DR. ALEXANDER GOTESMAN M.D. NPI 1003002072

Urology in Hamilton, NJ

NPI 1003002072 Individual Male Years of Experience 23 Urology PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 65.1 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 23 years of experience. The NPI number of Alexander Gotesman is 1003002072 and was 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 10 years ago.

Alexander Gotesman is enrolled in PECOS and is eligible to order or refer healthcare 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

Alexander Gotesman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Monmouth Medical Center - Southern Campus and Community Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 65.1, 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 provider also has detailed performance information the following quality measures: advance care plan, annual registration in the prescription drug monitoring program and participation in user testing of the quality payment program website (https://qpp.cms.gov/).

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.

NPI

1003002072

Provider NameDR. ALEXANDER GOTESMAN M.D.
Provider Location Address1374 WHITEHORSE HAMILTON SQUARE RD HAMILTON, NJ 08690
Provider Mailing Address1586 E 14TH ST BROOKLYN, NY 11230
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1999
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-24-2007
Last Update Date09-12-2012


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
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.

Business Address

DR. ALEXANDER GOTESMAN M.D.
1374 WHITEHORSE HAMILTON SQUARE RD
HAMILTON, NJ
ZIP 08690
Phone: (609) 586-1319

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Mailing Address

DR. ALEXANDER GOTESMAN M.D.
1586 E 14TH ST
BROOKLYN, NY
ZIP 11230
Phone: (347) 564-8694



Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID7214189315
PECOS Enrollment IDI20121219000307
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 order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 08690 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$64.36 $193.06 $146.39
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.09 $48.26 $36.59
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.44 $158.01 $80.12
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.11 $39.5 $20.03

* The physician office visit costs information is obtained by Medicare's 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 Medicare's 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.

MIPS Measure Score Weight Score
Quality 40% 54.3
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 (PI) 25% 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 15% 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 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 20% 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.
MIPS Final Score - 65.1
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.

MIPS Quality Measures

The following performance measures were reported under the Merit-Based Incentive Payment System (MIPS) and Qualified Clinical Data Registry (QCDR) quality measures program.

Quality Measure Performance Number of Patients
Advance Care Plan 42% 702
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record or documentation 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
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Participation in User Testing of the Quality Payment Program Website (https://qpp.cms.gov/)YesN/A
User participation in the Quality Payment Program website testing is an activity for eligible clinicians who have worked with CMS to provided substantive, timely, and responsive input to improve the CMS Quality Payment Program website through product user-testing that enhances system and program accessibility, readability and responsiveness as well as providing feedback for developing tools and guidance thereby allowing for a more user-friendly and accessible clinician and practice Quality Payment Program website experience.

Clinician Utilization

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 Medicare specialty, excluding evaluation and management codes.

  • 298Urinalysis, manual test (HCPCS:81002)
  • 193Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 94Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare 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. Alexander Gotesman is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MONMOUTH MEDICAL CENTER - SOUTHERN CAMPUS600 RIVER AVE
LAKEWOOD, NJ 8701
(732) 363-1900Acute Care Hospitals310084
COMMUNITY MEDICAL CENTER99 RT 37 WEST
TOMS RIVER, NJ 8755
(732) 557-8000Acute Care Hospitals310041

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208800000XAllopathic & Osteopathic PhysiciansUrology221653NYNo

Taxonomy Description: a 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.

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

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.