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ARTURO MIRANDA GELPI M.D.
NPI 1114282969
Family Medicine in Troy, NY

Active since July 09, 2012PECOS EnrolledAccepts Medicare Assignment
2215 BURDETT AVE, TROY, NY 12180(518) 268-4990 Get Directions Write a Review

NPPES record last updated: May 14, 2021. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Arturo Miranda Gelpi M.d. NPPES

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

ARTURO MIRANDA GELPI M.D. (NPI 1114282969) is an individual family medicine provider in Troy, New York, licensed in New York (280404) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS, is affiliated with St Mary's Healthcare, and maintains a secondary practice location in Troy.

NPPES Registry Identity

NPI1114282969
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameARTURO MIRANDA GELPICredential: M.D.
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Phone(518) 268-4990
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJuly 9, 2012
Last NPPES UpdateMay 14, 2021
NPPES CertifiedMay 14, 2021
✔ NPI 1114282969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 280404
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.
2215 BURDETT AVE, Troy, NY 12180
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Secondary Practice Location 1

Location 1720 Hoosick RdTroy, NY 12180-6673 · Phone (518) 272-7191

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

Arturo Miranda Gelpi 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 ID6800104308
PECOS Enrollment IDI20151002001198
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 10

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.
489 services402 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
369 services98 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.
161 services115 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
137 services128 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
65 services65 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
62 services61 patients

Hospital Affiliations CMS Care Compare 2

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

St Mary's Healthcare

Acute Care Hospitals · Amsterdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330047
Location427 Guy Park AvenueAmsterdam, NY 12010 · Montgomery County
Emergency services Birthing friendly

Nathan Littauer Hospital

Acute Care Hospitals · Gloversville, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330276
Location99 East State StreetGloversville, NY 12078 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
50%228 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
36%532 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
29%249 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%9,868 patients5/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
19%513 patients1/55-star benchmark: 88%
Medication Reconciliation
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.
98%784 patients4/55-star benchmark: 100%
Patient-Specific Education
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.
93%1,552 patients4/55-star benchmark: 97%
Provide Patient Access
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…
53%1,552 patients3/55-star benchmark: 100%
Secure Messaging
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…
8%1,552 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
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.
21%1,552 patients
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims32 services$6.10 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MRS. JENNIFER L FREEMAN R.D.
Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Rensselaer County (518) 271-3905
SAMUEL ANAMEZE MD
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 270-3094
MR. MARK WILBUR YARBROUGH PA
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3300
KELLY LYNNE HEARNE MS, RN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3554
JANET L ALLOWAY PA
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 271-3300
THEODORE MICHAEL INES PHD
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
Rensselaer County (518) 271-3300
BURDETT CARE CENTER, INC
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Rensselaer County (518) 271-3655
CATHERINE CROTHERS COPE STIEGLITZ LCSW
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180
Rensselaer County (518) 833-6470

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 Arturo Miranda Gelpi's NPI number?

The NPI number for Arturo Miranda Gelpi is 1114282969. It was assigned to this individual provider in the NPPES registry on July 9, 2012.

Where is Arturo Miranda Gelpi located?

Arturo Miranda Gelpi practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 268-4990.

What is Arturo Miranda Gelpi's specialty?

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

Is Arturo Miranda Gelpi enrolled in Medicare?

Yes. Arturo Miranda Gelpi 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 Arturo Miranda Gelpi affiliated with any hospitals?

According to CMS data, Arturo Miranda Gelpi is affiliated with St Mary's Healthcare and Nathan Littauer Hospital.

When was this NPI record last updated?

The NPPES record for Arturo Miranda Gelpi was last updated on May 14, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.