JAY M. SAENZ M.D.
NPI 1235140211
Orthopaedic Surgery - Sports Medicine in Memphis, TN

Active since August 11, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
1244 PRIMACY PKWY, MEMPHIS, TN 38119(901) 767-8662(901) 767-8666 Get Directions Write a Review

NPPES record last updated: May 28, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay M. Saenz M.d. NPPES

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

JAY M. SAENZ M.D. (NPI 1235140211) is an individual sports medicine provider in Memphis, Tennessee, licensed in Tennessee (39775) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Methodist Hospitals Of Memphis, and maintains a secondary practice location in Bartlett.

NPPES Registry Identity

NPI1235140211
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameJAY M. SAENZCredential: M.D.
Location Address1244 PRIMACY PKWYMemphis, TN 38119-0201
Mailing Address6077 Primacy Pkwy Ste 140Memphis, TN 38119-5742 · (901) 725-8347 · Fax (901) 259-7637
Fax(901) 767-8666
Sole ProprietorNo
Medical School CMSUniversity Of Arkansas College Of MedicineGraduated 2000
Enumeration DateAugust 11, 2006
Last NPPES UpdateMay 28, 2019
NPI 1235140211 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
Licenses Licensed in TN · 39775 Licensed in AR · E-7799
Definition
An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 39775 (TN), E-7799 (AR)
1244 PRIMACY PKWY, Memphis, TN 38119

Secondary Practice Location 1

Location 13045 Kate Bond RdBartlett, TN 38133-4004 · Phone (901) 381-4664 · Fax (901) 373-3804

Other Identifiers 11

Medicaid3371161TN
Other8461897TN · Cigna
Medicaid3334008TN
Medicaid07187860MS
Other4179730TN · Bcbs
OtherP00624368TN · Railroad Medicare
Medicaid1856384MS
Other620819926TN · Cigna
Other00002576794 07TN · United Healthcare
Other620819926TN · Aetna
Other7733775TN · Aetna

Accepted 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

Jay M. Saenz M.d. 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 ID648203885
PECOS Enrollment IDI20050916000882, I20130606000452
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 18

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.

Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
510 services297 patients
Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg J0702
This injection contains two medications, betamethasone acetate and betamethasone sodium phosphate. It is used to reduce inflammation and pain. It's given by a healthcare professional, often directly into the area causing discomfort.
412 services189 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.
377 services270 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.
365 services225 patients
X-ray of knee, 4 or more views 73564
An X-ray of the knee, 4 or more views, is a non-invasive imaging test. It involves capturing multiple images of your knee from different angles. This helps in diagnosing conditions such as fractures, arthritis, or infections. The procedure is quick and painless.
173 services134 patients
Injection, methylprednisolone acetate, 80 mg J1040
Methylprednisolone acetate is a strong anti-inflammatory medication. It is often given as an 80 mg injection to reduce inflammation and pain. It's commonly used for conditions like arthritis, allergic disorders, or other inflammatory diseases.
109 services46 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Methodist Hospitals Of Memphis

Acute Care Hospitals · Memphis, TN
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number440049
Location1265 Union Ave Suite 700Memphis, TN 38104 · Shelby County
Emergency services Birthing friendly

Saint Francis Bartlett Medical Center

Acute Care Hospitals · Bartlett, TN
2/5 CMS rating
OwnershipProprietary
CMS Certification Number440228
Location2986 Kate Bond RdBartlett, TN 38133 · Shelby County
Emergency services

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
Scored as part of a group practice

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
34%372 patients2/55-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.
9%3,709 patients1/55-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.
94%898 patients4/55-star benchmark: 100%
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.
26%817 patients2/55-star benchmark: 100%
Opioid Therapy Follow-up Evaluation
All patients 18 and older prescribed opiates for longer than six weeks duration who had a follow-up evaluation conducted at least every three months during Opioid Therapy documented in the medical record
2%124 patients1/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
2%3,090 patients1/55-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.
38%1,760 patients2/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
22%372 patients1/55-star benchmark: 95%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
20%1,581 patients1/55-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…
37%1,760 patients2/55-star benchmark: 100%
Tobacco Use and Help with Quitting Among Adolescents
The percentage of adolescents 12 to 20 years of age with a primary care visit during the measurement year for whom tobacco use status was documented and received help with quitting if identified as a tobacco user
85%95 patients
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 2

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

Walker, folding, wheeled, adjustable or fixed height E0143
DME-Other DME · category DE000N
2 suppliers11 claims11 services$53.85 avg. paid by Medicare
Knee orthosis, elastic with condylar pads and joints, with or without patellar control, prefabricated, includes fitting and adjustment L1820
DME-Orthotic Devices · category DF011N
3 suppliers27 claims27 services$84.86 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.

Physical Therapist
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Orthopaedic Surgery
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Occupational Therapist
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Orthopaedic Surgery (Sports Medicine)
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Occupational Therapist
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Physical Therapist
1244 PRIMACY PKWY
MEMPHIS, TN 38119
Orthopaedic Surgery
1244 PRIMACY PKWY
MEMPHIS, TN 38119

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 Jay Saenz's NPI number?

The NPI number for Jay Saenz is 1235140211. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Jay Saenz located?

Jay Saenz practices at 1244 Primacy Pkwy, Memphis, TN 38119. The listed phone number is (901) 767-8662.

What is Jay Saenz's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Jay Saenz enrolled in Medicare?

Yes. Jay Saenz 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 Jay Saenz accept?

Health plans from BlueCross BlueShield of Tennessee and UnitedHealthcare list Jay Saenz 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.

Is Jay Saenz affiliated with any hospitals?

According to CMS data, Jay Saenz is affiliated with Methodist Hospitals Of Memphis and Saint Francis Bartlett Medical Center.

When was this NPI record last updated?

The NPPES record for Jay Saenz was last updated on May 28, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.