BERENICE JIMENEZ
NPI 1043707631
Family Medicine in San Diego, CA

Active since April 18, 2018PECOS EnrolledAccepts Medicare Assignment
73.62/100
CMS Quality Rating
200 W ARBOR DR # MC8809, SAN DIEGO, CA 92103(619) 543-2165(619) 543-5996 Get Directions Write a Review

NPPES record last updated: October 11, 2022. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Oct 11, 2022, Apr 18, 2018 (2 updates tracked since 2018).

About Berenice Jimenez NPPES

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

BERENICE JIMENEZ (NPI 1043707631) is an individual family medicine provider in San Diego, California, licensed in California (A163575) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS and is a graduate of University Of California, San Diego School Of Medicine (2018).

NPPES Registry Identity

NPI1043707631
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameBERENICE JIMENEZ
Location Address200 W ARBOR DR # MC8809San Diego, CA 92103-1911
Mailing Address1400 E Palomar StChula Vista, CA 91913-1800 · (619) 543-2165 · Fax (619) 543-5996
Fax(619) 543-5996
Sole ProprietorNo
Medical School CMSUniversity Of California, San Diego School Of MedicineGraduated 2018
Enumeration DateApril 18, 2018
Last NPPES UpdateOctober 11, 20222 updates tracked since enumeration
NPPES CertifiedOctober 11, 2022
NPI 1043707631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · A163575
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
200 W ARBOR DR # MC8809, San Diego, CA 92103

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Berenice Jimenez 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 ID6406259993
PECOS Enrollment IDI20210721001791
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.

Areas of Expertise CMS Part B claims 3

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 office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
88 services44 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
24 services17 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92103 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

73.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Improvement Activities40
Cost58.69

Other Providers at the Same Location NPPES 4

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

Family Medicine
200 W ARBOR DR # MC8809
SAN DIEGO, CA 92103
Psychiatry & Neurology (Psychiatry)
200 W ARBOR DR # MC8809
SAN DIEGO, CA 92103
Family Medicine
200 W ARBOR DR # MC8809
SAN DIEGO, CA 92103
Family Medicine
200 W ARBOR DR # MC8809
SAN DIEGO, CA 92103

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 Berenice Jimenez's NPI number?

The NPI number for Berenice Jimenez is 1043707631. It was assigned to this individual provider in the NPPES registry on April 18, 2018.

Where is Berenice Jimenez located?

Berenice Jimenez practices at 200 W Arbor Dr # Mc8809, San Diego, CA 92103. The listed phone number is (619) 543-2165.

What is Berenice Jimenez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Berenice Jimenez enrolled in Medicare?

Yes. Berenice 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.

When was this NPI record last updated?

The NPPES record for Berenice Jimenez was last updated on October 11, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.