1. Home
  2. Directory
  3. Ohio
  4. Sandusky
  5. Obstetrics Gynecology
  6. NPI Profile

MS. MONA NATAPRAWIRA D.O
NPI 1528378965
Obstetrics & Gynecology in Sandusky, OH

Active since October 19, 2010PECOS EnrolledAccepts Medicare Assignment
86.09/100
CMS Quality Rating
2500 W STRUB RD, SUITE 210, SANDUSKY, OH 44870(419) 625-2841(419) 625-1299 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Ms. Mona Nataprawira D.o NPPES

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

MS. MONA NATAPRAWIRA D.O (NPI 1528378965) is an individual obstetrics & gynecology provider in Sandusky, Ohio, licensed in Ohio (34.010951) and active in the NPI registry since October 2010. She is enrolled in Medicare PECOS, is affiliated with Firelands Regional Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1528378965
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMS. MONA NATAPRAWIRACredential: D.O
Location Address2500 W STRUB RD, SUITE 210Sandusky, OH 44870-5390
Mailing AddressPo Box 378Sandusky, OH 44871-0378 · (419) 609-1112 · Fax (419) 609-1123
Phone(419) 625-2841
Fax(419) 625-1299
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 19, 2010
Last NPPES UpdateAugust 6, 2013
✔ NPI 1528378965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in OH · 34.010951✔ Licensed in IL · 125-055864
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2500 W STRUB RD, Sandusky, OH 44870
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health 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

Ms. Mona Nataprawira D.o 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 ID8820231251
PECOS Enrollment IDI20130903000812
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 7

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 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.
155 services121 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
52 services28 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
36 services36 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 services17 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
24 services24 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare 4

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

Firelands Regional Medical Center

Acute Care Hospitals · Sandusky, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360025
Location1111 Hayes AvenueSandusky, OH 44870 · Erie County
Emergency services Birthing friendly

Fisher-Titus Hospital

Acute Care Hospitals · Norwalk, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360065
Location272 Benedict AvenueNorwalk, OH 44857 · Huron County
Emergency services Birthing friendly

Bellevue Hospital

Acute Care Hospitals · Bellevue, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360107
Location1400 West Main StreetBellevue, OH 44811 · Sandusky County
Birthing friendly

Magruder Hospital

Critical Access Hospitals · Port Clinton, OH
OwnershipVoluntary non-profit - Private
CMS Certification Number361314
Location615 Fulton StPort Clinton, OH 43452 · Ottawa County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44870 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
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.

86.09/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.42
Promoting Interoperability99
Improvement Activities40
Cost80.04

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.

COURTNEY BLACKSTON
Occupational Therapist
2500 W STRUB RD, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 626-4162
MRS. MICHELE LYNN POULOS RN, MSN, ANP-C
Nurse Practitioner (Adult Health)
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 626-6891
THOMAS BLANTON PT
Physical Therapist
2500 W STRUB RD, SUITE 150
SANDUSKY, OH 44870
Erie County (419) 626-4162
MS. STEFANIE L WINDAU RD, LD
Dietitian, Registered
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 626-6891
DR. BRIAN J PRINTY M.D.
Obstetrics & Gynecology
2500 W STRUB RD, SUITE 210
SANDUSKY, OH 44870
Erie County (419) 625-2841
NATALIE FELTER NP
Nurse Practitioner
2500 W STRUB RD, STE 350
SANDUSKY, OH 44870
Erie County (419) 502-3376
TIMOTHY L CUTLER
Family Medicine
2500 W STRUB RD
SANDUSKY, OH 44870
Erie County (419) 625-1200
DR. PAUL J BRUNER D.O.
Family Medicine
2500 W STRUB RD, SUITE 230
SANDUSKY, OH 44870
Erie County (419) 625-1200

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 Mona Nataprawira's NPI number?

The NPI number for Mona Nataprawira is 1528378965. It was assigned to this individual provider in the NPPES registry on October 19, 2010.

Where is Mona Nataprawira located?

Mona Nataprawira practices at 2500 W Strub Rd Suite 210, Sandusky, OH 44870. The listed phone number is (419) 625-2841.

What is Mona Nataprawira's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Mona Nataprawira enrolled in Medicare?

Yes. Mona Nataprawira 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 Mona Nataprawira accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 2 other insurers list Mona Nataprawira 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 Mona Nataprawira affiliated with any hospitals?

According to CMS data, Mona Nataprawira is affiliated with Firelands Regional Medical Center, Fisher-Titus Hospital, Bellevue Hospital and Magruder Hospital.

When was this NPI record last updated?

The NPPES record for Mona Nataprawira was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.