DR. CARMEN S. OPREA MD
NPI 1447489307
Family Medicine in Edmonds, WA

Active since July 13, 2009PECOS EnrolledAccepts Medicare Assignment
23320 HIGHWAY 99, EDMONDS, WA 98026(425) 640-5500(425) 640-5520 Get Directions Write a Review

NPPES record last updated: May 11, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carmen S. Oprea Md NPPES

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

DR. CARMEN S. OPREA MD (NPI 1447489307) is an individual family medicine provider in Edmonds, Washington, licensed in Washington (MD60281776) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Swedish Edmonds Hospital, and is a graduate of Other (1997).

NPPES Registry Identity

NPI1447489307
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CARMEN S. OPREACredential: MD
Location Address23320 HIGHWAY 99Edmonds, WA 98026-8744
Mailing Address8609 Evergreen Way, Attn: CredentialingEverett, WA 98208-2619 · (425) 789-3698 · Fax (425) 789-3754
Fax(425) 640-5520
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 13, 2009
Last NPPES UpdateMay 11, 2017
NPI 1447489307 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 WA · MD60281776
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.
23320 HIGHWAY 99, Edmonds, WA 98026

Other Names 1

Former Name (1)Carmen Buescu Md

Other Identifiers 2

OtherG8950318WA · Medicare Washington
Medicaid2020586WA

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

Dr. Carmen S. Oprea 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 ID8527218155
PECOS Enrollment IDI20121017000321
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.

Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
23 services15 patients

Hospital Affiliations CMS Care Compare

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

Swedish Edmonds Hospital

Acute Care Hospitals · Edmonds, WA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500026
Location21601 76th Avenue WestEdmonds, WA 98026 · Snohomish County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 98026 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
$88.29 typical visit price
range $57.27 – $172.80
Typical copayment $22.07 (range $14.31 – $43.20)
Most-billed visit code 99203
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims28 services$4.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Dentist
23320 HIGHWAY 99
EDMONDS, WA 98026
Nurse Practitioner
23320 HIGHWAY 99
EDMONDS, WA 98026
Dental Hygienist
23320 HIGHWAY 99
EDMONDS, WA 98026
Dentist
23320 HIGHWAY 99
EDMONDS, WA 98026
Family Medicine
23320 HIGHWAY 99
EDMONDS, WA 98026
Physician Assistant
23320 HIGHWAY 99
EDMONDS, WA 98026
Physical Therapist
23320 HIGHWAY 99
EDMONDS, WA 98026
Internal Medicine
23320 HIGHWAY 99
EDMONDS, WA 98026

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 Carmen Oprea's NPI number?

The NPI number for Carmen Oprea is 1447489307. It was assigned to this individual provider in the NPPES registry on July 13, 2009. The provider is also known as Carmen Buescu MD.

Where is Carmen Oprea located?

Carmen Oprea practices at 23320 Highway 99, Edmonds, WA 98026. The listed phone number is (425) 640-5500.

What is Carmen Oprea's specialty?

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

Is Carmen Oprea enrolled in Medicare?

Yes. Carmen Oprea 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 Carmen Oprea accept?

Health plans from PacificSource Health Plans, Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Carmen Oprea 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 Carmen Oprea affiliated with any hospitals?

According to CMS data, Carmen Oprea is affiliated with Swedish Edmonds Hospital.

When was this NPI record last updated?

The NPPES record for Carmen Oprea was last updated on May 11, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.