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MICHELE S. OPLINGER M.D.
NPI 1740285394
Radiology - Diagnostic Radiology in West Reading, PA

Active since June 19, 2005PECOS Enrolled
301 S 7TH AVE, STE 135, WEST READING, PA 19611(484) 628-8108(484) 628-8400 Get Directions Write a Review

NPPES record last updated: February 11, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michele S. Oplinger M.d. NPPES

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

MICHELE S. OPLINGER M.D. (NPI 1740285394) is an individual diagnostic radiology provider in West Reading, Pennsylvania, licensed in Pennsylvania (MD-062109-L) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740285394
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameMICHELE S. OPLINGERCredential: M.D.
Location Address301 S 7TH AVE, STE 135West Reading, PA 19611-1442
Mailing Address301 S 7th Ave, Ste 135West Reading, PA 19611-1442 · (484) 628-8108 · Fax (484) 628-8400
Phone(484) 628-8108
Fax(484) 628-8400
Sole ProprietorNo
Enumeration DateJune 19, 2005
Last NPPES UpdateFebruary 11, 2016
✔ NPI 1740285394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in PA · MD-062109-L
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
301 S 7TH AVE, West Reading, PA 19611
Open in Google Maps ↗

Other Identifiers 3

Other028291GGYPA · Medicare
Medicare UPING66292PA
Medicaid0017566350006PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michele S. Oplinger M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignments

2

Medicare enrollment records show Michele Oplinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Tower Health Medical Group
Same address
Reproductive Endocrinology
301 S 7TH AVE, STE 245
West Reading, PA 19611
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,473 clinicians in this Medicare group
NPI 1366889065 (484) 628-7900
West Grove Clinic Company LLC
35 mi
Neurology
1015 W BALTIMORE PIKE
West Grove, PA 19390
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 106 clinicians in this Medicare group
NPI 1093355992 (610) 869-1555

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Reported Quality Measures

Appropriate Follow-up Imaging for Incidental Abdominal Lesions
Percentage of final reports for abdominal imaging studies for asymptomatic patients aged 18 years and older with one or more of the following noted incidentally with follow_up imaging recommended: - Liver lesion =< 0.5 cm - Cystic kidney lesion < 1.0 cm -…
Lower rates are better for this measure.
5%43 patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size -…
98%647 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.

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.

ANKUSH LAHOTI M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565
RANDALL S. WINN M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8929
MR. TIMOTHY W MYERS PT
Physical Therapist
301 S 7TH AVE, STE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
BILAL SAULAT M.D.,
Psychiatry & Neurology (Neurology)
301 S 7TH AVE, SUITE 210
READING, PA 19611
Berks County (484) 628-4656
GAIL A. LUECKE M.D.
Specialist
301 S 7TH AVE, STE 135
WEST READING, PA 19611
Berks County (610) 988-8108
DR. JOHN D CASEY MD
Orthopaedic Surgery
301 S 7TH AVE, SUITE 3220
WEST READING, PA 19611
Berks County (610) 376-8671
LEONARD J MARCHINSKI MD PC-PHYSICAL THERAPY
Physical Therapist
301 S 7TH AVE, SUITE 3020
WEST READING, PA 19611
Berks County (610) 375-6147
EARL J HOPE M.D.
Internal Medicine (Interventional Cardiology)
301 S 7TH AVE, SUITE 2020
WEST READING, PA 19611
Berks County (610) 375-6565

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 Michele Oplinger's NPI number?

The NPI number for Michele Oplinger is 1740285394. It was assigned to this individual provider in the NPPES registry on June 19, 2005.

Where is Michele Oplinger located?

Michele Oplinger practices at 301 S 7th Ave Ste 135, West Reading, PA 19611. The listed phone number is (484) 628-8108.

What is Michele Oplinger's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Michele Oplinger enrolled in Medicare?

Yes. Michele Oplinger is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michele Oplinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michele Oplinger reassigns Medicare benefits to 2 organizations: Tower Health Medical Group (West Reading, PA) and West Grove Clinic Company LLC (West Grove, PA). Each 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 Michele Oplinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michele Oplinger was last updated on February 11, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.