XAVIER A PAREJA MD NPI 1053379578

Pain Medicine (Pain Medicine) in Oak Lawn, IL

NPI 1053379578 Individual Male Years of Experience 25 Pain Medicine Pain Medicine PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About XAVIER PAREJA

Xavier Pareja is a provider established in Oak Lawn, Illinois and his medical specialization is pain medicine (pain medicine) with more than 25 years of experience. The NPI number of Xavier Pareja is 1053379578 and was assigned on May 2006. The practitioner's primary taxonomy code is 208VP0000X with license number 036104737 (IL). The provider is registered as an individual and his NPI record was last updated 3 years ago.

Xavier Pareja 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

Xavier Pareja 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 Norwegian-american Hospital.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: chronic care and preventative care management for empaneled patients, colorectal cancer screening, e-prescribing, health information exchange exclusion, implementation of medication management practice improvements, measurement and improvement at the practice and panel level, medication reconciliation, onc direct review attestation, onc-acb surveillance attestation (optional), patient-specific education, preventive care and screening: body mass index (bmi) screening and follow-up plan, preventive care and screening: influenza immunization, provide patient access, secure messaging, security risk analysis, specialized registry reporting, use of decision support and standardized treatment protocols and view, download, or transmit (vdt). The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1053379578

Provider Name XAVIER A PAREJA MD
Provider Location Address6311 W 95TH ST OAK LAWN, IL 60453
Provider Mailing Address1132 S PLYMOUTH CT CHICAGO, IL 60605
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-03-2006
Last Update Date05-21-2018


Primary Taxonomy

Taxonomy Code208VP0000X
ClassificationPain Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationPain Medicine
License No.036104737
License StateIL
Taxonomy DescriptionPain Medicine is a primary medical specialty based on a distinct body of knowledge and a well-defined scope of clinical practice that is founded on science, research and education. It is concerned with the study of pain, the prevention of pain, and the evaluation, treatment, and rehabilitation of persons in pain. A comprehensive evaluation incorporates the physical, psychological, cognitive and socio-cultural contributions to pain. The treatment protocol may include pharmacological, invasive, behavioral, cognitive, rehabilitative and complementary strategies provided in a concurrent focused and patient specific manner. The pain medicine physician often serves the patient as a frontline physician regarding their pain, but also may serve as a consultant to other physicians, direct an interdisciplinary/multidisciplinary treatment team, conduct research, or advocate for the patient's pain care with public and private agencies. The Pain Medicine physician may work in variety of settings including office, clinic, hospital, university, or governmental/public agencies.

Business Address

XAVIER A PAREJA MD
6311 W 95TH ST
OAK LAWN, IL
ZIP 60453
Phone: (312) 235-0355

Get Directions


Mailing Address

XAVIER A PAREJA MD
1132 S PLYMOUTH CT
CHICAGO, IL
ZIP 60605
Phone: (708) 581-7380
Fax: (708) 581-7385



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 ID749263143
PECOS Enrollment IDI20040608000793
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.

  • 145Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 138Injections of anesthetic and/or steroid drug into lower or sacral spine nerve root using imaging guidance (HCPCS:64483)
  • 36Drug screen, other than chromatographic; any number of drug classes, by clia waived test or moderate complexity test, per patient encounter (HCPCS:G0434)
  • 36Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

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 12% 163
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
e-Prescribing 94% 619
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% 165
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 31% 282
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.
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 18% 280
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: Influenza Immunization 2% 265
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
Provide Patient Access 56% 282
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% 282
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.
View, Download, or Transmit (VDT) 7% 282
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

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. Xavier Pareja is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
NORWEGIAN-AMERICAN HOSPITAL1044 N FRANCISCO AVE
CHICAGO, IL 60622
(773) 292-8200Acute Care Hospitals140206

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
1207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain Medicine036104737ILNo

Taxonomy Description: an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists.

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
036104737MEDICAID (05)IL

Other Providers at the same location


The following 10 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1396716106DR. JAMES DAVID SCHLENKER MDSC
Individual
Plastic Surgery (Surgery of the Hand)6311 W 95TH ST
OAK LAWN, IL 60453
(708) 423-2258
1508837956DR. MEENA KISHOR KUDALKAR MD
Individual
Anesthesiology6311 W 95TH ST
OAK LAWN, IL 60453
(708) 423-2258
1992902712MS. LYNN M KOHLES RNFA
Individual
Registered Nurse (Medical-Surgical)6311 W 95TH ST
OAK LAWN, IL 60453
(708) 425-2258
1003000845JAMES D.SCHLENKER MDSC
Organization
Specialist6311 W 95TH ST
OAK LAWN, IL 60453
(708) 423-2258
1881876142MRS. CATHERINE E SAULTERS RN
Individual
Registered Nurse (Medical-Surgical)6311 W 95TH ST
OAK LAWN, IL 60453
(708) 499-3355
1972814705SALVINO PLASTIC SURGERY MD SC
Organization
Plastic Surgery6311 W 95TH ST THE CENTER FOR RECONSTRUCTIVE SURGERY
OAK LAWN, IL 60453
(630) 929-6565
1396720744MS. ALEXANDRA POPESCU M.D.
Individual
Internal Medicine (Rheumatology)6311 W 95TH ST
OAK LAWN, IL 60453
(708) 581-7380
1588613574BELMAR PHYSICIANS PC
Organization
Anesthesiology (Pain Medicine)6311 W 95TH ST
OAK LAWN, IL 60453
(708) 581-7380
1508029877 MICHAEL SALVINO MD
Individual
Plastic Surgery6311 W 95TH ST THE CENTER FOR RECONSTRUCTIVE SURGERY
OAK LAWN, IL 60453
(630) 929-6565
1689913337MATHES PODIATRY LTD.
Organization
Podiatrist6311 W 95TH ST
OAK LAWN, IL 60453
(708) 636-4022

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.