DR. ALEXANDER GOTESMAN M.D.
NPI 1003002072
Urology in Hamilton, NJ


Quality Rating: 60 out of 100 score

NPI Status: Active since September 24, 2007

Contact Information

1374 WHITEHORSE HAMILTON SQUARE RD
HAMILTON, NJ
ZIP 08690
Phone: (609) 586-1319

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  • Individual
  • Male
  • Years of Experience 25
  • Urology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment
  • Medicare Quality Reporting

About ALEXANDER GOTESMAN

Alexander Gotesman is a provider established in Hamilton, New Jersey and his medical specialization is Urology with more than 25 years of experience. The healthcare provider is registered in the NPI registry with number 1003002072 assigned on September 2007. The practitioner's primary taxonomy code is 208800000X with license number 25MA09130400 (NJ). The provider is registered as an individual and his NPI record was last updated 11 years ago.

NPI1003002072
Provider NameDR. ALEXANDER GOTESMAN M.D.
Location Address1374 WHITEHORSE HAMILTON SQUARE RD HAMILTON, NJ 08690
Location Phone(609) 586-1319
Mailing Address1586 E 14TH ST BROOKLYN, NY 11230
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?Yes
Enumeration Date09-24-2007
Last Update Date09-12-2012
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Alexander Gotesman 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 60, 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 following quality measures were reported for this provider: care plan, preventive care and screening: body mass index (bmi) screening and follow-up plan and urinary incontinence: assessment of presence or absence of urinary incontinence in women aged 65 years and older.

The typical physician office visit costs for Medicare beneficiaries in this area are: $36.59 for a new patient copayment and $20.03 for an established patient copayment.

Location Map

Mailing Address

1586 E 14TH ST
BROOKLYN, NY
ZIP 11230
Phone: (347) 564-8694

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

Urology

Taxonomy Code208800000X
TypeAllopathic & Osteopathic Physicians
License No.25MA09130400
License StateNJ
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1208800000XAllopathic & Osteopathic Physicians

Urology

221653 (NY)

PECOS Enrollment and Medicare Participation Status

Alexander Gotesman 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: 7214189315

    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: I20121219000307

    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 08690 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $146.39
  • Minimum New Patient Price $64.36
  • Maximum New Patient Price $193.06
  • Average New Patient Copayment $36.59
  • Minimum New Patient Copayment $16.09
  • Maximum New Patient Copayment $48.26

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $80.12
  • Minimum Established Patient Price $20.44
  • Maximum Established Patient Price $158.01
  • Average Established Patient Copayment $20.03
  • Minimum Established Patient Copayment $5.11
  • Maximum Established Patient Copayment $39.5

* 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: 60 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: N/A

    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: N/A

    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: N/A

    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.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Care Plan 52% 627
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 75% 623
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older 89% 116
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 76

    Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)

  • 67

    Urinalysis, manual test (HCPCS:81002)

  • 35

    Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

Reviews for DR. ALEXANDER GOTESMAN M.D.

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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.
1003002072
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003004014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 4 + 0 + 1 + 4 + 24 = 38
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
40 - 38 = 22

The NPI number 1003002072 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1891764718 HERVE C BOUCARD M.D.
Individual
Specialist1374 WHITEHORSE HAMILTON SQUARE RD
HAMILTON, NJ 08690
(609) 586-1319
1659563922R ENDOCRINOLOGY INC
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)1374 WHITEHORSE HAMILTON SQUARE RD SUITE 104
HAMILTON, NJ 08690
(609) 585-4267
1952572513ALL AMERICAN HEALTHCARE SERVICES INC.
Organization
Nursing Care1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301
HAMILTON, NJ 08690
(609) 581-6622
1487895157MRS. MEENA A BHAVNANI OTR
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301, 3 RD FLOOR
HAMILTON, NJ 08690
(609) 581-6622
1376775015SURGICAL ASSOCIATES OF MERCER & MONMOUTH, LLC
Organization
Surgery1374 WHITEHORSE HAMILTON SQUARE RD SUITE 304
HAMILTON, NJ 08690
(609) 585-2447
1982930913MRS. SEEMA WAGLE
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1447587746 NIKITA JAIN
Individual
Physical Therapist1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301
HAMILTON, NJ 08690
(609) 581-6622
1538498043MS. PREETI VITHAL JADHAV
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1982933156 POOJA ASHWIN MEHTA
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1679802755 ANUSHKA BHUSHAN PAITHANKAR
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1558690479 NIGHAT JAN
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1205165123MRS. RUBY SINGH
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD YORKSHIRE PROFESSIONAL BUILDING, STE 301
HAMILTON, NJ 08690
(609) 581-6622
1376865154HAMILTON GI ANESTHESIA LLC
Organization
Anesthesiology1374 WHITEHORSE HAMILTON SQUARE RD 2ND FLOOR
HAMILTON, NJ 08690
(609) 586-1319
1497057855 DEEPA THOMAS
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301
HAMILTON, NJ 08690
(609) 581-6622
1497035794 BRUCE ROLLER
Individual
Occupational Therapist1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301
HAMILTON, NJ 08690
(609) 581-6622
1255682340 ROBERT J PETERSON P.A
Individual
Physician Assistant1374 WHITEHORSE HAMILTON SQUARE RD
HAMILTON, NJ 08690
(609) 581-5900
1881939486ALL AMERICAN HEALTHCARE SERVICES, INC.
Organization
Custodial Care Facility (Adult Care Home)1374 WHITEHORSE HAMILTON SQUARE RD SUITE 301
HAMILTON, NJ 08690
(609) 807-8962
1467436170DR. SHARIQ A AFRIDI M.D.
Individual
Specialist1374 WHITEHORSE HAMILTON SQUARE RD
HAMILTON SQ, NJ 08690
(609) 586-1319
1356569388LAKEWOOD UROLOGY LIMITED LIABILITY COMPANY
Organization
Urology1374 WHITEHORSE HAMILTON SQUARE RD SUITE 101
HAMILTON, NJ 08690
(609) 581-5900
1881844736DR. MICHAEL NAZMY JR. MD
Individual
Urology1374 WHITEHORSE HAMILTON SQUARE RD SUITE 101
HAMILTON, NJ 08690
(609) 581-5900

Frequently Asked Questions

What is Dr. Alexander Gotesman M.D. NPI number?

The NPI number assigned to this healthcare provider is 1003002072, enumerated in the NPI registry as an "individual" on September 24, 2007

Where is the provider located?

The provider is located at 1374 Whitehorse Hamilton Square Rd Hamilton, Nj 08690 and the phone number is (609) 586-1319

What is the provider specialty code?

The provider's speciality is Urology with taxonomy code 208800000X

How many years of experience does Dr. Alexander Gotesman M.D. have?

The provider has more than 25 years of experience.

Is Dr. Alexander Gotesman M.D. registered in PECOS?

Yes, as of February 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.

How much is a visit to Dr. Alexander Gotesman M.D.?

Medicare beneficiaries should expect a typical cost of $146.39 with an average copayment of $36.59 for new patient appointments. Established patients should expect a typical charge of $80.12 and an average copayment of 20.03. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Alexander Gotesman M.D.?

The most common procedures or services performed by this practitioner are: Ultrasound measurement of bladder capacity after voiding, Urinalysis, manual test and Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope.

How do I update my NPI information?

This NPI record was last updated on September 24, 2007. 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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