JEFFREY FREDRICK CAREN M.D. NPI 1013089069
Specialist in Los Angeles, CA

About JEFFREY FREDRICK CAREN M.D.

Jeffrey Caren is a provider established in Los Angeles, California and his medical specialization is Specialist with more than 52 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1971. The NPI number of Jeffrey Caren is 1013089069 and was assigned on November 2006. The practitioner's primary taxonomy code is 174400000X with license number G22674 (CA). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1013089069
Provider Name JEFFREY FREDRICK CAREN M.D.
Location Address8635 W 3RD ST 890W LOS ANGELES, CA 90048
Location Phone(310) 659-0714
Mailing Address8635 W 3RD ST 890W LOS ANGELES, CA 90048
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Graduation Year1971
Is Sole Proprietor?No
Enumeration Date11-14-2006
Last Update Date02-10-2016

Jeffrey Caren is enrolled in PECOS and is eligible to order or refer health care 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.

Jeffrey Caren 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 Cedars-sinai 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 92.5, 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.



Primary Taxonomy

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.

Taxonomy Code174400000X
ClassificationSpecialist
TypeOther Service Providers
License No.G22674
License StateCA
Taxonomy DescriptionAn individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

JEFFREY FREDRICK CAREN M.D.
8635 W 3RD ST
890W
LOS ANGELES, CA
ZIP 90048
Phone: (310) 659-0714
Fax: (310) 659-0664

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Mailing Address

JEFFREY FREDRICK CAREN M.D.
8635 W 3RD ST
890W
LOS ANGELES, CA
ZIP 90048
Phone: (310) 659-0714
Fax: (310) 659-0664


Location Map

PECOS Enrollment and Medicare Participation Status

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 ID4688705908
PECOS Enrollment IDI20100701000127
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

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% 90
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% 57.2
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 - 92.5
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.

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.

  • 316Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 211Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 170Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85025)
  • 62Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • 41Hemoglobin A1C level (HCPCS:83036)
  • 24Administration of influenza virus vaccine (HCPCS:G0008)

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. Jeffrey Caren is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
CEDARS-SINAI MEDICAL CENTER8700 BEVERLY BLVD
LOS ANGELES, CA 90048
(310) 423-5000Acute Care Hospitals50625

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 Identifier Issuer
A41665MEDICARE UPIN (02)CA
W13231MEDICARE ID-TYPE UNSPECIFIED (04)CAPROVIDER

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1013089069
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20230818012
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 2 + 3 + 0 + 8 + 1 + 8 + 0 + 1 + 2 + 24 = 51
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 51 = 99

