MOHAMMAD NASAR QURESHI
NPI 1174525604
Specialist in Edison, NJ

Medicare Participation & PECOS Enrollment Status

Mohammad Qureshi is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

• Is the provider registered in PECOS? Yes

• Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

• Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

• Eligible to Order or Refer a Home Health Agency (HHA): Yes

• Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc, making use of high throughput technologies as described by cms-2020-01-r

This service involves the testing for COVID-19 using advanced technologies that can process multiple samples at once. It identifies different types or subtypes of the virus, including SARS-CoV-2/2019-nCoV. This test is non-CDC but adheres to the guidelines outlined in CMS-2020-01-R.

This service was performed 10,753 times for 6,234 patients

Cell examination of specimen, selective cellular enhancement technique

Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.

This service was performed 1,700 times for 1,510 patients

Cell examination of urine, manual

A cell examination of urine, manually done, is a lab test where your urine is studied under a microscope. This helps identify any abnormal cells or substances in your urine, like bacteria or crystals, that could indicate health issues. It's a simple, non-invasive procedure.

This service was performed 342 times for 290 patients

Concentration of specimen for infectious agents

Concentration of specimen for infectious agents is a lab procedure that helps detect the presence of harmful microbes in a sample. It involves enhancing the number of these agents to a detectable level. This aids in diagnosing diseases, ensuring accurate and timely treatment.

This service was performed 207 times for 205 patients

Detection of pancreatic elastase (enzyme) in stool

Pancreatic elastase detection in stool is a non-invasive test used to assess your pancreas' function. The pancreas produces an enzyme, elastase, which helps digest food. By analyzing its level in your stool, doctors can identify potential pancreatic disorders.

This service was performed 8,615 times for 8,333 patients

Detection test by immunoassay technique for clostridium difficile toxins (stool pathogen)

This test checks for Clostridium difficile toxins in your stool. It uses an immunoassay technique, which identifies harmful substances that might cause illness. The test helps diagnose infections that can lead to severe diarrhea or more serious intestinal conditions.

This service was performed 3,985 times for 3,744 patients

Detection test by immunoassay technique for helicobacter pylori (gi tract bacteria) in stool

This test detects Helicobacter pylori, a bacteria that can cause stomach issues, by analyzing a stool sample. The immunoassay technique identifies the bacteria's proteins. It's a non-invasive, simple procedure that helps in diagnosing and managing gastrointestinal health.

This service was performed 2,186 times for 2,128 patients

Detection test by immunoassay technique for other organism

An immunoassay detection test is a diagnostic tool used to identify specific organisms in your body. It works by using antibodies that can recognize and bind to these organisms. The test is highly sensitive and can help determine if you have been exposed to certain diseases.

This service was performed 941 times for 903 patients

Detection test by nucleic acid for chlamydia pneumoniae, amplified probe technique

This test checks for the presence of Chlamydia pneumoniae, a bacterium that can cause respiratory infections. It uses an amplified probe technique, which magnifies the bacterium's genetic material for easier detection. It's a standard, non-invasive procedure.

This service was performed 283 times for 267 patients

Detection test by nucleic acid for chlamydia trachomatis, amplified probe technique

A detection test by nucleic acid for chlamydia trachomatis, amplified probe technique, is a test that identifies the presence of a specific bacteria in the body. This bacteria can cause various health issues. The technique amplifies the sample to improve accuracy.

This service was performed 80 times for 73 patients

Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 12-25 targets

This is a test that identifies various pathogens in your digestive tract by analyzing their genetic material, or nucleic acids. It can detect 12-25 different types or subtypes of pathogens, assisting in accurate diagnosis and treatment.

This service was performed 411 times for 408 patients

Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 3-5 targets

This test identifies harmful organisms in your digestive tract by examining their genetic material. It checks for multiple types of pathogens, targeting 3-5 specific ones. This helps in diagnosing the cause of any digestive issues.

This service was performed 16 times for 16 patients

Detection test by nucleic acid for digestive tract pathogen, multiple types or subtypes, 6-11 targets

This test identifies various pathogens in the digestive system by examining nucleic acids. It targets 6-11 different types or subtypes of these pathogens, helping to diagnose a range of potential illnesses.

This service was performed 13,296 times for 12,642 patients

Detection test by nucleic acid for multiple organisms, amplified probe(s) technique

This is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.

This service was performed 1,231 times for 940 patients

Detection test by nucleic acid for multiple types of respiratory virus, multiple types or subtypes, 3-5 targets

This test identifies different respiratory viruses by examining their nucleic acid, the building blocks of their genetic material. It can detect multiple types or subtypes, specifically 3-5 targets. This helps in diagnosing your respiratory illness accurately.

This service was performed 880 times for 819 patients

Detection test by nucleic acid for mycoplasma pneumoniae (bacteria), amplified probe technique

This test checks for Mycoplasma pneumoniae, a bacteria that can cause lung infection. It uses a method called amplified probe technique, which identifies the bacteria's genetic material. This helps in diagnosing the infection accurately.

This service was performed 283 times for 267 patients

Detection test by nucleic acid for neisseria gonorrhoeae (gonorrhoeae bacteria), amplified probe technique

This is a lab test that checks for the presence of a specific bacteria called Neisseria gonorrhoeae in your body. It uses a technique called amplified probe, which makes many copies of the bacteria's genetic material (nucleic acid) to help detect it more easily.

