DR. JESUS RAFAEL ALVAREZ-PEREZ M.D. NPI 1003009473

Obstetrics & Gynecology (Maternal & Fetal Medicine) in Hackensack, NJ

NPI 1003009473 Individual Male Years of Experience 22 Obstetrics & Gynecology Maternal & Fetal Medicine PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 97.2

About JESUS ALVAREZ-PEREZ

Jesus Alvarez-perez is a women's health care provider established in Hackensack, New Jersey and his medical specialization is obstetrics & gynecology (maternal & fetal medicine) with more than 22 years of experience. The NPI number of Jesus Alvarez-perez is 1003009473 and was assigned on August 2007. The practitioner's primary taxonomy code is 207VM0101X with license number 25MA0776700 (NJ). The provider is registered as an individual and his NPI record was last updated one year ago.

Women's health care providers like Dr. Jesus Rafael Alvarez-perez M.d. treat and diagnose diseases and conditions that affect a woman's physical and emotional health. Women's health professionals come from a variety of different specialties, including obstetrician/gynecologists, general surgeons, perinatologists, physician assistants, nurse practitioners or nurse midwives. A women's health provider might help you with family planning, breast care, pregnancy and child birth, osteoporosis, menopause, heart disease, etc.

Jesus Alvarez-perez 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

Jesus Alvarez-perez 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.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 97.2, 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: $37.64 for a new patient copayment and $20.64 for an established patient copayment.

NPI

1003009473

Provider NameDR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
Provider Location Address30 PROSPECT AVE HACKENSACK, NJ 07601
Provider Mailing AddressPO BOX 1815 JUNCOS, PR 00777
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date08-20-2007
Last Update Date02-17-2021


Primary Taxonomy

Taxonomy Code207VM0101X
ClassificationObstetrics & Gynecology
TypeAllopathic & Osteopathic Physicians
SpecializationMaternal & Fetal Medicine
License No.25MA0776700
License StateNJ
Taxonomy DescriptionAn obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

Business Address

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
30 PROSPECT AVE
HACKENSACK, NJ
ZIP 07601
Phone: (551) 996-2453
Fax: (201) 678-9189

Get Directions


Mailing Address

DR. JESUS RAFAEL ALVAREZ-PEREZ M.D.
PO BOX 1815
JUNCOS, PR
ZIP 00777
Phone: (787) 750-0544



Secondary Locations

Ave Luis Munoz Marin # 100
Caguas, PR 00725
(787) 653-1750

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 ID7214184217
PECOS Enrollment IDI20130510000081
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 07601 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
$66.45 $198.48 $150.56
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $37.64
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
$21.27 $162.58 $82.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $20.64

* 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% 100
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% 80.9
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 - 97.2
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.

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
1207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology25MA0776700NJNo

Taxonomy Description: Not Available

2207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics25MA0776700NJNo

Taxonomy Description: Not Available

Other Providers at the same location


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

NPI Name / Type Taxonomy Address
1104810951 MOHAMMAD ALI OLOOMI YAZDI MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 996-2419
1306828827 DANIEL CLAUDIO DRAGONE MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1346222858 MICHAEL BLOCK M.D.
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1730161258 KEITH EVAN FRAZER DO
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1356323885 JEFFREY DEAN FRIEDLANDER MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1659353191 EVA MARIE HESSERT MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1295718518 PATRICK SEWELL VIDAVER MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1447233895 AMR SAYED MORSY MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1235112681 CESAR V NOLASCO MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1568445963 PAUL HARVEY RITCHIE MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1497738801 ALI INANC SECKIN MD
Individual
Anesthesiology (Pain Medicine)30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1386627792 ERIC H SEEM MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1720061146 WILLIAM PAUL SEMANCZUK MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1033192455 STEVEN ALAN TOPFER DO
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1558344960 MOHAMED ALI SAAD MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1528041936 VINCENT R SALADINI JR. MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1497738843 MILIJA MILIC MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1922081082 RUCHIR NIKUNJBIHARI SHAH MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1720061849 RUSSELL JOSEPH HORN MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066
1265415384 JOANNE LESLIE MD
Individual
Anesthesiology30 PROSPECT AVE
HACKENSACK, NJ 07601
(201) 488-0066

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.