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

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: July 26, 2026.

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

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
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

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. 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.

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
Quality100
Improvement Activities40
Cost33.04

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.

Ophthalmology
1855 W TAYLOR ST, SUITE 3.171
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, STE B46
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, SUITE B46
CHICAGO, IL 60612
Ophthalmology
1855 W TAYLOR ST
CHICAGO, IL 60612
Audiologist
1855 W TAYLOR ST, B46
CHICAGO, IL 60612
Ophthalmology (Glaucoma Specialist)
1855 W TAYLOR ST
CHICAGO, IL 60612
Otolaryngology
1855 W TAYLOR ST, MC648
CHICAGO, IL 60612
Student in an Organized Health Care Education/Training Program
1855 W TAYLOR ST
CHICAGO, IL 60612

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.

When was this NPI record last updated?

The NPPES record for Nicole Scripsema was last updated on November 17, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.