JACLYN M SYLVIA PA-C NPI 1023294287

Physician Assistant in Waterbury, CT

NPI 1023294287 Individual Female Years of Experience 14 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JACLYN SYLVIA

Jaclyn Sylvia is a primary care provider established in Waterbury, Connecticut and her medical specialization is physician assistant with more than 14 years of experience. The NPI number of Jaclyn Sylvia is 1023294287 and was assigned on January 2008. The practitioner's primary taxonomy code is 363A00000X with license number 002726 (CT). The provider is registered as an individual and her NPI record was last updated 6 years ago.

A primary care provider (PCP) like Jaclyn M Sylvia Pa-c sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Jaclyn Sylvia 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

Jaclyn Sylvia 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 and the following quality measures were reported: implementation of medication management practice improvements, implementation of use of specialist reports back to referring clinician or group to close referral loop, onc direct review attestation, pi bonus for submission of eligible improvement activities using cehrt, provide patient access and security risk analysis. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1023294287

Provider Name JACLYN M SYLVIA PA-C
Provider Location Address60 WESTWOOD AVE SUITE 104 WATERBURY, CT 06708
Provider Mailing Address60 WESTWOOD AVE SUITE 104 WATERBURY, CT 06708
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2007
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date01-17-2008
Last Update Date06-17-2015


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.002726
License StateCT
Taxonomy DescriptionA physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Business Address

JACLYN M SYLVIA PA-C
60 WESTWOOD AVE
SUITE 104
WATERBURY, CT
ZIP 06708
Phone: (203) 574-5997
Fax: (203) 574-5987

Get Directions


Mailing Address

JACLYN M SYLVIA PA-C
60 WESTWOOD AVE
SUITE 104
WATERBURY, CT
ZIP 06708
Phone: (203) 574-5997
Fax: (203) 574-5987



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 ID941383582
PECOS Enrollment IDI20120801000263
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.

  • 134Removal of impact ear wax, one ear (HCPCS:69210)
  • 36Diagnostic examination of nasal passages using an endoscope (HCPCS:31231)
  • 26Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

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
Provide Patient Access 95% 37
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician ensures the patient's health information is available for the patient (or patient-authorized representative) to access using any application of their choice that is configured to meet the technical specifications of the Application Programing Interface (API) in the MIPS eligible clinician's certified EHR technology.

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
1363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedicalAP2472MANo

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
1457352544DR. JOHN KINGSBURY CONANT JR. MD
Individual
Urology60 WESTWOOD AVE STE 230
WATERBURY, CT 06708
(203) 753-2800
1588627467DR. ALBERT ROCCO MARANO MD
Individual
Internal Medicine (Gastroenterology)60 WESTWOOD AVE
WATERBURY, CT 06708
(203) 574-3007
1336185768DR. ROBERT W. BEHRENDS M.D.
Individual
Psychiatry & Neurology (Psychiatry)60 WESTWOOD AVE SUITE 210
WATERBURY, CT 06708
(203) 597-0633
1548206964DR. RANDY BRUCE CARRIN PSY.D.
Individual
Psychologist (Clinical)60 WESTWOOD AVE SUITE 310
WATERBURY, CT 06708
(203) 757-8766
1922036821MR. RONALD A FOX PA-C
Individual
Physician Assistant (Medical)60 WESTWOOD AVE SUITE 104
WATERBURY, CT 06708
(203) 574-4930
1427086966DR. CHRISTOPHER JAMES LOUGHLIN MD
Individual
Otolaryngology60 WESTWOOD AVE SUITE 104
WATERBURY, CT 06708
(203) 574-5997
1306878731DR. DAVID TKESHELASHVILI M.D.
Individual
Psychiatry & Neurology (Neurology)60 WESTWOOD AVE SUITE320
WATERBURY, CT 06708
(203) 756-8995
1447285143DR. MELISSA M PEARLSTONE M.D.
Individual
Obstetrics & Gynecology (Gynecology)60 WESTWOOD AVE SUITE 200
WATERBURY, CT 06708
(203) 574-5501
1992714786 LINDA PANIKOWSKI OTR/L, CHT
Individual
Occupational Therapist (Hand)60 WESTWOOD AVE SUITE 300
WATERBURY, CT 06708
(203) 597-1609
1033120910MS. HILDA S IANIGRO-BLINN PT
Individual
Physical Therapist60 WESTWOOD AVE SUITE 300
WATERBURY, CT 06708
(203) 597-1609
1790796688MRS. GEORGIANNA FORMAN TATA PT
Individual
Physical Therapist60 WESTWOOD AVE
WATERBURY, CT 06708
(203) 597-1609
1437263357 MARK DEFRANCESCO MD
Individual
Obstetrics & Gynecology (Gynecology)60 WESTWOOD AVE SUITE 200
WATERBURY, CT 06708
(203) 574-5501
1588767644 FREDERICK COHN MD
Individual
Obstetrics & Gynecology60 WESTWOOD AVE SUITE 100
WATERBURY, CT 06708
(203) 573-1425
1205939360 CLARE VENTRE MD
Individual
Obstetrics & Gynecology60 WESTWOOD AVE SUITE 100
WATERBURY, CT 06708
(203) 573-1425
1538262605 JONATHAN FOSTER MD
Individual
Obstetrics & Gynecology60 WESTWOOD AVE SUITE 100
WATERBURY, CT 06708
(203) 573-1425
1174626337 MARY L ZOZULIN MD
Individual
Obstetrics & Gynecology60 WESTWOOD AVE SUITE 100
WATERBURY, CT 06708
(203) 573-1425
1265528533 JOSE EGUIA MD
Individual
Obstetrics & Gynecology (Gynecology)60 WESTWOOD AVE SUITE 200
WATERBURY, CT 06708
(203) 574-5501
1689755910DR. ROBERT P HENDRIKSON MD
Individual
Orthopaedic Surgery60 WESTWOOD AVE SUITE 300
WATERBURY, CT 06708
(203) 755-9166
1598849697 SUSAN HANNAH ROSTRON AUD
Individual
Audiologist-Hearing Aid Fitter60 WESTWOOD AVE
WATERBURY, CT 06708
(203) 346-1328
1487731998DR. PAUL J BEAUVAIS MD
Individual
Orthopaedic Surgery60 WESTWOOD AVE SUITE 300
WATERBURY, CT 06708
(203) 755-9166

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.