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DR. MADALINA OPREANU M.D.
NPI 1477813400
Internal Medicine in Erie, PA

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
201 STATE ST, ERIE, PA 16550(814) 877-4922(814) 877-3622 Get Directions Write a Review

NPPES record last updated: July 17, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Madalina Opreanu M.d. NPPES

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

DR. MADALINA OPREANU M.D. (NPI 1477813400) is an individual internal medicine provider in Erie, Pennsylvania, licensed in Pennsylvania (MD455113) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Mclaren Greater Lansing, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1477813400
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MADALINA OPREANUCredential: M.D.
Location Address201 STATE STErie, PA 16550-0002
Mailing Address201 State StErie, PA 16550-0002 · (814) 877-4922 · Fax (814) 877-3622
Phone(814) 877-4922
Fax(814) 877-3622
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateMay 24, 2012
Last NPPES UpdateJuly 17, 2015
✔ NPI 1477813400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD455113
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 STATE ST, Erie, PA 16550
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, Priority Health.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. Madalina Opreanu 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 ID4880909704
PECOS Enrollment IDI20160916001896
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 Reassignment

Medicare enrollment records show Madalina Opreanu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Edward W. Sparrow Hospital Association
224 mi
Family Medicine
230 TEMPLE ST
Mason, MI 48854
  • Reassigned Medicare billing, Michigan enrollment
  • Also billed through NPI 1205213014 (Michigan), NPI 1043562465 (Michigan)
  • 27 clinicians in this Medicare group
NPI 1437331501 (517) 676-9066

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 4

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 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.
244 services101 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
64 services64 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.
25 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
12 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Mclaren Greater Lansing

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230167
Location2900 Collins RdLansing, MI 48910 · Ingham County
Emergency services Birthing friendly

Sparrow Carson Hospital

Acute Care Hospitals · Carson City, MI
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230208
Location406 East Elm StCarson City, MI 48811 · Montcalm County
Emergency services

Edward W Sparrow Hospital

Acute Care Hospitals · Lansing, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230230
Location1215 E Michigan AvenueLansing, MI 48912 · Ingham County
Emergency services Birthing friendly

Sparrow Clinton Hospital

Critical Access Hospitals · Saint Johns, MI
5/5 CMS rating
OwnershipProprietary
CMS Certification Number231326
Location805 S OaklandSaint Johns, MI 48879 · Clinton County
Emergency services

Sparrow Eaton Hospital

Critical Access Hospitals · Charlotte, MI
OwnershipVoluntary non-profit - Other
CMS Certification Number231327
Location321 E Harris StreetCharlotte, MI 48813 · Eaton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16550 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
38%168 patients2/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
96%204 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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
6 suppliers17 claims57 services$6.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims21 services$1.09 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers11 claims11 services$94.65 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.

MRS. MARSHA SIGRID DIETRICH-MCLEAN D.O.
Hospitalist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
NANCY LUCILLE KARDOS PTA
Physical Therapy Assistant
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000
MRS. SHANNON R FOLGA MSN, CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 450-0776
ALYSSA LEIGH KIMMY CRNA
Nurse Anesthetist, Certified Registered
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2621
DR. JAMES PAWLAK III DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 864-4031
HALLE KATE SNYDER
Speech-Language Pathologist
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-2820
COLLEEN KASSANDRA DOMINICI PA-C
Physician Assistant (Medical)
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-4922
DR. KEVIN A ANDRYC DO
Emergency Medicine
201 STATE ST
ERIE, PA 16550
Erie County (814) 877-6000

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 Madalina Opreanu's NPI number?

The NPI number for Madalina Opreanu is 1477813400. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Madalina Opreanu located?

Madalina Opreanu practices at 201 State St, Erie, PA 16550. The listed phone number is (814) 877-4922.

What is Madalina Opreanu's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Madalina Opreanu enrolled in Medicare?

Yes. Madalina Opreanu 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 organization bills Medicare for Madalina Opreanu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Madalina Opreanu reassigns Medicare benefits to Edward W. Sparrow Hospital Association (Mason, MI). The 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 Madalina Opreanu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Madalina Opreanu accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company and Priority Health list Madalina Opreanu 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 Madalina Opreanu affiliated with any hospitals?

According to CMS data, Madalina Opreanu is affiliated with Mclaren Greater Lansing, Sparrow Carson Hospital, Edward W Sparrow Hospital, Sparrow Clinton Hospital and Sparrow Eaton Hospital.

When was this NPI record last updated?

The NPPES record for Madalina Opreanu was last updated on July 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.