DR. EPHRAIM CHINENYEZE OPARA JR. MD
NPI 1265019434
Family Medicine in Lake Charles, LA

Active since March 25, 2021PECOS EnrolledAccepts Medicare Assignment
1525 OAK PARK BLVD, LAKE CHARLES, LA 70601(337) 494-2023 Get Directions Write a Review

NPPES record last updated: July 1, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 1, 2024, Mar 25, 2021 (2 updates tracked since 2021).

About Dr. Ephraim Chinenyeze Opara Jr. Md NPPES

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

DR. EPHRAIM CHINENYEZE OPARA JR. MD (NPI 1265019434) is an individual family medicine provider in Lake Charles, Louisiana, licensed in Louisiana (342087) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1265019434
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. EPHRAIM CHINENYEZE OPARA JR.Credential: MD
Location Address1525 OAK PARK BLVDLake Charles, LA 70601-8849
Mailing Address1525 Oak Park BlvdLake Charles, LA 70601-8849 · (337) 494-2023
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 25, 2021
Last NPPES UpdateJuly 1, 20242 updates tracked since enumeration
NPPES CertifiedJuly 1, 2024
✔ NPI 1265019434 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in LA · 342087
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.
1525 OAK PARK BLVD, Lake Charles, LA 70601

Accepted 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. Ephraim Chinenyeze Opara Jr. 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 ID941600753
PECOS Enrollment IDI20250729003546
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 Reassignments

3

Medicare enrollment records show Ephraim Opara reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
2645 WHITING ST NW
Atlanta, GA 30318
  • Reassigned Medicare billing, Georgia enrollment
  • 27 clinicians in this Medicare group
Surgery
3800 S OCEAN DR, 209
Hollywood, FL 33019
  • Reassigned Medicare billing, Florida enrollment
  • 25 clinicians in this Medicare group
Surgery
3100 ERWIN RD
Durham, NC 27705
  • Reassigned Medicare billing, North Carolina enrollment
  • 28 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70601 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
$83.60 typical visit price
range $53.43 – $164.73
Typical copayment $20.90 (range $13.35 – $41.18)
Most-billed visit code 99203
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

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.

Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Family Medicine
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601
Student in an Organized Health Care Education/Training Program
1525 OAK PARK BLVD
LAKE CHARLES, LA 70601

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 Ephraim Opara's NPI number?

The NPI number for Ephraim Opara is 1265019434. It was assigned to this individual provider in the NPPES registry on March 25, 2021.

Where is Ephraim Opara located?

Ephraim Opara practices at 1525 Oak Park Blvd, Lake Charles, LA 70601. The listed phone number is (337) 494-2023.

What is Ephraim Opara's specialty?

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

Is Ephraim Opara enrolled in Medicare?

Yes. Ephraim Opara 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 organizations bill Medicare for Ephraim Opara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ephraim Opara reassigns Medicare benefits to 3 organizations: Qsm-Ga, Inc (Atlanta, GA), Qsm-Fl, Inc (Hollywood, FL) and Qsm-Nc, PA (Durham, NC). Each 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 Ephraim Opara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ephraim Opara accept?

Health plans from CareSource (Common Ground Healthcare) list Ephraim Opara 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 Ephraim Opara was last updated on July 1, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.