DR. MARIUS DORIN GRADIANU D.O.
NPI 1144665878
Ophthalmology in Elmhurst, IL

Q: What is Marius Gradianu's NPI number?

The NPI number for Marius Gradianu is 1144665878. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Q: What is Marius Gradianu's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Q: When was this NPI record last updated?

The NPPES record for Marius Gradianu was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 08, 2013PECOS EnrolledAccepts Medicare Assignment

76.19/100

CMS Quality Rating

152 N ADDISON AVE, ELMHURST, IL 60126(630) 833-9621 Get Directions Write a Review

NPPES record last updated: May 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 18, 2023, Jan 29, 2019, Sep 5, 2018 (3 updates tracked since 2018).

On this page

About Dr. Marius Dorin Gradianu D.o. NPPES

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

DR. MARIUS DORIN GRADIANU D.O. (NPI 1144665878) is an individual ophthalmology provider in Elmhurst, Illinois, licensed in Illinois (036154553) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Kansas City University Of Med & Biosciences, College Of Osteo Med (2013).

NPPES Registry Identity

NPI1144665878

Entity TypeIndividualMale

Primary Taxonomy207W00000X

Provider Legal NameDR. MARIUS DORIN GRADIANUCredential: D.O.

Location Address152 N ADDISON AVEElmhurst, IL 60126-2821

Mailing Address152 N Addison AveElmhurst, IL 60126-2821 · (630) 833-9621

Phone(630) 833-9621

Sole ProprietorYes

Medical School CMSKansas City University Of Med & Biosciences, College Of Osteo MedGraduated 2013

Enumeration DateMay 8, 2013

Last NPPES UpdateMay 18, 20233 updates tracked since enumeration

NPPES CertifiedSeptember 30, 2021

✔ NPI 1144665878 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in IL · 036154553✔ Licensed in MI · 5101020454

Definition

An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

152 N ADDISON AVE, Elmhurst, IL 60126

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Secondary Practice Locations 3

Location 12877 Crooks Rd Ste BTroy, MI 48084-4717 · Phone (248) 822-7003 · Fax (248) 822-7008

Location 2205 N East AveJackson, MI 49201 · Phone (517) 788-4800 ext. 3998 · Fax (517) 817-7050

Location 32575 Airport RdJackson, MI 49202-1867 · Phone (269) 888-4432 · Fax (269) 585-6259

Other Identifiers 2

Medicaid1144665878MI

Other036.154553IL · Illinois State License

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Marius Dorin Gradianu D.o. 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 ID8224267919

PECOS Enrollment IDI20211027001070

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.

Medicare Billing Reassignment

Medicare enrollment records show Marius Gradianu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Kovach Eye Institute, Ltd

Same address

Ophthalmology

152 N ADDISON AVE
Elmhurst, IL 60126

Reassigned Medicare billing, Illinois enrollment
10 clinicians in this Medicare group

NPI 1669498267 (630) 833-9621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 15

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 low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

466 services277 patients

Imaging of retina 92134

Imaging of the retina is a non-invasive procedure that captures detailed images of your eye's interior. This helps detect conditions like macular degeneration or retinal detachment. It's painless and takes only a few minutes.

369 services301 patients

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.

357 services290 patients

Measurement of corneal curvature and depth of eye 92136

This procedure measures the shape and depth of your eye, specifically the cornea, the clear front surface. It helps in diagnosing conditions, planning for surgeries, or fitting contact lenses. It's non-invasive and painless.

184 services97 patients

Removal of cataract with insertion of prosthetic lens 66984

This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.

160 services92 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.

135 services135 patients

Imaging of optic nerve 92133

Imaging of the optic nerve is a non-invasive procedure that captures detailed pictures of your optic nerve. It helps doctors assess eye health, particularly for conditions like glaucoma. It's painless, quick, and uses safe technology like MRI or OCT (Optical Coherence Tomography).

123 services110 patients

Removal of recurring cataract in lens capsule using a laser 66821

This procedure, known as YAG laser capsulotomy, treats cloudiness in the lens capsule following cataract surgery. A laser is used to create a small hole in the cloudy capsule, allowing light to pass through and restore clear vision. It's a quick, painless procedure.

122 services74 patients

Exam of visual field with extended testing 92083

An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.

93 services90 patients

Laser repair to improve eye fluid flow 65855

Laser repair to improve eye fluid flow is a procedure aimed at treating glaucoma. A laser is used to create a small hole in the eye's drainage system, allowing fluid to flow out more easily. This helps to lower the pressure inside the eye, reducing the risk of vision loss.

65 services39 patients

Photography of the retina 92250

Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.

48 services43 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

31 services31 patients

Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye 66991

This is a two-part eye procedure. First, a cloudy lens (cataract) is removed from its outer layer and replaced with an artificial lens to improve vision. Second, a drainage device is inserted into the front part of the eye to manage fluid levels, preventing pressure build-up.

22 services14 patients

Repair of tendon of upper eyelid 67904

Repair of the tendon of the upper eyelid is a surgical procedure aimed at fixing a droopy eyelid. This condition can affect your vision and appearance. The procedure involves tightening the tendon to lift the eyelid to its normal position, improving both function and aesthetics.

22 services12 patients

Ct scan of cornea 92025

A CT scan of the cornea is a non-invasive imaging test that uses X-rays to capture detailed pictures of your eye's cornea. It helps in diagnosing diseases or damage, planning for surgery, or evaluating the results of a treatment. It's a safe and painless procedure.

19 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60126 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

$137.43 typical visit price

range $59.81 – $181.38

Typical copayment $34.35 (range $14.95 – $45.34)

Most-billed visit code 99204

Established Patient

$74.38 typical visit price

range $19.15 – $147.12

Typical copayment $18.59 (range $4.78 – $36.78)

Most-billed visit code 99213

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.

76.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

20.63

Other Providers at the Same Location NPPES 11

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

JEANETTE EDWARDS MD

Pediatrics

152 N ADDISON AVE, STE 200
ELMHURST, IL 60126

Dupage County (630) 832-3100

KEVIN J KOVACH M.D.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

DAVID J HAYDEN M.D.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

7 HILLS HEALTHCARE CENTER P.C.

Internal Medicine

152 N ADDISON AVE, SUITE 202
ELMHURST, IL 60126

Dupage County (847) 428-2273

DR. FATIMA HADI ALI M.D.

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

KIMBERLY WEYNETH D.D.S.

Dentist (General Practice)

152 N ADDISON AVE, SUITE 201
ELMHURST, IL 60126

Dupage County (630) 530-8852

KOVACH EYE INSTITUTE, LTD

Ophthalmology

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

ELMHURST EYE SURGERY CENTER

Clinic/Center (Ophthalmologic Surgery)

152 N ADDISON AVE
ELMHURST, IL 60126

Dupage County (630) 833-9621

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 Marius Gradianu's NPI number?

The NPI number for Marius Gradianu is 1144665878. It was assigned to this individual provider in the NPPES registry on May 8, 2013.

Where is Marius Gradianu located?

Marius Gradianu practices at 152 N Addison Ave, Elmhurst, IL 60126. The listed phone number is (630) 833-9621.

What is Marius Gradianu's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Marius Gradianu enrolled in Medicare?

Yes. Marius Gradianu 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.

Which organization bills Medicare for Marius Gradianu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marius Gradianu reassigns Medicare benefits to Kovach Eye Institute, Ltd (Elmhurst, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Marius Gradianu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Marius Gradianu accept?

Health plans from Oscar Health list Marius Gradianu 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.

When was this NPI record last updated?

The NPPES record for Marius Gradianu was last updated on May 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.