DR. JENNIFER YORK M.D.
NPI 1194728535
Psychiatry & Neurology - Neurology in Austin, TX
Active since May 31, 2005PECOS Enrolled
75/100
CMS Quality Rating
5750 BALCONES DR, STE 110, AUSTIN, TX 78731(512) 744-0015(512) 744-1654 Get Directions Write a Review
About Dr. Jennifer York M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JENNIFER YORK M.D. (NPI 1194728535) is an individual neurology provider in Austin, Texas, licensed in Texas (J6054) and active in the NPI registry since May 2005. She is enrolled in Medicare PECOS and is a graduate of Baylor College Of Medicine (1993).
NPPES Registry Identity
NPI1194728535
Entity TypeIndividualFemale
Primary Taxonomy2084N0400X
Provider Legal NameDR. JENNIFER YORKCredential: M.D.
Location Address5750 BALCONES DR, STE 110Austin, TX 78731-4252
Mailing Address5750 Balcones Dr, Ste 110Austin, TX 78731-4252 · (512) 744-0015 · Fax (512) 744-1654
Phone(512) 744-0015
Fax(512) 744-1654
Sole ProprietorYes
Medical School CMSBaylor College Of MedicineGraduated 1993
Enumeration DateMay 31, 2005
Last NPPES UpdateDecember 4, 20202 updates tracked since enumeration
NPPES CertifiedDecember 4, 2020
✔ NPI 1194728535 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License✔ Licensed in TX · J6054
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
Also ListedPsychiatry & Neurology · Clinical NeurophysiologyTaxonomy 2084N0600X · License J6054 (TX)
Also ListedPsychiatry & Neurology · Sleep MedicineTaxonomy 2084S0012X · License J6054 (TX)
5750 BALCONES DR, Austin, TX 78731
Accepted Insurance
The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company, UnitedHealthcare.Insurance ›
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
✔
Enrolled in Medicare (PECOS)
Dr. Jennifer York M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
PECOS PAC ID5395795462
PECOS Enrollment IDI20050126000731
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 6
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 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.
206 services184 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
135 services102 patients
Nerve conduction, 13 or more studies 95913
Nerve conduction studies involve 13 or more tests to check the speed and strength of signals traveling between your nerves and muscles. It helps diagnose conditions affecting nerves and muscles. The test involves small shocks and may cause minor discomfort.
104 services102 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
81 services53 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.
25 services25 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
17 services17 patients
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 78731 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
$131.95 typical visit price
range $57.88 – $174.00
Typical copayment $32.98 (range $14.47 – $43.50)
Most-billed visit code 99204
Established Patient
$101.65 typical visit price
range $18.88 – $142.23
Typical copayment $25.41 (range $4.72 – $35.55)
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.
75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scoredReported Quality Measures
Closing the Referral Loop: Receipt of Specialist Report
Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred
94%51 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,724 patients5/55-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.
64%105 patients3/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
95%57 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
82%57 patients3/55-star benchmark: 100%
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…
26%73 patients2/55-star benchmark: 98%
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.
100%90 patients5/55-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.
83%413 patients4/55-star benchmark: 100%
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…
78%413 patients4/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
89%28 patients4/55-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…
36%413 patients2/55-star benchmark: 79%
Sleep Apnea: Assessment of Sleep Symptoms
Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness
100%893 patients5/55-star benchmark: 100%
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 17
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers523 claims523 services$31.97 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
16 suppliers255 claims255 services$70.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
17 suppliers269 claims703 services$26.29 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
15 suppliers281 claims1,549 services$15.26 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
13 suppliers114 claims619 services$13.19 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
21 suppliers416 claims416 services$46.94 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.
Counselor (Professional)
5750 BALCONES DR, SUITE 117
AUSTIN, TX 78731
AUSTIN, TX 78731
Otolaryngology (Otology & Neurotology)
5750 BALCONES DR, STE 200
AUSTIN, TX 78731
AUSTIN, TX 78731
Psychiatry & Neurology (Psychiatry)
5750 BALCONES DR, SUITE 101A
AUSTIN, TX 78731
AUSTIN, TX 78731
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 Jennifer York's NPI number?
The NPI number for Jennifer York is 1194728535. It was assigned to this individual provider in the NPPES registry on May 31, 2005.
Where is Jennifer York located?
Jennifer York practices at 5750 Balcones Dr Ste 110, Austin, TX 78731. The listed phone number is (512) 744-0015.
What is Jennifer York's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.
Is Jennifer York enrolled in Medicare?
Yes. Jennifer York is registered in the Medicare PECOS enrollment system.
What insurance does Jennifer York accept?
Health plans from Oscar Insurance Company and UnitedHealthcare list Jennifer York as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jennifer York was last updated on December 4, 2020. 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.
# Dr. Jennifer York, M.D. · NPI 1194728535
Neurology physician in Austin, Texas. Individual provider, active in the CMS NPPES registry since May 31, 2005.
## Identity
- **NPI:** 1194728535 (Entity type: Individual)
- **Enumerated:** May 31, 2005
- **Primary specialty:** Psychiatry & Neurology - Neurology · taxonomy 2084N0400X
- **State license:** J6054 (Texas)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5750 BALCONES DR, STE 110, Austin, TX 78731-4252
- **Phone:** (512) 744-0015 · **Fax:** (512) 744-1654
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Baylor College Of Medicine, class of 1993
## Record status
- **NPPES last updated:** December 4, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1194728535) · Data from the CMS NPPES public registry.