MS. MELISSA MARIE OROPEZA DNP
NPI 1770859159
Nurse Practitioner - Adult Health in Kansas City, KS


Quality Rating: 96.06 out of 100 score

NPI Status: Active since March 29, 2012

Contact Information

4000 CAMBRIDGE BLVD
KANSAS CITY, KS
ZIP 66160
Phone: (913) 588-3822
Fax: (913) 588-3975

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  • Individual
  • Female
  • Years of Experience 14
  • Nurse Practitioner
  • Adult Health
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MELISSA OROPEZA

Melissa Oropeza is a provider established in Kansas City, Kansas and her medical specialization is Nurse Practitioner with a focus in adult health with more than 14 years of experience. The healthcare provider is registered in the NPI registry with number 1770859159 assigned on March 2012. The practitioner's primary taxonomy code is 363LA2200X with license number 5375479122 (KS). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1770859159
Provider Name
MS. MELISSA MARIE OROPEZA DNP
Other Name
MS. MELISSA MARIE OROPEZA-VAIL DNP
Other Name Type
Former Name (1)
Gender
Female
Entity Type
Individual
Location Address
4000 CAMBRIDGE BLVD KANSAS CITY, KS 66160
Location Phone
(913) 588-3822
Location Fax
(913) 588-3975
Mailing Address
3901 RAINBOW BLVD MAIL STOP 1023 KANSAS CITY, KS 66160
Mailing Phone
(913) 588-3822
Mailing Fax
(913) 588-3975
Medical School Name
OTHER
Graduation Year
2011
Is Sole Proprietor?
Yes
Enumeration Date
03-29-2012
Last Update Date
12-03-2020
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A nurse practitioner (NP) like Melissa Oropeza is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Melissa Oropeza is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 96.06, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The typical physician office visit costs for Medicare beneficiaries in this area are: $21.21 for a new patient copayment and $24.61 for an established patient copayment.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Adult Health

Taxonomy Code
363LA2200X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
5375479122
License State
KS

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Aetna CVS Health

    • Bronze 2 HSA: Aetna network of doctors & hospitals + MinuteClinic + Virtual Care 24/7 - EPO
    • Bronze 4: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Bronze S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Gold 3: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Gold S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Silver 5: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Silver 6: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Silver 7: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
    • Silver S: Aetna network of doctors & hospitals + $0 MinuteClinic + $0 CVS Health Virtual Care 24/7 - EPO
  • Blue Cross and Blue Shield of Kansas City

    • Blue KC Catastrophic BlueSelect EPO - EPO
    • Blue KC Choice Bronze 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Bronze BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Choice Silver 1 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Silver 2 BlueSelect EPO with Spira Care - EPO
    • Blue KC Choice Silver BlueSelect Plus EPO with Spira Care - EPO
    • Blue KC Community Silver Preferred-Care Blue EPO - EPO
    • Blue KC First Bronze Preferred-Care Blue EPO - EPO
    • Blue KC Saver Bronze Preferred-Care Blue EPO - EPO
    • Blue KC Standard Bronze BlueSelect EPO - EPO
    • Blue KC Standard Bronze Preferred-Care Blue EPO - EPO
    • Blue KC Standard Gold Preferred-Care Blue EPO - EPO
    • Blue KC Standard Silver BlueSelect EPO - EPO
    • Blue KC Standard Silver Preferred-Care Blue EPO - EPO
  • Blue Cross and Blue Shield of Kansas, Inc.

    • BlueCare EPO Bronze - EPO
    • BlueCare EPO Gold - EPO
    • BlueCare EPO Silver - EPO
    • BlueCare EPO Silver Plus - EPO
    • BlueCare EPO Simple Bronze HDHP - EPO
    • BlueCare EPO Simple Silver HDHP - EPO
    • BlueCare EPO Standardized Expanded Bronze - EPO
    • BlueCare EPO Standardized Gold - EPO
    • BlueCare EPO Standardized Silver - EPO
  • Oscar Insurance Company

    • Bronze Classic - EPO
    • Bronze Classic 4700 - EPO
    • Bronze Classic PCP Saver Plus - EPO
    • Bronze Classic Standard - EPO
    • Bronze Elite + PCP Saver - EPO
    • Bronze Elite + PCP Saver Plus - EPO
    • Gold Classic Standard - EPO
    • Secure - EPO
    • Silver Classic - EPO
    • Silver Classic Standard - EPO
    • Silver Elite Saver Plus - EPO
    • Silver Simple Diabetes - EPO
    • Silver Simple PCP Saver - EPO
  • UnitedHealthcare

    • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - EPO
    • UHC Bronze Copay Focus $0 Indiv Med Ded (No Referrals) - EPO
    • UHC Bronze Standard (No Referrals) - EPO
    • UHC Bronze Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO
    • UHC Bronze Value HSA (No Referrals) - EPO
    • UHC Gold Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) - EPO
    • UHC Gold Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
    • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO
    • UHC Gold Standard (No Referrals) - EPO
    • UHC Gold Value ($0 Virtual Urgent Care + $0 PCP Visits, $1 Tier 2 Rx, No Referrals) - EPO
    • UHC Silver Advantage ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, $0 Insulin, No Referrals) - EPO
    • UHC Silver Advantage+ ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, Dental + Vision, No Referrals) - EPO
    • UHC Silver Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care + $0 PCP Visits, $5 Tier 2 Rx, No Referrals) - EPO
    • UHC Silver Standard (No Referrals) - EPO
    • UHC Silver Value ($0 Virtual Urgent Care + $0 PCP Visits, $3 Tier 2 Rx, No Referrals) - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

PECOS Enrollment and Medicare Participation Status

Melissa Oropeza is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 1951566637

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120702000298

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 66160 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $84.85
  • Minimum New Patient Price $54.99
  • Maximum New Patient Price $168.07
  • Average New Patient Copayment $21.21
  • Minimum New Patient Copayment $13.74
  • Maximum New Patient Copayment $42.01

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $98.47
  • Minimum Established Patient Price $17.06
  • Maximum Established Patient Price $137.62
  • Average Established Patient Copayment $24.61
  • Minimum Established Patient Copayment $4.26
  • Maximum Established Patient Copayment $34.4

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 96.06 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 92.12

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: 100

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Melissa Oropeza is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
UNIVERSITY OF KANSAS HOSPITAL4000 CAMBRIDGE STREET
KANSAS CITY, KS 66160
(913) 588-7332Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770859159
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714016518110
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 1 + 6 + 5 + 1 + 8 + 1 + 1 + 0 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1770859159 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770859159, enumerated in the NPI registry as an "individual" on March 29, 2012

The provider is located at 4000 Cambridge Blvd Kansas City, Ks 66160 and the phone number is (913) 588-3822

The provider's speciality is Nurse Practitioner with taxonomy code 363LA2200X with a focus in Adult Health

The provider has more than 14 years of experience.

The provider might be accepting Accepts: Aetna CVS Health, Blue Cross and Blue Shield of. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of July 16, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $84.85 with an average copayment of $21.21 for new patient appointments. Established patients should expect a typical charge of $98.47 and an average copayment of 24.61. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): UNIVERSITY OF KANSAS HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 29, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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