ELENA MAYDAN M.D. NPI 1033145255
Dermatology - MOHS-Micrographic Surgery in Garden City, NY

About ELENA MAYDAN M.D.

Elena Maydan is a provider established in Garden City, New York and her medical specialization is Dermatology with a focus in mohs-micrographic surgery with more than 23 years of experience. She graduated from Js Weill Medical College, Cornell University in 2000. The NPI number of this provider is 1033145255 and was assigned on June 2006. The practitioner's primary taxonomy code is 207ND0101X with license number 221520 (NY). The provider is registered as an individual and her NPI record was last updated 2 years ago.

NPI
1033145255
Provider Name ELENA MAYDAN M.D.
Location Address54 NEW HYDE PARK RD GARDEN CITY, NY 11530
Location Phone(516) 488-1313
Mailing Address2600 NETHERLAND AVE BRONX, NY 10463
GenderFemale
NPI Entity TypeIndividual
Medical School NameJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year2000
Is Sole Proprietor?N/A
Enumeration Date06-23-2006
Last Update Date09-29-2020

Elena Maydan 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.

Elena Maydan 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 under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 76.7, 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. The following quality measures were reported for this provider: annual registration in the prescription drug monitoring program, care plan, collection and use of patient experience and satisfaction data on access, documentation of current medications in the medical record, engagement of patients through implementation of improvements in patient portal, e-prescribing, immunization registry reporting, implementation of documentation improvements for practice/process improvements, implementation of improvements that contribute to more timely communication of test results, implementation of medication management practice improvements, implementation of use of specialist reports back to referring clinician or group to close referral loop, pain assessment and follow-up, patient-centered surgical risk assessment and communication, patient-specific education, pneumococcal vaccination status for older adults, preventive care and screening: influenza immunization, preventive care and screening: unhealthy alcohol use: screening & brief counseling, provide 24/7 access to mips eligible clinicians or groups who have real-time access to patient's medical record, provide patient access, security risk analysis and specialized registry reporting.

The typical physician office visit costs for Medicare beneficiaries in this area are: $27.39 for a new patient copayment and $22.04 for an established patient copayment.



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 Code207ND0101X
ClassificationDermatology
TypeAllopathic & Osteopathic Physicians
SpecializationMOHS-Micrographic Surgery
License No.221520
License StateNY
Taxonomy DescriptionThe highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S.

Business Address

54 NEW HYDE PARK RD
GARDEN CITY, NY
ZIP 11530
Phone: (516) 488-1313
Fax: (516) 488-3449

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Mailing Address

2600 NETHERLAND AVE
BRONX, NY
ZIP 10463


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 ID6507840113
PECOS Enrollment IDI20040614000220, I20060421000356, I20171228001845
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 11530 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $109.58
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $27.39
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$22.05 $174.06 $88.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $22.04

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

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% 69
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% 79
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% N/A
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 - 76.7
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.

Quality Reporting

The following quality measures meet 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 Number of Patients
Annual registration in the Prescription Drug Monitoring ProgramYesN/A
Annual registration by eligible clinician or group in the prescription drug monitoring program of the state where they practice. Activities that simply involve registration are not sufficient. MIPS eligible clinicians and groups must participate for a minimum of 6 months.
Care Plan 56% 186
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker or provide an advance care plan
Collection and use of patient experience and satisfaction data on accessYesN/A
Collection of patient experience and satisfaction data on access to care and development of an improvement plan, such as outlining steps for improving communications with patients to help understanding of urgent access needs.
Documentation of Current Medications in the Medical Record 61% 119
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
Engagement of patients through implementation of improvements in patient portalYesN/A
Access to an enhanced patient portal that provides up to date information related to relevant chronic disease health or blood pressure control, and includes interactive features allowing patients to enter health information and/or enables bidirectional communication about medication changes and adherence.
e-Prescribing 100% 314
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
Immunization Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement with a public health agency to submit immunization data.
Implementation of documentation improvements for practice/process improvementsYesN/A
Implementation of practices/processes that document care coordination activities (e.g., a documented care coordination encounter that tracks all clinical staff involved and communications from date patient is scheduled for outpatient procedure through day of procedure).
Implementation of improvements that contribute to more timely communication of test resultsYesN/A
Timely communication of test results defined as timely identification of abnormal test results with timely follow-up.
Implementation of medication management practice improvementsYesN/A
Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews.
Implementation of Use of Specialist Reports Back to Referring Clinician or Group to Close Referral LoopYesN/A
Performance of regular practices that include providing specialist reports back to the referring individual MIPS eligible clinician or group to close the referral loop or where the referring individual MIPS eligible clinician or group initiates regular inquiries to specialist for specialist reports which could be documented or noted in the EHR technology.
Pain Assessment and Follow-Up 67% 140
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
Patient-Centered Surgical Risk Assessment and Communication 4% 51
Percentage of patients who underwent a non-emergency surgery who had their personalized risks of postoperative complications assessed by their surgical team prior to surgery using a clinical data-based, patient-specific risk calculator and who received personal discussion of those risks with the surgeon
Patient-Specific Education 100% 834
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 78% 23
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
Preventive Care and Screening: Influenza Immunization 43% 23
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling 90% 256
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical RecordYesN/A
• Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management.
Provide Patient Access 100% 246
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.
Security Risk AnalysisYesN/A
Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process.
Specialized Registry ReportingYesN/A
The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI.

