NERMARIE VELAZQUEZ MD
NPI 1093192411
Urology in Suffern, NY

Active since May 05, 2015PECOS EnrolledAccepts Medicare Assignment
98.07/100
CMS Quality Rating
257 LAFAYETTE AVE STE 380, SUFFERN, NY 10901(845) 777-3569(845) 533-7464 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Nov 4, 2022, Jul 9, 2021, Jul 24, 2020 (3 updates tracked since 2020).

About Nermarie Velazquez Md NPPES

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

NERMARIE VELAZQUEZ MD (NPI 1093192411) is an individual urology provider in Suffern, New York, licensed in New York (311254) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS, is affiliated with Good Samaritan Hospital Of Suffern, and is a graduate of Duke University School Of Medicine (2015).

NPPES Registry Identity

NPI1093192411
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameNERMARIE VELAZQUEZCredential: MD
Location Address257 LAFAYETTE AVE STE 380Suffern, NY 10901-4829
Mailing Address20 Grand St Fl 3Warwick, NY 10990-1035 · (845) 987-3906 · Fax (845) 987-5979
Fax(845) 533-7464
Sole ProprietorNo
Medical School CMSDuke University School Of MedicineGraduated 2015
Enumeration DateMay 5, 2015
Last NPPES UpdateNovember 4, 20223 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
✔ NPI 1093192411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in NY · 311254✔ Licensed in NJ · 25MA10821100
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
257 LAFAYETTE AVE STE 380, Suffern, NY 10901

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

Nermarie Velazquez Md 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 ID3971928367
PECOS Enrollment IDI20210716002464
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 12

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
479 services303 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
420 services282 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.
380 services236 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.
145 services145 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
64 services60 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
42 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Good Samaritan Hospital Of Suffern

Acute Care Hospitals · Suffern, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330158
Location255 Lafayette AvenueSuffern, NY 10901 · Rockland County
Emergency services Birthing friendly

St Anthony Community Hospital

Acute Care Hospitals · Warwick, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330205
Location15 Maple Avenue -19Warwick, NY 10990 · Orange County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

98.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.62
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

Physician Assistant
257 LAFAYETTE AVE STE 380
SUFFERN, NY 10901
Nurse Practitioner (Women's Health)
257 LAFAYETTE AVE STE 380
SUFFERN, NY 10901

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 Nermarie Velazquez's NPI number?

The NPI number for Nermarie Velazquez is 1093192411. It was assigned to this individual provider in the NPPES registry on May 5, 2015.

Where is Nermarie Velazquez located?

Nermarie Velazquez practices at 257 Lafayette Ave Ste 380, Suffern, NY 10901. The listed phone number is (845) 777-3569.

What is Nermarie Velazquez's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Nermarie Velazquez enrolled in Medicare?

Yes. Nermarie Velazquez 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.

Is Nermarie Velazquez affiliated with any hospitals?

According to CMS data, Nermarie Velazquez is affiliated with Good Samaritan Hospital Of Suffern and St Anthony Community Hospital.

When was this NPI record last updated?

The NPPES record for Nermarie Velazquez was last updated on November 4, 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.