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DR. ELENA MARIA JIMENEZ MD
NPI 1003981804
Ophthalmology in San Juan, PR

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
30/100
CMS Quality Rating
735 AVE PONCE DE LEON STE 503, SAN JUAN, PR 00917(787) 510-7880(787) 925-1200 Get Directions Write a Review

NPPES record last updated: October 3, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 3, 2024, May 12, 2020 (2 updates tracked since 2020).

About Dr. Elena Maria Jimenez Md NPPES

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

DR. ELENA MARIA JIMENEZ MD (NPI 1003981804) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Puerto Rico (13621) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1998).

NPPES Registry Identity

NPI1003981804
Entity TypeIndividualFemale
Primary Taxonomy207W00000X
Provider Legal NameDR. ELENA MARIA JIMENEZCredential: MD
Location Address735 AVE PONCE DE LEON STE 503San Juan, PR 00917-5026
Mailing Address735 Ave Ponce De Leon Ste 503San Juan, PR 00917-5026 · (787) 510-7880 · Fax (787) 925-1200
Phone(787) 510-7880
Fax(787) 925-1200
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1998
Enumeration DateNovember 21, 2006
Last NPPES UpdateOctober 3, 20242 updates tracked since enumeration
NPPES CertifiedOctober 3, 2024
✔ NPI 1003981804 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PR · 13621
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Other Identifiers 3

Other62095Blue Cross
Other9260093Humana
Other23074Preferred

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Elena Maria Jimenez 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 ID7315090586
PECOS Enrollment IDI20101215000898
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.

Medicare Billing Reassignment

Medicare enrollment records show Elena Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Specialized Eye Care, C.S.P.
Exclusive Provider Organization
735 AVE. PONCE DE LEON, TORRE MEDICA HOSPITAL AUXILIO MUTUO #503
San Juan, PR 00917
  • Reassigned Medicare billing, Puerto Rico enrollment
  • Medicare enrollment name: Specialized Eye Care Csp
NPI 1063839967 (787) 510-7880

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 11

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
153 services104 patients
Photography of the retina 92250
Photography of the retina, also known as retinal imaging, is a non-invasive procedure that captures images of the back of your eye. This helps doctors identify and monitor conditions like glaucoma, macular degeneration, or diabetic retinopathy. It's painless and quick, often part of a routine eye exam.
137 services131 patients
Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
128 services82 patients
Established patient complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
105 services105 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
85 services85 patients
Extended exam of the back part of the eye with retinal drawing 92201
This procedure involves a detailed examination of the back part of your eye, including the retina. It helps identify any abnormalities or issues. A retinal drawing is made to record findings. It's non-invasive and crucial for maintaining eye health.
81 services78 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00917 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

30/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost100

Reported Quality Measures

Cataracts: 20/40 or Better Visual Acuity within 90 Days Following Cataract Surgery
94%64 patients3/55-star benchmark: 100%
Complications After Cataract Surgery
Lower rates are better for this measure.
0%482 patients
Diabetes: Eye Exam
100%203 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,475 patients5/55-star benchmark: 100%
Glaucoma Intraocular Pressure Reduction
92%136 patients
Primary Open-Angle Glaucoma (POAG): Reduction of Intraocular Pressure (IOP) by 15% OR Documentation of a Plan of Care
99%151 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 1,240 patients
Patients totalRate: 0% · 1,240 patients
0%1,240 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES

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

GABRIELA JULIANA TRABAL-YULFO MD
Ophthalmology
735 AVE PONCE DE LEON STE 503
SAN JUAN, PR 00917
San Juan Municipio (787) 510-7880

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elena Jimenez's NPI number?

The NPI number for Elena Jimenez is 1003981804. It was assigned to this individual provider in the NPPES registry on November 21, 2006.

Where is Elena Jimenez located?

Elena Jimenez practices at 735 Ave Ponce De Leon Ste 503, San Juan, PR 00917. The listed phone number is (787) 510-7880.

What is Elena Jimenez's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Elena Jimenez enrolled in Medicare?

Yes. Elena Jimenez is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Elena Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elena Jimenez reassigns Medicare benefits to Specialized Eye Care, C.S.P. (San Juan, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Elena Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Elena Jimenez was last updated on October 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.