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.

  • 176Biopsy of single growth of skin and/or tissue (HCPCS:11100)
  • 108Destruction of 2-14 skin growths (HCPCS:17003)
  • 69Destruction of skin growth (HCPCS:17000)
  • 44Biopsy of each additional growth of skin and/or tissue (HCPCS:11101)
  • 39Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet (HCPCS:13132)
  • 35Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips (HCPCS:14060)

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
1174400000XOther Service ProvidersSpecialist221520NYNo

Taxonomy Description: an 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.

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.
1033145255
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20632410210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 6 + 3 + 2 + 4 + 1 + 0 + 2 + 1 + 0 + 24 = 45
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 45 = 55

The NPI number 1033145255 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013084763MRS. DINA MARIE PUGLISSI RPAC
Individual
Specialist54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1942362215MS. KELLY LEDERMANN N.P.
Individual
Nurse Practitioner54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1265727333 MICHAEL STEVEN MCLEMORE MD
Individual
Pathology (Dermatopathology)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1922196617DR. JONATHAN BESCHLOSS
Individual
Dermatology54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1306187711 ERAN SYKES FNP-BC
Individual
Clinical Nurse Specialist (Family Health)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1881245876MS. KATHERINE ANN MURPHY PA
Individual
Physician Assistant54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 231-2146
1992882773DR. JOSEPH ONORATO M.D.
Individual
Dermatology54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1598820698JOSEPH ONORATO M.D., P.C.
Organization
Specialist54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1376595215 CAROLYN WILLIS
Individual
Dermatology54 NEW HYDE PARK RD SUITE 400
GARDEN CITY, NY 11530
(516) 488-1313
1366742744 RENEE JAKYMEC PA
Individual
Physician Assistant (Medical)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313
1114648649 SYDNEY JACOBY FNP-BC
Individual
Nurse Practitioner (Family)54 NEW HYDE PARK RD
GARDEN CITY, NY 11530
(516) 488-1313

Frequently Asked Questions

What is Elena Maydan M.D. NPI number?

The NPI number assigned to this healthcare provider is 1033145255, registered as an "individual" on June 23, 2006

Where is Elena Maydan M.D. located?

The provider is located at 54 New Hyde Park Rd Garden City, Ny 11530 and the phone number is (516) 488-1313

Which is Elena Maydan M.D. specialty?

The provider's speciality is Dermatology with a focus in MOHS-Micrographic Surgery

How many years of experience does Elena Maydan M.D. have?

The provider has more than 23 years of experience. She graduated from Js Weill Medical College, Cornell University in 2000.

Is Elena Maydan M.D. registered in PECOS?

Yes, as of January 10, 2023 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 Elena Maydan M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.

How much is a visit to Elena Maydan M.D.?

Medicare beneficiaries should expect a typical cost of $109.58 with an average copayment of $27.39 for new patient appointments. Established patients should expect a typical charge of $88.17 and an average copayment of 22.04. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Elena Maydan M.D.?

The most common procedures or services performed by this practitioner are: Biopsy of single growth of skin and/or tissue, Destruction of 2-14 skin growths, Destruction of skin growth, Biopsy of each additional growth of skin and/or tissue, Repair of wound (2.6 to 7.5 centimeters) of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, and/or feet and Tissue transfer repair of wound (10 sq centimeters or less) of eyelids, nose, ears, and/or lips.

How do I update my NPI information?

The NPI record of Elena Maydan M.D. was last updated on June 23, 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]