DR. NICOLE K SCRIPSEMA M.D.
NPI 1386082261
Ophthalmology in Chicago, IL

Q: What is Nicole Scripsema's NPI number?

The NPI number for Nicole Scripsema is 1386082261. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Q: What is Nicole Scripsema'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 Nicole Scripsema was last updated on November 17, 2023. 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.

Active since June 12, 2013PECOS EnrolledAccepts Medicare Assignment

79.91/100

CMS Quality Rating

1855 W TAYLOR ST, CHICAGO, IL 60612(312) 996-6590 Get Directions Write a Review

NPPES record last updated: November 17, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 17, 2023, Oct 7, 2021, Aug 1, 2018 (3 updates tracked since 2018).

On this page

About Dr. Nicole K Scripsema M.d. NPPES

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

DR. NICOLE K SCRIPSEMA M.D. (NPI 1386082261) is an individual ophthalmology provider in Chicago, Illinois, licensed in Virginia (0101268838) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS and is a graduate of New York Medical College (2013).

NPPES Registry Identity

NPI1386082261

Entity TypeIndividualFemale

Primary Taxonomy207W00000X

Provider Legal NameDR. NICOLE K SCRIPSEMACredential: M.D.

Location Address1855 W TAYLOR STChicago, IL 60612

Mailing Address6160 Kempsville Cir Ste 250bNorfolk, VA 23502-3933 · (757) 631-2723 · Fax (757) 481-1285

Phone(312) 996-6590

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 2013

Enumeration DateJune 12, 2013

Last NPPES UpdateNovember 17, 20233 updates tracked since enumeration

NPPES CertifiedNovember 17, 2023

✔ NPI 1386082261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians

Taxonomy Code207W00000X

Licenses✔ Licensed in VA · 0101268838✔ Licensed in NC · 2020-00485✔ Licensed in IL · 036.145909

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.

Also ListedInternal MedicineTaxonomy 207R00000X · License 256093 (MA)

1855 W TAYLOR ST, Chicago, IL 60612

Open in Google Maps ↗

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. Nicole K Scripsema M.d. 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 ID244586147

PECOS Enrollment IDI20200728002887, I20231204003702, I20231204003745

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

Medicare enrollment records show Nicole Scripsema reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc

570 mi

Health Maintenance Organization

19450 DEERFIELD AVE
Lansdowne, VA 20176

Reassigned Medicare billing, Virginia, District of Columbia and Maryland enrollments
Also billed through NPI 1831471713 (District of Columbia), NPI 1497023188 (District of Columbia), NPI 1073678637 (District of Columbia), NPI 1114677572 (Virginia), NPI 1578638425 (District of Columbia), NPI 1457023616 (Maryland), NPI 1467114207 (Maryland), NPI 1942546486 (Maryland), NPI 1366781700 (District of Columbia)
995 clinicians in this Medicare group

NPI 1225156367 (703) 726-2100

Sdec

698 mi

Ophthalmology

3298 MAIN STREET
Exmore, VA 23350

Reassigned Medicare billing, Virginia enrollment
8 clinicians in this Medicare group

NPI 1417531872 (757) 442-5079

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 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.

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.

22 services12 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.

13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

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.

79.91/100

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

Scored as part of a group practice

Quality

100

Improvement Activities

Cost

33.04

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.

AHMAD A AREF M.D.

Ophthalmology

1855 W TAYLOR ST, SUITE 3.171
CHICAGO, IL 60612

Cook County (312) 996-7030

GABRIELLE CAGER

Audiologist

1855 W TAYLOR ST, STE B46
CHICAGO, IL 60612

Cook County (312) 996-1514

MS. MICHELLE MARIE BURNS

Audiologist

1855 W TAYLOR ST, SUITE B46
CHICAGO, IL 60612

Cook County (312) 413-3431

DR. KARL BECKER M.D.

Ophthalmology

1855 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 996-7774

DR. DEANNA MARIE KATTAH MATUSIK AU.D.

Audiologist

1855 W TAYLOR ST, B46
CHICAGO, IL 60612

Cook County (312) 996-1518

DEEPAK P EDWARD M.D.

Ophthalmology (Glaucoma Specialist)

1855 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 996-7030

RAKHI W THAMBI MD

Otolaryngology

1855 W TAYLOR ST, MC648
CHICAGO, IL 60612

Cook County (312) 996-6582

ANGELICA SCANZERA OD

Optometrist

1855 W TAYLOR ST
CHICAGO, IL 60612

Cook County (312) 996-5410

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 Nicole Scripsema's NPI number?

The NPI number for Nicole Scripsema is 1386082261. It was assigned to this individual provider in the NPPES registry on June 12, 2013.

Where is Nicole Scripsema located?

Nicole Scripsema practices at 1855 W Taylor St, Chicago, IL 60612. The listed phone number is (312) 996-6590.

What is Nicole Scripsema's specialty?

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

Is Nicole Scripsema enrolled in Medicare?

Yes. Nicole Scripsema 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 Nicole Scripsema's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Scripsema reassigns Medicare benefits to 2 organizations: Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc (Lansdowne, VA) and Sdec (Exmore, VA). 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 Nicole Scripsema's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Scripsema was last updated on November 17, 2023. 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.