JESUS SANTIAGO PA
NPI 1215044672
Physician Assistant - Surgical in Greenwich, CT

Q: What is Jesus Santiago's NPI number?

The NPI number for Jesus Santiago is 1215044672. It was assigned to this individual provider in the NPPES registry on August 23, 2006.

Q: What is Jesus Santiago's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Jesus Santiago was last updated on October 25, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.

Active since August 23, 2006PECOS EnrolledAccepts Medicare Assignment

84.47/100

CMS Quality Rating

25 VALLEY DR, GREENWICH, CT 06831(203) 661-3333(203) 661-5610 Get Directions Write a Review

NPPES record last updated: October 25, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Jesus Santiago Pa NPPES

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

JESUS SANTIAGO PA (NPI 1215044672) is an individual surgical provider in Greenwich, Connecticut and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1993).

NPPES Registry Identity

NPI1215044672

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameJESUS SANTIAGOCredential: PA

Location Address25 VALLEY DRGreenwich, CT 06831-5203

Mailing Address25 Valley DrGreenwich, CT 06831-5203 · (203) 661-3333 · Fax (203) 661-5610

Phone(203) 661-3333

Fax(203) 661-5610

Sole ProprietorNo

Medical School CMSOtherGraduated 1993

Enumeration DateAugust 23, 2006

Last NPPES UpdateOctober 25, 2011

✔ NPI 1215044672 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

25 VALLEY DR, Greenwich, CT 06831

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Other Identifiers 1

Medicare ID-Type Unspecified970000974

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

Jesus Santiago Pa 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 ID7618143470

PECOS Enrollment IDI20111228000153

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 9

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.

X-ray of lower and sacral spine, minimum of 4 views 72110

An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.

62 services60 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.

54 services46 patients

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.

35 services32 patients

X-ray of lower and sacral spine, 2-3 views 72100

An X-ray of the lower and sacral spine involves capturing images of your lower back area, including the tailbone. This procedure helps in identifying problems like fractures, infections, or deformities. 2-3 different angle views provide a comprehensive picture.

24 services24 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.

24 services24 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion 22853

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

20 services13 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.

84.47/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

79.28

Promoting Interoperability

100

Improvement Activities

Cost

59.59

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. COURTNEY ELIZABETH RAKER M.D.

Pediatrics

25 VALLEY DR, #4
GREENWICH, CT 06831

Western Connecticut Planning Region (203) 622-4301

ANDREA F DOUGLAS M.D.

Neurological Surgery