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ANNA BEATA GOPANIUK-FOLGA MD
NPI 1497733828
Internal Medicine - Nephrology in Chicago, IL

Active since January 05, 2006PECOS EnrolledAccepts Medicare Assignment
85.17/100
CMS Quality Rating
7447 W TALCOTT AVE STE 425, CHICAGO, IL 60631(773) 763-8400(773) 774-8085 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 1, 2024, Mar 4, 2024, Mar 7, 2023 and 2 more (5 updates tracked since 2021).

About Anna Beata Gopaniuk-folga Md NPPES

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

ANNA BEATA GOPANIUK-FOLGA MD (NPI 1497733828) is an individual nephrology provider in Chicago, Illinois, licensed in Illinois (036086848) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Presence Saint Francis Hospital, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1497733828
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameANNA BEATA GOPANIUK-FOLGACredential: MD
Location Address7447 W TALCOTT AVE STE 425Chicago, IL 60631-3704
Mailing Address7447 W Talcott Ave Ste 425Chicago, IL 60631-3704 · (773) 763-8400 · Fax (773) 774-8085
Phone(773) 763-8400
Fax(773) 774-8085
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 5, 2006
Last NPPES UpdateApril 1, 20245 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
✔ NPI 1497733828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IL · 036086848
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
7447 W TALCOTT AVE STE 425, Chicago, IL 60631
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware.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

Anna Beata Gopaniuk-folga 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 ID2264693027
PECOS Enrollment IDI20120425000418
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
848 services309 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
304 services137 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
250 services76 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.
233 services120 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
224 services207 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
200 services29 patients

Hospital Affiliations CMS Care Compare 4

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

Presence Saint Francis Hospital

Acute Care Hospitals · Evanston, IL
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140080
Location355 Ridge AveEvanston, IL 60202 · Cook County
Emergency services

Amita Health Resurrection Medical Center

Acute Care Hospitals · Chicago, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140117
Location7435 W Talcott AvenueChicago, IL 60631 · Cook County
Emergency services Birthing friendly

Advocate Lutheran General Hospital

Acute Care Hospitals · Park Ridge, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140223
Location1775 Dempster StPark Ridge, IL 60068 · Cook County
Emergency services Birthing friendly

Community First Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number140251
Location5645 W Addison StreetChicago, IL 60634 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60631 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.

85.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.07
Improvement Activities40
Cost66.48

Reported Quality Measures

Controlling High Blood Pressure
38%201 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
24%89 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
97%718 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
53%358 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
18%190 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 225 patients
100%225 patients
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 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims3,120 services$0.29 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims720 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims2,340 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
2 suppliers19 claims19 services$18.97 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
4 suppliers18 claims28 services$11.72 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 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KIDNEY AND HYPERTENSION CONSULTANTS, S.C.
Internal Medicine (Nephrology)
7447 W TALCOTT AVE STE 425
CHICAGO, IL 60631
Cook County (773) 763-8400
MALGORZATA PATRO M.D.
Internal Medicine (Nephrology)
7447 W TALCOTT AVE STE 425
CHICAGO, IL 60631
Cook County (773) 763-8400

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 Anna Gopaniuk-folga's NPI number?

The NPI number for Anna Gopaniuk-folga is 1497733828. It was assigned to this individual provider in the NPPES registry on January 5, 2006.

Where is Anna Gopaniuk-folga located?

Anna Gopaniuk-folga practices at 7447 W Talcott Ave Ste 425, Chicago, IL 60631. The listed phone number is (773) 763-8400.

What is Anna Gopaniuk-folga's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Anna Gopaniuk-folga enrolled in Medicare?

Yes. Anna Gopaniuk-folga 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 Anna Gopaniuk-folga accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Home State Health list Anna Gopaniuk-folga 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 Anna Gopaniuk-folga affiliated with any hospitals?

According to CMS data, Anna Gopaniuk-folga is affiliated with Presence Saint Francis Hospital, Amita Health Resurrection Medical Center, Advocate Lutheran General Hospital and Community First Medical Center.

When was this NPI record last updated?

The NPPES record for Anna Gopaniuk-folga was last updated on April 1, 2024. 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.