MARIA THERESA DEGRACIA OPINA M.D.
NPI 1508025511
Internal Medicine - Pulmonary Disease in El Paso, TX

Q: What is Maria Theresa Opina's NPI number?

The NPI number for Maria Theresa Opina is 1508025511. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Q: What is Maria Theresa Opina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Active since June 04, 2008PECOS EnrolledAccepts Medicare Assignment

2000B TRANS MOUNTAIN RD, EL PASO, TX 79911(915) 215-8400(915) 612-9254 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2019, Jun 21, 2017, Sep 12, 2016 (3 updates tracked since 2016).

On this page

About Maria Theresa Degracia Opina M.d. NPPES

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

MARIA THERESA DEGRACIA OPINA M.D. (NPI 1508025511) is an individual pulmonary disease provider in El Paso, Texas, licensed in Texas (S2863) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Sierra Medical Center, and maintains a secondary practice location in Livonia.

NPPES Registry Identity

NPI1508025511

Entity TypeIndividualFemale

Primary Taxonomy207RP1001X

Provider Legal NameMARIA THERESA DEGRACIA OPINACredential: M.D.

Location Address2000B TRANS MOUNTAIN RDEl Paso, TX 79911

Mailing Address440 Raynolds St # 51015El Paso, TX 79905-1613 · (915) 215-4480 · Fax (915) 215-5386

Phone(915) 215-8400

Fax(915) 612-9254

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateJune 4, 2008

Last NPPES UpdateOctober 31, 20193 updates tracked since enumeration

✔ NPI 1508025511 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in TX · S2863✔ Licensed in NC · 2016-01478

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

Also ListedInternal MedicineTaxonomy 207R00000X · License S2863 (TX), 4301092718 (MI)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2000B TRANS MOUNTAIN RD, El Paso, TX 79911

Open in Google Maps ↗

Secondary Practice Location 1

Location 137595 7 Mile Rd, Suite 340Livonia, MI 48152-1003 · Phone (248) 477-8000 · Fax (248) 477-2526

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and more.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

Maria Theresa Degracia Opina 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 ID1658536255

PECOS Enrollment IDI20191114002808

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 9

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.

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

63 services33 patients

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.

39 services25 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.

27 services16 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.

25 services20 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

14 services12 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.

14 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Sierra Medical Center

Acute Care Hospitals · El Paso, TX

2/5 CMS rating

OwnershipProprietary

CMS Certification Number450668

Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County

Emergency services

The Hospitals Of Providence Transmountain Campus

Acute Care Hospitals · El Paso, TX

1/5 CMS rating

OwnershipProprietary

CMS Certification Number670120

Location2000 Transmountain RdEl Paso, TX 79911 · El Paso County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 79911 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

$126.40 typical visit price

range $54.84 – $166.88

Typical copayment $31.60 (range $13.71 – $41.72)

Most-billed visit code 99204

Established Patient

$97.05 typical visit price

range $17.52 – $136.11

Typical copayment $24.26 (range $4.38 – $34.02)

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 3

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

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466

DME-Other DME · category DE005N

1 supplier12 claims12 services$922.57 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers40 claims40 services$77.77 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

3 suppliers33 claims33 services$31.59 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Maria Theresa Opina's NPI number?

The NPI number for Maria Theresa Opina is 1508025511. It was assigned to this individual provider in the NPPES registry on June 4, 2008.

Where is Maria Theresa Opina located?

Maria Theresa Opina practices at 2000B Trans Mountain Rd, El Paso, TX 79911. The listed phone number is (915) 215-8400.

What is Maria Theresa Opina's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Maria Theresa Opina enrolled in Medicare?

Yes. Maria Theresa Opina 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 Maria Theresa Opina accept?

Health plans from Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc., Molina Healthcare and WellPoint list Maria Theresa Opina 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 Maria Theresa Opina affiliated with any hospitals?

According to CMS data, Maria Theresa Opina is affiliated with Sierra Medical Center and The Hospitals Of Providence Transmountain Campus.

When was this NPI record last updated?

The NPPES record for Maria Theresa Opina was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.