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CECILIA PEREZ
NPI 1174050488
Hospitalist in Pittsburgh, PA

Active since May 17, 2017PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3600 FORBES AVE STE 140, UPMC ST MARGARET HOSPITAL, PITTSBURGH, PA 15213(412) 647-6340 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 4, 2024, May 24, 2021, Mar 16, 2021 and 2 more (5 updates tracked since 2017).

About Cecilia Perez NPPES

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

CECILIA PEREZ (NPI 1174050488) is an individual hospitalist provider in Pittsburgh, Pennsylvania, licensed in Colorado (DR.0072116) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Lakewood, and is a graduate of Virginia Commonwealth University, School Of Medicine (2017).

NPPES Registry Identity

NPI1174050488
Entity TypeIndividualFemale
Primary Taxonomy208M00000X
Provider Legal NameCECILIA PEREZ
Location Address3600 FORBES AVE STE 140, UPMC ST MARGARET HOSPITALPittsburgh, PA 15213-3410
Mailing Address815 Freeport Rd, Upmc St Margaret HospitalPittsburgh, PA 15215-3301
Phone(412) 647-6340
Sole ProprietorNo
Medical School CMSVirginia Commonwealth University, School Of MedicineGraduated 2017
Enumeration DateMay 17, 2017
Last NPPES UpdateJanuary 9, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
✔ NPI 1174050488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CO · DR.0072116
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
3600 FORBES AVE STE 140, Pittsburgh, PA 15213
Open in Google Maps ↗

Secondary Practice Location 1

Location 111600 W 2nd PlLakewood, CO 80228-1527 · Phone (720) 321-0000 · Fax (720) 321-1759

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cecilia Perez 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 ID1557631934
PECOS Enrollment IDI20240111003806
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.

Medicare Billing Reassignment

Medicare enrollment records show Cecilia Perez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Health Initiatives Colorado
1,222 mi
Orthopaedic Surgery
401 KENDALL DR
Lamar, CO 81052
  • Reassigned Medicare billing, Colorado enrollment
  • 1,193 clinicians in this Medicare group
NPI 1679182315 (719) 473-3332

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
262 services107 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
100 services98 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
92 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
56 services55 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
27 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

SHEKU KOMEH
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-6340
MELISSA GIRALDO DUQUE MD
Anesthesiology
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-6340
SCOTT WAYNE SIMPSON D.O.
Emergency Medicine
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-5815
KRISHNA VAMSY POLEPALLI
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-5815
DR. CAITLIN R MCNAMARA MD
Pediatrics (Pediatric Critical Care Medicine)
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 642-6340
DR. JUSTINE KIM MD
Plastic Surgery
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-6340
DR. JARRETT WESTON WHITE MD
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-6340
MARY CECILIA CUNNION MD
Student in an Organized Health Care Education/Training Program
3600 FORBES AVE STE 140
PITTSBURGH, PA 15213
Allegheny County (412) 647-6340

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 Cecilia Perez's NPI number?

The NPI number for Cecilia Perez is 1174050488. It was assigned to this individual provider in the NPPES registry on May 17, 2017.

Where is Cecilia Perez located?

Cecilia Perez practices at 3600 Forbes Ave Ste 140 Upmc St Margaret Hospital, Pittsburgh, PA 15213. The listed phone number is (412) 647-6340.

What is Cecilia Perez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Cecilia Perez enrolled in Medicare?

Yes. Cecilia Perez 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.

Which organization bills Medicare for Cecilia Perez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cecilia Perez reassigns Medicare benefits to Catholic Health Initiatives Colorado (Lamar, CO). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cecilia Perez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Cecilia Perez was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.