This service was performed 74 times for 70 patients

Detection test by nucleic acid for organism, amplified probe technique

A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.

This service was performed 13,072 times for 1,256 patients

Detection test by nucleic acid for trichomonas vaginalis (genital parasite), amplified probe technique

This is a test to identify a common microscopic organism that can cause discomfort. The technique involves using a special probe to amplify the organism's genetic material, making it easier to detect. It's a simple, safe, and accurate procedure.

This service was performed 38 times for 38 patients

Detection test for candida species (yeast), amplified probe technique

This test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.

This service was performed 2,559 times for 987 patients

Infectious agent detection by nucleic acid (dna or rna); severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (coronavirus disease [covid-19]), amplified probe technique, cdc or non-cdc, making use of high throughput technologies, completed within

This is a test to detect the COVID-19 virus. It uses a technique that amplifies the virus's genetic material (DNA or RNA) for detection. High throughput technologies are used for rapid and large-scale testing. The procedure is completed within a set time frame.

This service was performed 10,740 times for 6,222 patients

Measurement of substance using immunoassay technique

An immunoassay technique is a laboratory method used to detect and measure specific substances in the body. This is done by using antibodies that can recognize and bind to these substances. The results can help in diagnosing and monitoring various health conditions.

This service was performed 830 times for 798 patients

Pap test, automated thin layer preparation; automated system and manual rescreening

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

This service was performed 20 times for 19 patients

Pap test, slides, definitive hormonal evaluation

A Pap test is a routine screening to check for unusual cells that might indicate a health concern. Slides are used to examine these cells under a microscope. A definitive hormonal evaluation assesses hormone levels, helping understand body functions better.

This service was performed 13 times for 12 patients

Pathology examination of tissue using a microscope, intermediate complexity

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

This service was performed 15,617 times for 5,240 patients

Pathology examination of tissue using a microscope, limited examination

A pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.

This service was performed 12 times for 12 patients

Smear for parasites

A smear for parasites is a diagnostic test where a small sample of your stool is taken. The sample is then examined under a microscope to check for the presence of parasites or their eggs. It helps in identifying any parasitic infections that might be causing your symptoms.

This service was performed 3,849 times for 3,710 patients

Special stain for inclusion bodies or parasites

A special stain for inclusion bodies or parasites is a lab process that helps identify microscopic organisms causing illness. The stain makes these organisms visible under a microscope, aiding in diagnosis and treatment planning.

This service was performed 1,454 times for 1,413 patients

Special stain for parasites

A special stain for parasites is a lab procedure that helps identify parasites in your body. It involves applying specific dyes to a sample, usually stool or blood. These dyes make parasites easier to spot under a microscope, aiding in diagnosis and treatment planning.

This service was performed 3,852 times for 3,712 patients

Special stained specimen slides to examine tissue including interpretation and report

Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.

This service was performed 7,080 times for 3,288 patients

Special stained specimen slides to examine tissue, each additional procedure

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

This service was performed 441 times for 142 patients

Special stained specimen slides to examine tissue, each multiplex procedure

Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.

This service was performed 1,827 times for 335 patients

Special stained specimen slides to examine tissue, initial procedure

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

This service was performed 3,281 times for 1,570 patients

Special stained specimen slides to identify organisms including interpretation and report

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

This service was performed 2,609 times for 1,337 patients

Stool calprotectin (protein) level

A stool calprotectin test measures the level of calprotectin, a protein that can indicate inflammation in the digestive tract. This test is often used to help determine if symptoms like abdominal pain or diarrhea are due to a condition like inflammatory bowel disease.

This service was performed 9,525 times for 9,048 patients

Stool fat or lipids analysis, qualitative

A stool fat analysis checks the amount of fat in a stool sample to identify possible digestive disorders. It involves collecting stool samples over 2-3 days which are then tested in a lab. High fat levels could indicate a problem with nutrient absorption.

This service was performed 4,043 times for 3,908 patients

Stool lactoferrin (immune system protein) level

A stool lactoferrin level test is a non-invasive procedure that helps detect inflammation in the intestines. This test measures the amount of lactoferrin, a protein involved in your immune response, present in your stool. It aids in diagnosing conditions like inflammatory bowel disease.

This service was performed 2,672 times for 2,536 patients

Surgical pathology, gross and microscopic examinations, for prostate needle biopsy, any method

This procedure involves taking a small tissue sample from your gland located beneath your bladder. The sample is then examined under a microscope by a pathologist to check for any abnormalities or diseases. This is a standard method to ensure your well-being.

This service was performed 351 times for 349 patients

White blood cell measure, stool specimen

A white blood cell measure in a stool specimen is a test that checks for inflammation or infection in your digestive tract. The stool is collected and examined in a lab, where the number of white blood cells is counted. This helps in diagnosing conditions like colitis or Crohn's disease.

This service was performed 2,935 times for 2,799 patients

Overall MIPS Quality Performance

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 89, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

• Final Score: 89 out of 100

  The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.
  
  

• Quality Score: 78

  The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.
  
  There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
  
  

• Promoting Interoperability Score: N/A

  The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.
  
  The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

• Improvement Activities Score: 40

  The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.
  
  The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

• Cost Score: N/A

  The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.
  
  Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

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