IRINA CIUBOTARU MD
NPI 1649595588
Internal Medicine - Endocrinology, Diabetes & Metabolism in Oak Creek, WI

Active since April 05, 2010PECOS EnrolledAccepts Medicare Assignment
82.39/100
CMS Quality Rating
200 E RYAN RD, OAK CREEK, WI 53154(414) 570-3590 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 15, 2026, Jul 21, 2022, Jun 28, 2017 (3 updates tracked since 2017).

About Irina Ciubotaru Md NPPES

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

IRINA CIUBOTARU MD (NPI 1649595588) is an individual endocrinology, diabetes & metabolism provider in Oak Creek, Wisconsin, licensed in Wisconsin (65702) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Ascension All Saints Hospital, and maintains a secondary practice location in Mount Pleasant.

NPPES Registry Identity

NPI1649595588
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameIRINA CIUBOTARUCredential: MD
Location Address200 E RYAN RDOak Creek, WI 53154-4563
Mailing AddressPo Box 735044Chicago, IL 60673-5044 · (800) 326-2250
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateApril 5, 2010
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
NPI 1649595588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in WI · 65702
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
200 E RYAN RD, Oak Creek, WI 53154

Secondary Practice Location 1

Location 13807 Spring St Ste 310Mount Pleasant, WI 53405-1667 · Phone (262) 687-8115

Other Identifiers 1

Medicaid100058072WI

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

Irina Ciubotaru 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 ID3870726441
PECOS Enrollment IDI20160803002979
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 3

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.
300 services171 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
168 services70 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
72 services50 patients

Hospital Affiliations CMS Care Compare 2

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

Ascension All Saints Hospital

Acute Care Hospitals · Racine, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520096
Location3801 Spring StRacine, WI 53405 · Racine County
Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number520136
Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 53154 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
$123.69 typical visit price
range $53.90 – $163.24
Typical copayment $30.92 (range $13.47 – $40.81)
Most-billed visit code 99204
Established Patient
$95.41 typical visit price
range $17.40 – $133.76
Typical copayment $23.85 (range $4.35 – $33.44)
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.

82.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.88
Promoting Interoperability81
Improvement Activities40
Cost74.38

Referred Medical Equipment & Supplies CMS DME claims 4

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
17 suppliers50 claims255 services$6.60 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
13 suppliers19 claims43 services$1.11 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
15 suppliers252 claims252 services$186.55 avg. paid by Medicare
Receiver (monitor), dedicated, for use with therapeutic glucose continuous monitor system K0554
DME-Other DME · category DE017N
3 suppliers11 claims11 services$185.63 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.

Physician Assistant
200 E RYAN RD
OAK CREEK, WI 53154
Pediatrics
200 E RYAN RD
OAK CREEK, WI 53154
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Family Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Physical Therapist
200 E RYAN RD
OAK CREEK, WI 53154
Psychiatry & Neurology (Neurology)
200 E RYAN RD
OAK CREEK, WI 53154
Emergency Medicine
200 E RYAN RD
OAK CREEK, WI 53154
Orthopaedic Surgery (Foot and Ankle Surgery)
200 E RYAN RD
OAK CREEK, WI 53154

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 Irina Ciubotaru's NPI number?

The NPI number for Irina Ciubotaru is 1649595588. It was assigned to this individual provider in the NPPES registry on April 5, 2010.

Where is Irina Ciubotaru located?

Irina Ciubotaru practices at 200 E Ryan Rd, Oak Creek, WI 53154. The listed phone number is (414) 570-3590.

What is Irina Ciubotaru's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Irina Ciubotaru enrolled in Medicare?

Yes. Irina Ciubotaru 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 Irina Ciubotaru accept?

Health plans from Anthem Blue Cross and Blue Shield and Network Health list Irina Ciubotaru 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 Irina Ciubotaru affiliated with any hospitals?

According to CMS data, Irina Ciubotaru is affiliated with Ascension All Saints Hospital and Ascension SE Wisconsin Hospital.

When was this NPI record last updated?

The NPPES record for Irina Ciubotaru was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.