WILBERTO NIEVES NEIRA MD
NPI 1235214982
Obstetrics & Gynecology - Gynecologic Oncology in Chicago, IL

Active since October 25, 2006PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
250 E SUPERIOR ST, SUITE 05-2168 GYNECOLOGIC ONCOLOGY, CHICAGO, IL 60611(312) 695-0990(312) 472-4706 Get Directions Write a Review

NPPES record last updated: April 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 28, 2021, Aug 18, 2020, Apr 12, 2017 and 1 more (4 updates tracked since 2016).

About Wilberto Nieves Neira Md NPPES

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

WILBERTO NIEVES NEIRA MD (NPI 1235214982) is an individual gynecologic oncology provider in Chicago, Illinois, licensed in Illinois (036139777) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1235214982
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameWILBERTO NIEVES NEIRACredential: MD
Location Address250 E SUPERIOR ST, SUITE 05-2168 GYNECOLOGIC ONCOLOGYChicago, IL 60611-2914
Mailing Address680 N Lake Shore Dr, Suite #1000Chicago, IL 60611-4546 · (312) 695-0665 · Fax (312) 695-0050
Fax(312) 472-4706
Sole ProprietorYes
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 25, 2006
Last NPPES UpdateApril 28, 20214 updates tracked since enumeration
NPPES CertifiedApril 28, 2021
NPI 1235214982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
Licenses Licensed in IL · 036139777 Licensed in NJ · 25MA07442500
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 036-139777 (IL)
250 E SUPERIOR ST, Chicago, IL 60611

Other Identifiers 2

Medicaid8990905IL
Medicaid8990905NJ

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

Wilberto Nieves Neira 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 ID7719922814
PECOS Enrollment IDI20160224002984
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

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 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.
72 services11 patients

Hospital Affiliations CMS Care Compare

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60611 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
$183.39 typical visit price
range $60.08 – $183.39
Typical copayment $45.84 (range $15.02 – $45.84)
Most-billed visit code 99205
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Obstetrics & Gynecology
250 E SUPERIOR ST, #5-2177
CHICAGO, IL 60611
Midwife
250 E SUPERIOR ST
CHICAGO, IL 60611
Obstetrics & Gynecology (Gynecologic Oncology)
250 E SUPERIOR ST
CHICAGO, IL 60611
Genetic Counselor, MS
250 E SUPERIOR ST, SUITE 05-2221
CHICAGO, IL 60611
Obstetrics & Gynecology
250 E SUPERIOR ST, #5-2177
CHICAGO, IL 60611
Obstetrics & Gynecology
250 E SUPERIOR ST
CHICAGO, IL 60611
Obstetrics & Gynecology
250 E SUPERIOR ST, 03-2304
CHICAGO, IL 60611
Nurse Practitioner
250 E SUPERIOR ST, PRENTICE 05-2136
CHICAGO, IL 60611

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 Wilberto Nieves Neira's NPI number?

The NPI number for Wilberto Nieves Neira is 1235214982. It was assigned to this individual provider in the NPPES registry on October 25, 2006.

Where is Wilberto Nieves Neira located?

Wilberto Nieves Neira practices at 250 E Superior St Suite 05-2168 Gynecologic Oncology, Chicago, IL 60611. The listed phone number is (312) 695-0990.

What is Wilberto Nieves Neira's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Wilberto Nieves Neira enrolled in Medicare?

Yes. Wilberto Nieves Neira 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 Wilberto Nieves Neira accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Wilberto Nieves Neira 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 Wilberto Nieves Neira affiliated with any hospitals?

According to CMS data, Wilberto Nieves Neira is affiliated with John H Stroger Jr Hospital.

When was this NPI record last updated?

The NPPES record for Wilberto Nieves Neira was last updated on April 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.