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DR. PREM C CHATPAR M.D.
NPI 1093755050
Internal Medicine - Rheumatology in Plainview, NY

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
89.08/100
CMS Quality Rating
524 OLD COUNTRY ROAD, PLAINVIEW, NY 11803(516) 931-3988(516) 931-4091 Get Directions Write a Review

NPPES record last updated: July 16, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Prem C Chatpar M.d. NPPES

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

DR. PREM C CHATPAR M.D. (NPI 1093755050) is an individual rheumatology provider in Plainview, New York, licensed in New York (146380) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and is a graduate of New York University School Of Medicine (1980).

NPPES Registry Identity

NPI1093755050
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. PREM C CHATPARCredential: M.D.
Location Address524 OLD COUNTRY ROADPlainview, NY 11803-6502
Mailing Address524 Old Country RdPlainview, NY 11803-6502 · (516) 931-3988 · Fax (516) 931-4091
Phone(516) 931-3988
Fax(516) 931-4091
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1980
Enumeration DateJune 7, 2006
Last NPPES UpdateJuly 16, 2007
✔ NPI 1093755050 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 146380
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
524 OLD COUNTRY ROAD, Plainview, NY 11803
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Other Identifiers 3

Medicare ID-Type Unspecified60A181NY
Medicare UPINB17043NY
Medicaid00838784NY

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. Prem C Chatpar 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 ID8527098284
PECOS Enrollment IDI20100910000212
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 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.
39 services33 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.
19 services19 patients
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less 96365
This is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Champlain Valley Physicians Hospital Medical Ctr

Acute Care Hospitals · Plattsburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330250
Location75 Beekman StreetPlattsburgh, NY 12901 · Clinton County
Emergency services Birthing friendly

The University Of Vermont Health Network-Alice Hy

Critical Access Hospitals · Malone, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331321
Location133 Park Street, PO Box 729Malone, NY 12953 · Franklin County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11803 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

89.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.02
Promoting Interoperability100
Improvement Activities40
Cost53.91

Reported Quality Measures

Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease prognosis at least once within 12 months
100%394 patients5/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) for whom a functional status assessment was performed at least once within 12 months
100%392 patients5/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have been assessed for glucocorticoid use and, for those on prolonged doses of prednisone >= 10 mg daily (or equivalent) with improvement or no change in disease…
100%398 patients5/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease activity within 12 months
100%398 patients5/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
97%253 patients5/55-star benchmark: 97%
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.

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 Prem Chatpar's NPI number?

The NPI number for Prem Chatpar is 1093755050. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Prem Chatpar located?

Prem Chatpar practices at 524 Old Country Road, Plainview, NY 11803. The listed phone number is (516) 931-3988.

What is Prem Chatpar's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Prem Chatpar enrolled in Medicare?

Yes. Prem Chatpar 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 Prem Chatpar affiliated with any hospitals?

According to CMS data, Prem Chatpar is affiliated with Adirondack Medical Center - Saranac Lake, Champlain Valley Physicians Hospital Medical Ctr and The University Of Vermont Health Network-Alice Hy.

When was this NPI record last updated?

The NPPES record for Prem Chatpar was last updated on July 16, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.