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NICOARA OPRESCU
NPI 1225146533
Internal Medicine in Kalamazoo, MI

Active since August 27, 2006PECOS EnrolledAccepts Medicare Assignment
74.17/100
CMS Quality Rating
1521 GULL RD, KALAMAZOO, MI 49048(269) 226-7000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Nicoara Oprescu NPPES

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

NICOARA OPRESCU (NPI 1225146533) is an individual internal medicine provider in Kalamazoo, Michigan, licensed in Michigan (4301056510) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Borgess Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1225146533
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameNICOARA OPRESCU
Location Address1521 GULL RDKalamazoo, MI 49048-1640
Mailing Address5943 Stadium Dr, Suite 3Kalamazoo, MI 49009-3016
Phone(269) 226-7000
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateAugust 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1225146533 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · 4301056510
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.
1521 GULL RD, Kalamazoo, MI 49048
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Other Identifiers 1

Medicare UPINF95339

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community 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

Nicoara Oprescu 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 ID3971538711
PECOS Enrollment IDI20050930000143
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.

Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
191 services88 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
167 services126 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
112 services108 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
66 services55 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
49 services31 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
26 services18 patients

Hospital Affiliations CMS Care Compare

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

Borgess Medical Center

Acute Care Hospitals · Kalamazoo, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230117
Location1521 Gull RoadKalamazoo, MI 49048 · Kalamazoo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 49048 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
$126.15 typical visit price
range $54.34 – $166.68
Typical copayment $31.53 (range $13.58 – $41.67)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.09 – $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.

74.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.9
Improvement Activities40
Cost69.08

Referred Medical Equipment & Supplies CMS DME claims 8

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

Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers31 claims867 services$7.15 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
2 suppliers29 claims416 services$9.44 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., with any size adhesive border, each dressing A6220
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims386 services$2.51 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers22 claims22 services$48.10 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$16.37 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$80.66 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.

DONNA ANDRESEN
Social Worker
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-7027
MRS. KELSEY DANIELLE NICHOLS OTR/L
Occupational Therapist
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-7000
MICHAEL TREXLER
Internal Medicine (Hospice and Palliative Medicine)
1521 GULL RD, SUITE 173
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-5165
GRETCHEN G BARNAS M.D.
Psychiatry & Neurology (Psychiatry)
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6653
NILE KHABEIRY
Counselor (Professional)
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 501-0155
REBECCA MARY CRONIN PA-C
Physician Assistant
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-7000
NAOMI ELIZABETH MPOLOKOSO RN, LLMSW
Social Worker (Clinical)
1521 GULL RD
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-8133
DR. REBECCA S MAYNARD PHARMD
Pharmacist
1521 GULL RD, INPATIENT PHARMACY
KALAMAZOO, MI 49048
Kalamazoo County (269) 226-6645

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 Nicoara Oprescu's NPI number?

The NPI number for Nicoara Oprescu is 1225146533. It was assigned to this individual provider in the NPPES registry on August 27, 2006.

Where is Nicoara Oprescu located?

Nicoara Oprescu practices at 1521 Gull Rd, Kalamazoo, MI 49048. The listed phone number is (269) 226-7000.

What is Nicoara Oprescu's specialty?

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

Is Nicoara Oprescu enrolled in Medicare?

Yes. Nicoara Oprescu 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 Nicoara Oprescu accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and Priority Health list Nicoara Oprescu 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 Nicoara Oprescu affiliated with any hospitals?

According to CMS data, Nicoara Oprescu is affiliated with Borgess Medical Center.

When was this NPI record last updated?

The NPPES record for Nicoara Oprescu was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.