018
Location600 E BlvdElkhart, IN 46514 · Elkhart County
Emergency services Birthing friendly

Memorial Hospital Of South Bend

Acute Care Hospitals · South Bend, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150058
Location615 N Michigan StSouth Bend, IN 46601 · St. Joseph County
Emergency services Birthing friendly

Saint Joseph Regional Medical Center - Plymouth

Acute Care Hospitals · Plymouth, IN
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number150076
Location1915 Lake AvePlymouth, IN 46563 · Marshall County
Emergency services

Community Hospital Of Bremen Inc

Critical Access Hospitals · Bremen, IN
OwnershipVoluntary non-profit - Private
CMS Certification Number151300
Location1020 High RdBremen, IN 46506 · Marshall County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

66.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality72.4
Promoting Interoperability84
Improvement Activities0
Cost62.83

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report
0%124 patients1/55-star benchmark: 87%
Controlling High Blood Pressure
70%559 patients4/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
76%105 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%1,654 patients5/55-star benchmark: 100%
e-Prescribing
92%645 patients2/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%776 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
18%1,080 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,075 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
29%589 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 86% · 395 patients
Patients screened: 95% · 395 patients
6%36 patients1/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
100%1,086 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 802 patients
Patients totalRate: 0% · 802 patients
0%802 patients5/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Nephrology)
3665 PARK PL W, SUITE 300
MISHAWAKA, IN 46545
Podiatrist (Foot & Ankle Surgery)
3665 PARK PL W, SUITE 200
MISHAWAKA, IN 46545
Internal Medicine (Nephrology)
3665 PARK PL W, SUITE 300
MISHAWAKA, IN 46545
Podiatrist (Foot & Ankle Surgery)
3665 PARK PL W, SUITE 200
MISHAWAKA, IN 46545
Clinic/Center (Primary Care)
3665 PARK PL W, SUITE #300
MISHAWAKA, IN 46545

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 Margaret Quate-operacz's NPI number?

The NPI number for Margaret Quate-operacz is 1093895450. It was assigned to this individual provider in the NPPES registry on October 17, 2006.

Where is Margaret Quate-operacz located?

Margaret Quate-operacz practices at 3665 Park Pl W Suite 300, Mishawaka, IN 46545. The listed phone number is (574) 607-4724.

What is Margaret Quate-operacz's specialty?

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

Is Margaret Quate-operacz enrolled in Medicare?

Yes. Margaret Quate-operacz 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 Margaret Quate-operacz accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Cross and Blue Shield of Texas and CareSource list Margaret Quate-operacz 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 Margaret Quate-operacz affiliated with any hospitals?

According to CMS data, Margaret Quate-operacz is affiliated with Saint Joseph Regional Medical Center, Elkhart General Hospital, Memorial Hospital Of South Bend, Saint Joseph Regional Medical Center - Plymouth and Community Hospital Of Bremen Inc.

When was this NPI record last updated?

The NPPES record for Margaret Quate-operacz was last updated on December 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.