The NPI number 1013089069 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


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

NPI Name / Type Taxonomy Address
1497742381DR. ROBERT M DAVIDSON M.D
Individual
Internal Medicine (Cardiovascular Disease)8635 W 3RD ST STE# 1050 W
LOS ANGELES, CA 90048
(310) 855-1971
1215924105DR. KIRK Y CHANG M.D
Individual
Internal Medicine (Cardiovascular Disease)8635 W 3RD ST STE# 1050W
LOS ANGELES, CA 90048
(310) 659-4026
1366439218DR. GARY FURMAN M.D
Individual
Surgery8635 W 3RD ST STE# 795W
LOS ANGELES, CA 90048
(310) 423-8350
1275522096DR. PAYMAN VAHEDIFAR M.D
Individual
Internal Medicine (Nephrology)8635 W 3RD ST STE# 865W
LOS ANGELES, CA 90048
(310) 659-1654
1063401958DR. GAIL N JACKSON M.D
Individual
Obstetrics & Gynecology (Gynecology)8635 W 3RD ST SUITE 680 WEST
LOS ANGELES, CA 90048
(310) 659-2666
1285624288DR. ARTHUR B SCHLACHTMAN DDS
Individual
Dentist8635 W 3RD ST #250
LOS ANGELES, CA 90048
(310) 659-0522
1831172840DR. YZHAR CHARUZI M.D
Individual
Internal Medicine (Cardiovascular Disease)8635 W 3RD ST SUITE 355W
LOS ANGELES, CA 90048
(310) 854-1988
1124002845DR. CHRISTOPHER NG M.D.
Individual
Specialist8635 W 3RD ST SUITE 1 WEST
LOS ANGELES, CA 90048
(310) 854-9898
1578547105 MATTHEW H BUI M.D.
Individual
Urology8635 W 3RD ST SUITE 1 WEST
LOS ANGELES, CA 90048
(310) 854-9898
1801872593DR. ALI MAHTABIFARD M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)8635 W 3RD ST SUITE 975W
LOS ANGELES, CA 90048
(310) 652-0530
1326027806DR. GUITA BALAKHANE M.D.,
Individual
Internal Medicine (Nephrology)8635 W 3RD ST STE# 695W
LOS ANGELES, CA 90048
(310) 967-2140
1801867163DR. ARNOLD C. CINMAN M.D.
Individual
Urology8635 W 3RD ST SUITE 1W
LOS ANGELES, CA 90048
(310) 854-9898
1144291584DR. DWIGHT L MAKOFF M.D.,
Individual
Internal Medicine (Nephrology)8635 W 3RD ST STE#485W
LOS ANGELES, CA 90048
(310) 652-9162
1487614194DR. PHILIP A YALOWITZ M.D.
Individual
Urology8635 W 3RD ST
LOS ANGELES, CA 90048
(310) 652-8060
1336102524DR. GIL Y MELMED M.D.
Individual
Internal Medicine (Gastroenterology)8635 W 3RD ST SUITE 960-W
LOS ANGELES, CA 90048
(310) 201-6514
1588629596 STEPHEN JOSEPH SHAPIRO MD
Individual
Surgery8635 W 3RD ST STE 865W
LOS ANGELES, CA 90048
(310) 659-9603
1144279514 PAYAM ROBERT YASHAR MD
Individual
Internal Medicine (Cardiovascular Disease)8635 W 3RD ST SUITE 1050W
LOS ANGELES, CA 90048
(310) 556-2020
1013964774 JAY J STEIN M.D.
Individual
Urology8635 W 3RD ST SUITE 460W
LOS ANGELES, CA 90048
(310) 652-8810
1154350882DR. LEON IRWIN BENDER M.D.
Individual
Urology8635 W 3RD ST 765W
LOS ANGELES, CA 90048
(310) 657-7966
1073543369DR. STEPHEN SACKS MD
Individual
Urology8635 W 3RD ST SUITE 1 WEST
LOS ANGELES, CA 90048
(800) 854-9888

Frequently Asked Questions

What is Jeffrey Caren M.D. NPI number?

The NPI number assigned to Jeffrey Caren M.D. is 1013089069, registered as an "individual" on November 14, 2006

Where is Jeffrey Caren M.D. located?

The provider is located at 8635 W 3rd St 890w Los Angeles, Ca 90048 and the phone number is (310) 659-0714

Which is Jeffrey Caren M.D. specialty?

The provider's speciality is Specialist

How many years of experience does Jeffrey Caren M.D. have?

The provider has more than 52 years of experience. He graduated from University Of California, San Francisco School Of Medicine in 1971.

What insurance does Jeffrey Caren M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Jeffrey Caren M.D. registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

What are some of the services provided by Jeffrey Caren M.D.?

The most common procedures or services performed by this practitioner are: Insertion of needle into vein for collection of blood sample, Routine EKG using at least 12 leads including interpretation and report, Complete blood cell count (red cells, white blood cell, platelets), automated test, Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function, Hemoglobin A1C level and Administration of influenza virus vaccine.

Is Jeffrey Caren M.D. affiliated to any hospitals?

The practitioner is affiliated to the following hospitals: CEDARS-SINAI MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

How do I update my NPI information?

The NPI record of Jeffrey Caren M.D. was last updated on November 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]