DR. JESSE RAIA QUALLIOTINE MD
NPI 1003239948
Otolaryngology in San Diego, CA

Q: What is Jesse Qualliotine's NPI number?

The NPI number for Jesse Qualliotine is 1003239948. It was assigned to this individual provider in the NPPES registry on January 29, 2014.

Q: What is Jesse Qualliotine's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Q: When was this NPI record last updated?

The NPPES record for Jesse Qualliotine was last updated on July 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 29, 2014PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

200 W ARBOR DR, SAN DIEGO, CA 92103(800) 926-8273(888) 539-8781 Get Directions Write a Review

NPPES record last updated: July 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 14, 2023, Feb 19, 2019 (2 updates tracked since 2019).

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About Dr. Jesse Raia Qualliotine Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JESSE RAIA QUALLIOTINE MD (NPI 1003239948) is an individual otolaryngology provider in San Diego, California, licensed in California (A151988) and active in the NPI registry since January 2014. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Johns Hopkins University School Of Medicine (2016).

NPPES Registry Identity

NPI1003239948

Entity TypeIndividualMale

Primary Taxonomy207Y00000X

Provider Legal NameDR. JESSE RAIA QUALLIOTINECredential: MD

Location Address200 W ARBOR DRSan Diego, CA 92103-9000

Mailing AddressPo Box 232410San Diego, CA 92193-2410 · (176) 080-9154

Phone(800) 926-8273

Fax(888) 539-8781

Sole ProprietorNo

Medical School CMSJohns Hopkins University School Of MedicineGraduated 2016

Enumeration DateJanuary 29, 2014

Last NPPES UpdateJuly 14, 20232 updates tracked since enumeration

NPPES CertifiedJuly 14, 2023

✔ NPI 1003239948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians

Taxonomy Code207Y00000X

License✔ Licensed in CA · A151988

Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

200 W ARBOR DR, San Diego, CA 92103

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11825 4th St Fl 5San Francisco, CA 94143-2350 · Phone (415) 514-6952 · Fax (415) 885-7711

Location 2600 N Wolfe StBaltimore, MD 21287-2109 · Phone (410) 955-5000

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Jesse Raia Qualliotine Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739421165

PECOS Enrollment IDI20190503001258

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

43 services36 patients

Diagnostic exam of voice box using a flexible endoscope 31575

This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.

34 services28 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

27 services27 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

14 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$140.22 typical visit price

range $62.10 – $184.71

Typical copayment $35.05 (range $15.52 – $46.17)

Most-billed visit code 99204

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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