DR. VICTOR K JIMINEZ M.D. NPI 1013969039

Urology in Huntsville, AL

NPI 1013969039 Individual Male Years of Experience 27 Urology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About VICTOR JIMINEZ

Victor Jiminez is a provider established in Huntsville, Alabama and his medical specialization is urology with more than 27 years of experience. He graduated from University Of South Alabama College Of Medicine in 1995. The NPI number of Victor Jiminez is 1013969039 and was assigned on May 2006. The practitioner's primary taxonomy code is 208800000X with license number 23966 (AL). The provider is registered as an individual and his NPI record was last updated 12 years ago.

Victor Jiminez 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

Victor Jiminez 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 Huntsville Hospital and Crestwood Medical Center.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: colorectal cancer screening, diabetes: medical attention for nephropathy, documentation of current medications in the medical record, e-prescribing, health information exchange exclusion, implementation of medication management practice improvements, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, pi bonus for submission of eligible improvement activities using cehrt, pneumococcal vaccination status for older adults, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, preventive care and screening: tobacco use: screening and cessation intervention, provide patient access, secure messaging, security risk analysis, tobacco use, use of high-risk medications in the elderly and use of high-risk medications in the elderly. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1013969039

Provider NameDR. VICTOR K JIMINEZ M.D.
Provider Location Address4704 WHITESBURG DR S SUITE 100 HUNTSVILLE, AL 35802
Provider Mailing Address4704 WHITESBURG DR S SUITE 100 HUNTSVILLE, AL 35802
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF SOUTH ALABAMA COLLEGE OF MEDICINE
Graduation Year1995
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-17-2006
Last Update Date06-29-2010


Primary Taxonomy

Taxonomy Code208800000X
ClassificationUrology
TypeAllopathic & Osteopathic Physicians
License No.23966
License StateAL
Taxonomy DescriptionA urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Business Address

DR. VICTOR K JIMINEZ M.D.
4704 WHITESBURG DR S
SUITE 100
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 882-3605
Fax: (256) 882-9323

Get Directions


Mailing Address

DR. VICTOR K JIMINEZ M.D.
4704 WHITESBURG DR S
SUITE 100
HUNTSVILLE, AL
ZIP 35802
Phone: (256) 882-3605
Fax: (256) 882-9323



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 ID8628242179
PECOS Enrollment IDI20111117000538
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.

  • 1840Automated urinalysis test (HCPCS:81003)
  • 466Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 256X-ray of abdomen, single view (HCPCS:74000)
  • 195Diagnostic examination of the bladder and bladder canal (urethra) using an endoscope (HCPCS:52000)
  • 129Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • 28Ultrasound of rectum (HCPCS:76872)
  • 27Ultrasonic guidance imaging supervision and interpretation for insertion of needle (HCPCS:76942)
  • 27Biopsy of prostate gland (HCPCS:55700)

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
Colorectal Cancer Screening 64% 1551
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
Diabetes: Medical Attention for Nephropathy 98% 373
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
Documentation of Current Medications in the Medical Record 99% 4946
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration
e-Prescribing 44% 1588
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% 208
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 96% 941
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.
Pneumococcal Vaccination Status for Older Adults 59% 1307
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 62% 2640
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 99% 87
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71% 1153
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 71% 1153
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Provide Patient Access 100% 941
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 2% 941
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.
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1307
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication
Use of High-Risk Medications in the Elderly 0% "Inverse Quality Measure"
This is an inverse quality measure, a lower rate means the provider is rated better.
1307
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication. 2) Percentage of patients who were ordered at least two of the same high-risk medication

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. Victor Jiminez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HUNTSVILLE HOSPITAL101 SIVLEY RD
HUNTSVILLE, AL 35801
(256) 265-1000Acute Care Hospitals10039
CRESTWOOD MEDICAL CENTERONE HOSPITAL DR SE
HUNTSVILLE, AL 35801
(256) 882-3100Acute Care Hospitals10131

Other Providers at the same location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477507705DR. MICHAEL W BROWN M.D.
Individual
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3605
1629022975DR. JAMES A FLATT M.D.
Individual
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3605
1003027079UROLOGY SPECIALISTS PC
Organization
Urology4704 WHITESBURG DR S SUITE 100
HUNTSVILLE, AL 35802
(256) 882-3603

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.