MONIKA ELIZABETH OLCHAWA-BEGENY M.D
NPI 1760646665
Internal Medicine - Endocrinology, Diabetes & Metabolism in Saint Clair Shores, MI

Active since July 10, 2008PECOS EnrolledAccepts Medicare Assignment
80.99/100
CMS Quality Rating
23715 LITTLE MACK AVE STE 100, SAINT CLAIR SHORES, MI 48080(586) 447-8021(586) 447-8022 Get Directions Write a Review

NPPES record last updated: October 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 20, 2020, Sep 4, 2018 (2 updates tracked since 2018).

About Monika Elizabeth Olchawa-begeny M.d NPPES

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

MONIKA ELIZABETH OLCHAWA-BEGENY M.D (NPI 1760646665) is an individual endocrinology, diabetes & metabolism provider in Saint Clair Shores, Michigan, licensed in Michigan (4301104921) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital - Grosse Pointe, and is a graduate of Wayne State University School Of Medicine (2006).

NPPES Registry Identity

NPI1760646665
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameMONIKA ELIZABETH OLCHAWA-BEGENYCredential: M.D
Location Address23715 LITTLE MACK AVE STE 100Saint Clair Shores, MI 48080-1181
Mailing Address26901 Beaumont Blvd Ste 3dSouthfield, MI 48033-3849
Fax(586) 447-8022
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2006
Enumeration DateJuly 10, 2008
Last NPPES UpdateOctober 20, 20202 updates tracked since enumeration
NPPES CertifiedOctober 20, 2020
NPI 1760646665 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 MI · 4301104921
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.
23715 LITTLE MACK AVE STE 100, Saint Clair Shores, MI 48080

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

Monika Elizabeth Olchawa-begeny 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 ID3476706748
PECOS Enrollment IDI20150520001454
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 6

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.
147 services56 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.
112 services64 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services38 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.
49 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
22 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital - Grosse Pointe

Acute Care Hospitals · Grosse Pointe, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230089
Location468 Cadieux RdGrosse Pointe, MI 48230 · Wayne County
Emergency services Birthing friendly

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48080 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
$134.28 typical visit price
range $58.04 – $177.36
Typical copayment $33.57 (range $14.51 – $44.34)
Most-billed visit code 99204
Established Patient
$102.35 typical visit price
range $18.32 – $143.49
Typical copayment $25.58 (range $4.58 – $35.87)
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.

80.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality67.25
Promoting Interoperability100
Improvement Activities40
Cost59.73

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
6 suppliers13 claims48 services$7.03 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims24 services$1.20 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
1 supplier12 claims12 services$315.44 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
7 suppliers75 claims77 services$174.70 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 8

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

Thoracic Surgery (Cardiothoracic Vascular Surgery)
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Internal Medicine (Endocrinology, Diabetes & Metabolism)
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Thoracic Surgery (Cardiothoracic Vascular Surgery)
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Physician Assistant
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Physician Assistant
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Internal Medicine (Endocrinology, Diabetes & Metabolism)
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080
Nurse Practitioner (Family)
23715 LITTLE MACK AVE STE 100
SAINT CLAIR SHORES, MI 48080

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 Monika Olchawa-begeny's NPI number?

The NPI number for Monika Olchawa-begeny is 1760646665. It was assigned to this individual provider in the NPPES registry on July 10, 2008.

Where is Monika Olchawa-begeny located?

Monika Olchawa-begeny practices at 23715 Little Mack Ave Ste 100, Saint Clair Shores, MI 48080. The listed phone number is (586) 447-8021.

What is Monika Olchawa-begeny's specialty?

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

Is Monika Olchawa-begeny enrolled in Medicare?

Yes. Monika Olchawa-begeny 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 Monika Olchawa-begeny accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Monika Olchawa-begeny 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 Monika Olchawa-begeny affiliated with any hospitals?

According to CMS data, Monika Olchawa-begeny is affiliated with Beaumont Hospital - Grosse Pointe, Beaumont Hospital Royal Oak and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Monika Olchawa-begeny was last updated on October 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.