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DR. JOSE R. ARIAS JR. MD
NPI 1194791202
Allergy & Immunology in Altamonte Springs, FL

Active since February 28, 2006PECOS EnrolledAccepts Medicare Assignment
96.66/100
CMS Quality Rating
661 E ALTAMONTE DR, SUITE 315, ALTAMONTE SPRINGS, FL 32701(407) 339-3002(407) 260-5039 Get Directions Write a Review

NPPES record last updated: August 28, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jose R. Arias Jr. Md NPPES

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

DR. JOSE R. ARIAS JR. MD (NPI 1194791202) is an individual allergy & immunology provider in Altamonte Springs, Florida, licensed in Florida (80622) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1987).

NPPES Registry Identity

NPI1194791202
Entity TypeIndividualMale
Primary Taxonomy207K00000X
Provider Legal NameDR. JOSE R. ARIAS JR.Credential: MD
Location Address661 E ALTAMONTE DR, SUITE 315Altamonte Springs, FL 32701-5105
Mailing Address661 E Altamonte Dr, Suite 315Altamonte Springs, FL 32701-5105 · (407) 339-3002 · Fax (407) 260-5039
Phone(407) 339-3002
Fax(407) 260-5039
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateFebruary 28, 2006
Last NPPES UpdateAugust 28, 2014
✔ NPI 1194791202 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code207K00000X
License✔ Licensed in FL · 80622
Definition
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system.
Also ListedSpecialistTaxonomy 174400000X · License ME80622 (FL)
661 E ALTAMONTE DR, Altamonte Springs, FL 32701
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Other Names 1

Professional Name (2)Dr. Jose R. Arias Jr. M.d.

Other Identifiers 3

Medicaid270739000FL
Medicare UPINH23510FL
Medicare PINE44984FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

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. Jose R. Arias Jr. Md 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 ID9335101641
PECOS Enrollment IDI20041029000289
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 12

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.

Injection, omalizumab, 5 mg J2357
Omalizumab is a medication given via injection. It's used to treat severe allergic asthma and chronic hives when other treatments fail. The 5mg dose is determined by your doctor based on your weight and condition.
7,385 services15 patients
Professional service for preparation and provision of 1 or more antigens 95165
This service involves the creation and supply of antigens, substances that stimulate your immune system to fight diseases. These antigens can be used in vaccines or allergy tests to help your body build defenses against specific health threats.
1,828 services64 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
1,256 services24 patients
Professional service for multiple injections of allergen 95117
The professional service for multiple injections of allergens involves administering small doses of specific allergens into your body. This is done to help your immune system become less sensitive to them, reducing your allergic reaction over time. It's a safe, effective way to manage allergies.
648 services66 patients
Test for allergy using allergenic extract injected into skin 95024
An allergy skin test involves injecting a small amount of allergenic extract into your skin. This test helps determine if you're allergic to specific substances. If allergic, a small red bump appears at the test site. It's safe and quick.
314 services15 patients
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.
141 services94 patients

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.

96.66/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality93.33
Improvement Activities40

Reported Quality Measures

Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Lower rates are better for this measure.
0%51 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%2,621 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%1,559 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 100% · 947 patients
100%944 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 329 patients
0%329 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 7

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers37 claims136 services$18.12 avg. paid by Medicare
Ambulatory infusion pump, mechanical, reusable, for infusion 8 hours or greater E0779
DME-Other DME · category DE000N
3 suppliers11 claims11 services$11.53 avg. paid by Medicare
Injection, immune globulin (cuvitru), 100 mg J1555
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers13 claims3,640 services$11.72 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
3 suppliers62 claims20,240 services$9.49 avg. paid by Medicare
Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605
DME-Drugs Administered Through DME · category DG006N
1 supplier11 claims660 services$4.70 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
5 suppliers75 claims225 services$2.37 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.

CRAIG J RUSKIN M.D.
Surgery
661 E ALTAMONTE DR, SUITE 120
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 331-9595
DR. MIGUEL LUGO M.D.
Ophthalmology
661 E ALTAMONTE DR, SUITE 223
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 260-2255
DR. JOSEPH MICHAEL YURSO M.D.
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 834-6965
EDWIN M VILLALOBOS MD PA
Physical Medicine & Rehabilitation (Pain Medicine)
661 E ALTAMONTE DR, SUITE 231
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 331-0771
ALLERGY ASTHMA SPECIALISTS, PA
Allergy & Immunology (Allergy)
661 E ALTAMONTE DR, SUITE 315
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 339-3002
DR. JEFFERY RAY CRYAR M.D.
Surgery
661 E ALTAMONTE DR, SUITE 323
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 834-6965
DR. ANDREW STUART BRAUNSTEIN MD
Surgery
661 E ALTAMONTE DR, SUITE 216
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 339-4324
HEELING SOLES PODIATRY LLC
Podiatrist (Foot & Ankle Surgery)
661 E ALTAMONTE DR
ALTAMONTE SPRINGS, FL 32701
Seminole County (407) 329-3294

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 Jose Arias Jr.'s NPI number?

The NPI number for Jose Arias Jr. is 1194791202. It was assigned to this individual provider in the NPPES registry on February 28, 2006. The provider is also known as Dr. Jose R. Arias Jr. M.D..

Where is Jose Arias Jr. located?

Jose Arias Jr. practices at 661 E Altamonte Dr Suite 315, Altamonte Springs, FL 32701. The listed phone number is (407) 339-3002.

What is Jose Arias Jr.'s specialty?

The primary specialty registered for this NPI is Allergy & Immunology with taxonomy code 207K00000X.

Is Jose Arias Jr. enrolled in Medicare?

Yes. Jose Arias Jr. 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.

What insurance does Jose Arias Jr. accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AvMed and Florida Blue (BlueCross BlueShield FL) and 6 other insurers list Jose Arias Jr. 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 Jose Arias Jr. was last updated on August 28, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.