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MAGED GHOPRIAL M.D
NPI 1104212265
Family Medicine in Moline, IL

Active since April 15, 2015PECOS EnrolledAccepts Medicare Assignment
5401 44TH AVENUE DR STE 101, MOLINE, IL 61265(309) 779-4050(309) 779-4057 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Maged Ghoprial M.d NPPES

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

MAGED GHOPRIAL M.D (NPI 1104212265) is an individual family medicine provider in Moline, Illinois, licensed in Illinois (036148480) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Trinity Rock Island, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1104212265
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMAGED GHOPRIALCredential: M.D
Location Address5401 44TH AVENUE DR STE 101Moline, IL 61265-8126
Mailing Address5401 44th Avenue Dr Ste 101Moline, IL 61265-8126 · (309) 779-4050 · Fax (309) 779-4057
Phone(309) 779-4050
Fax(309) 779-4057
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateApril 15, 2015
Last NPPES UpdateMay 9, 2019
✔ NPI 1104212265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036148480
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5401 44TH AVENUE DR STE 101, Moline, IL 61265
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Accepted Insurance

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

Maged Ghoprial 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 ID7618248162
PECOS Enrollment IDI20190521001848
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 11

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.
256 services103 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
139 services78 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
118 services22 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
97 services15 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
86 services17 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.
70 services70 patients

Hospital Affiliations CMS Care Compare 2

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

Trinity Rock Island

Acute Care Hospitals · Rock Island, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140280
Location2701 17th StRock Island, IL 61201 · Rock Island County
Emergency services Birthing friendly

Trinity - Bettendorf

Acute Care Hospitals · Bettendorf, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160104
Location4500 Utica Ridge RoadBettendorf, IA 52722 · Scott County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
11 suppliers20 claims79 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims28 services$1.10 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers14 claims1,590 services$0.09 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers13 claims13 services$24.06 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 2

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

NICOLE M CHICKRIS-BOLLAERT MD
Family Medicine
5401 44TH AVENUE DR STE 101
MOLINE, IL 61265
Rock Island County (309) 779-4050
ANNA MALGORZATA DYMALA M.D.
Family Medicine
5401 44TH AVENUE DR STE 101
MOLINE, IL 61265
Rock Island County (309) 779-4050

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 Maged Ghoprial's NPI number?

The NPI number for Maged Ghoprial is 1104212265. It was assigned to this individual provider in the NPPES registry on April 15, 2015.

Where is Maged Ghoprial located?

Maged Ghoprial practices at 5401 44th Avenue Dr Ste 101, Moline, IL 61265. The listed phone number is (309) 779-4050.

What is Maged Ghoprial's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Maged Ghoprial enrolled in Medicare?

Yes. Maged Ghoprial 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 Maged Ghoprial accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Maged Ghoprial 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 Maged Ghoprial affiliated with any hospitals?

According to CMS data, Maged Ghoprial is affiliated with Trinity Rock Island and Trinity - Bettendorf.

When was this NPI record last updated?

The NPPES record for Maged Ghoprial was last updated on May 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.