DR. PUNEET OPAL MD, PHD
NPI 1316055023
Psychiatry & Neurology - Neurology in Chicago, IL

Active since August 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.1/100
CMS Quality Rating
680 N LAKE SHORE DR, SUITE 1000, CHICAGO, IL 60611(312) 695-9797(312) 503-0872 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Puneet Opal Md, Phd NPPES

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

DR. PUNEET OPAL MD, PHD (NPI 1316055023) is an individual neurology provider in Chicago, Illinois and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Northwestern Medicine Central Dupage Hospital, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1316055023
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. PUNEET OPALCredential: MD, PHD
Location Address680 N LAKE SHORE DR, SUITE 1000Chicago, IL 60611-4546
Mailing Address303 E Chicago Ave, Ward 10-332Chicago, IL 60611-3093 · (312) 503-4699 · Fax (312) 503-0872
Fax(312) 503-0872
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateAugust 25, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1316055023 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

680 N LAKE SHORE DR, Chicago, IL 60611

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

Dr. Puneet Opal Md, Phd 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 ID6901883552
PECOS Enrollment IDI20040701001241
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 2

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
53 services43 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Northwestern Medicine Central Dupage Hospital

Acute Care Hospitals · Winfield, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140242
Location25 North Winfield RoadWinfield, IL 60190 · Du Page County
Emergency services Birthing friendly

Northwestern Memorial Hospital

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140281
Location251 E Huron StChicago, IL 60611 · 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
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.

94.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.59
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Gastroenterology)
680 N LAKE SHORE DR, SUITE 118
CHICAGO, IL 60611
Durable Medical Equipment & Medical Supplies
680 N LAKE SHORE DR, SUITE 1207
CHICAGO, IL 60611
Anesthesiology
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Transplant Surgery
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Nephrology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Internal Medicine (Cardiovascular Disease)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Radiology (Diagnostic Radiology)
680 N LAKE SHORE DR, SUITE 1000
CHICAGO, IL 60611
Anesthesiology (Critical Care Medicine)
680 N LAKE SHORE DR, SUITE 1000
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 Puneet Opal's NPI number?

The NPI number for Puneet Opal is 1316055023. It was assigned to this individual provider in the NPPES registry on August 25, 2006.

Where is Puneet Opal located?

Puneet Opal practices at 680 N Lake Shore Dr Suite 1000, Chicago, IL 60611. The listed phone number is (312) 695-9797.

What is Puneet Opal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Puneet Opal enrolled in Medicare?

Yes. Puneet Opal 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.

Is Puneet Opal affiliated with any hospitals?

According to CMS data, Puneet Opal is affiliated with Northwestern Medicine Central Dupage Hospital and Northwestern Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Puneet Opal was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.