DR. FERNANDO SEGOVIA M.D.
NPI 1073518411
Internal Medicine - Cardiovascular Disease in Edgewater, NJ

Q: What is Fernando Segovia's NPI number?

The NPI number for Fernando Segovia is 1073518411. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: What is Fernando Segovia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Fernando Segovia was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

89.19/100

CMS Quality Rating

103 RIVER RD, EDGEWATER, NJ 07020(201) 941-8100(201) 941-2899 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

On this page

About Dr. Fernando Segovia M.d. NPPES

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

DR. FERNANDO SEGOVIA M.D. (NPI 1073518411) is an individual cardiovascular disease provider in Edgewater, New Jersey, licensed in New Jersey (25MA05963600) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Palisades Medical Center, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1073518411

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. FERNANDO SEGOVIACredential: M.D.

Location Address103 RIVER RDEdgewater, NJ 07020-1010

Mailing Address103 River RdEdgewater, NJ 07020-1010 · (201) 941-8100 · Fax (201) 941-2899

Phone(201) 941-8100

Fax(201) 941-2899

Sole ProprietorNo

Medical School CMSOtherGraduated 1981

Enumeration DateJune 14, 2005

Last NPPES UpdateApril 15, 2008

✔ NPI 1073518411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NJ · 25MA05963600

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

103 RIVER RD, Edgewater, NJ 07020

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Other Identifiers 11

Other4397773NJ · Aetna Ppo Id #

Other13X871NJ · Empire Bc/bs Of Ny Id #

Other579098NJ · Aetna Hmo Id #

Medicare UPINF18864NJ

Medicare PIN150575CN5NJ

Other0K6795NJ · Healthnet Id #

Other6004266NJ · Ghi Ppo Id #

Other0074887000NJ · Amerihealth Group #

OtherBS451NJ · Oxford Id #

Medicaid6389805NJ

Medicaid1395880NY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Dr. Fernando Segovia M.d. 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 ID6608864509

PECOS Enrollment IDI20041210000233

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 15

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 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.

570 services375 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

316 services301 patients

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.

241 services198 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

107 services106 patients

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

106 services106 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

100 services46 patients

Injection of chemical agent into multiple incompetent veins of same leg using ultrasound guidance 36466

This procedure involves injecting a special chemical into problematic veins in your leg, using ultrasound technology to accurately target the veins. This helps to reduce issues like pain and swelling by improving blood flow in the leg.

60 services37 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

44 services44 patients

Destruction of first incompetent vein of arm or leg using radiofrequency and imaging guidance 36475

This procedure involves using radiofrequency energy, a type of heat energy, to close off an unhealthy vein in your arm or leg. Imaging guidance helps ensure precise targeting of the vein. This helps improve blood flow by rerouting it through healthier veins.

26 services20 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

25 services25 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system 93288

An evaluation of a pacemaker system examines how well your heart device is working. Single, dual, multiple lead, or leadless refers to the wires that deliver electrical pulses from the pacemaker to your heart. This check ensures your heart is receiving the right amount of support from the device.

17 services15 patients

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241

This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.

13 services13 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

12 services11 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

12 services11 patients

Ultrasound of leg arteries at rest and after exercise 93924

An ultrasound of leg arteries at rest and after exercise involves using sound waves to create images of the blood vessels in your legs. This helps to detect blockages or narrowing. You'll rest, then perform light exercise, and images are taken before and after to compare blood flow.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310003

Location7600 River RdNorth Bergen, NJ 07047 · Hudson County

Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07020 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

Most-billed visit code 99213

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.

89.19/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

87.84

Promoting Interoperability

Improvement Activities

Reported Quality Measures

Controlling High Blood Pressure

80%1,180 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

100%4,098 patients5/55-star benchmark: 100%

e-Prescribing

99%1,379 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

34%1,464 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 94% · 1,419 patients

Patients screened: 97% · 1,419 patients

38%68 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

35%1,110 patients2/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

91%749 patients5/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,317 patients

Patients totalRate: 0% · 1,318 patients

0%1,318 patients5/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 20

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

BRIAN BECHTOLD

Physician Assistant

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

MR. ANDREI TERENTIEV MD

Internal Medicine

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 945-4288

GLOBAL MEDICAL GUARDIANS

Surgery

103 RIVER RD, SUITE 101
EDGEWATER, NJ 07020

Bergen County (201) 945-9906

ANDREI TERENTIEV MD LLC

Internal Medicine

103 RIVER RD, SUITE 101
EDGEWATER, NJ 07020

Bergen County (201) 945-4288

RIVER ROAD DENTAL PC

Dentist

103 RIVER RD, SUITE 105
EDGEWATER, NJ 07020

Bergen County (201) 840-0045

MRS. JASMIN ROHIT PRASAD FNP

Nurse Practitioner (Family)

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 866-5151

CROSS COUNTY CARDIOLOGY P A

Specialist

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

DR. YARON BAREKET M.D.

Internal Medicine (Cardiovascular Disease)

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

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 Fernando Segovia's NPI number?

The NPI number for Fernando Segovia is 1073518411. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Fernando Segovia located?

Fernando Segovia practices at 103 River Rd, Edgewater, NJ 07020. The listed phone number is (201) 941-8100.

What is Fernando Segovia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Fernando Segovia enrolled in Medicare?

Yes. Fernando Segovia 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.

What insurance does Fernando Segovia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Fernando Segovia as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fernando Segovia affiliated with any hospitals?

According to CMS data, Fernando Segovia is affiliated with Palisades Medical Center and Holy Name Medical Center.

When was this NPI record last updated?

The NPPES record for Fernando Segovia was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.