DR. CYNTHIA SANTIAGO M.D. NPI 1003003856

Family Medicine in Port Jefferson Station, NY

NPI 1003003856 Individual Female Years of Experience 25 Family Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About CYNTHIA SANTIAGO

Cynthia Santiago is a primary care provider established in Port Jefferson Station, New York and her medical specialization is family medicine with more than 25 years of experience. She graduated from New York University School Of Medicine in 1997. The NPI number of Cynthia Santiago is 1003003856 and was assigned on September 2007. The practitioner's primary taxonomy code is 207Q00000X with license number 217808 (NY). The provider is registered as an individual and her NPI record was last updated 7 years ago.

A primary care provider (PCP) like Dr. Cynthia Santiago M.d. sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Cynthia Santiago 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

Cynthia Santiago 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 she has hospital affiliations with John T Mather Memorial Hospital Of Port Jefferson.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: e-prescribing, health information exchange exclusion, immunization registry reporting, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, provide patient access, secure messaging, security risk analysis and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1003003856

Provider NameDR. CYNTHIA SANTIAGO M.D.
Provider Location Address5 ROOSEVELT AVE PORT JEFFERSON STATION, NY 11776
Provider Mailing Address5 ROOSEVELT AVE PORT JEFFERSON STATION, NY 11776
GenderFemale
NPI Entity TypeIndividual
Medical School NameNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduation Year1997
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-26-2007
Last Update Date12-19-2014


Primary Taxonomy

Taxonomy Code207Q00000X
ClassificationFamily Medicine
TypeAllopathic & Osteopathic Physicians
License No.217808
License StateNY
Taxonomy DescriptionFamily Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Business Address

DR. CYNTHIA SANTIAGO M.D.
5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 732-6984
Fax: (631) 732-7019

Get Directions


Mailing Address

DR. CYNTHIA SANTIAGO M.D.
5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY
ZIP 11776
Phone: (631) 732-6984
Fax: (631) 732-7019



Medicare Participation

Registered in PECOS? Yes 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.
PECOS PAC ID6305813148
PECOS Enrollment IDI20040913000368
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

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.

  • 401Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 323Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 152Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 114Administration of influenza virus vaccine (HCPCS:G0008)
  • 109Measurement and graphic recording of total and timed exhaled air capacity (HCPCS:94010)
  • 67Hemoglobin A1C level (HCPCS:83036)
  • 66Automated urinalysis test (HCPCS:81003)
  • 34Urinalysis, manual test (HCPCS:81002)
  • 30Administration of pneumococcal vaccine (HCPCS:G0009)
  • 29Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 24Eardrum testing using ear probe (HCPCS:92567)

Quality Reporting

The following quality measures meets 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 Rate Number of Patients
e-Prescribing 97% 1349
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Medication Reconciliation 100% 23
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
Patient-Specific Education 27% 499
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
Provide Patient Access 54% 499
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information.
Secure Messaging 27% 499
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period.
View, Download, or Transmit (VDT) 8% 499
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

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. Cynthia Santiago is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON75 NORTH COUNTRY ROAD
PORT JEFFERSON, NY 11777
(631) 473-1320Acute Care Hospitals330185

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
32V261MEDICARE PIN (08)NY
02162494MEDICAID (05)NY
H37637MEDICARE UPIN (02)NY

Other Providers at the same location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801982822NORTH OCEAN FAMILY MEDICINE
Organization
Family Medicine5 ROOSEVELT AVE
PORT JEFFERSON STATION, NY 11776
(631) 732-6984

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.