DR. CARLOS E CESAR MD
NPI 1245286178
Emergency Medicine in Hackensack, NJ

Active since May 25, 2006PECOS EnrolledAccepts Medicare Assignment
98.44/100
CMS Quality Rating
30 PROSPECT AVE, FACULTY PRACTICE OFFICE, HACKENSACK, NJ 07601(201) 441-3349 Get Directions Write a Review

NPPES record last updated: August 13, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos E Cesar Md NPPES

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

DR. CARLOS E CESAR MD (NPI 1245286178) is an individual emergency medicine provider in Hackensack, New Jersey, licensed in New Jersey (25MA07799600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Cary Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1245286178
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CARLOS E CESARCredential: MD
Location Address30 PROSPECT AVE, FACULTY PRACTICE OFFICEHackensack, NJ 07601-1914
Mailing Address166 Hopkins Ave, Apt BJersey City, NJ 07306-2515
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 25, 2006
Last NPPES UpdateAugust 13, 2026
NPPES CertifiedAugust 13, 2026
✔ NPI 1245286178 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in NJ · 25MA07799600
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
30 PROSPECT AVE, Hackensack, NJ 07601

Other Identifiers 1

Other0142034NJ · Medicaid Pin

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Carlos E Cesar 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 ID6002863438
PECOS Enrollment IDI20050407000048, I20241126004330, I20260130001028
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.

Medicare Billing Reassignments

17

Medicare enrollment records show Carlos Cesar reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emergency Medicine
350 BOULEVARD
Passaic, NJ 07055
  • Reassigned Medicare billing, New Jersey enrollment
  • 47 clinicians in this Medicare group
Emergency Medicine
111 CENTRAL AVE
Newark, NJ 07102
  • Reassigned Medicare billing, New Jersey enrollment
  • 67 clinicians in this Medicare group
Emergency Medicine
29 E 29TH ST
Bayonne, NJ 07002
  • Reassigned Medicare billing, New Jersey enrollment
  • 637 clinicians in this Medicare group
Emergency Medicine
99 BEAUVOIR AVE
Summit, NJ 07901
  • Reassigned Medicare billing, New Jersey enrollment
  • 436 clinicians in this Medicare group
General Acute Care Hospital
35 MEDICAL CENTER PARKWAY
Augusta, ME 04330
  • Reassigned Medicare billing, Maine enrollment
  • 978 clinicians in this Medicare group
General Acute Care Hospital
360 BROADWAY
Bangor, ME 04401
  • Reassigned Medicare billing, Maine enrollment
  • 259 clinicians in this Medicare group
Emergency Medicine
50 UNION ST
Ellsworth, ME 04605
  • Reassigned Medicare billing, Maine enrollment
  • 167 clinicians in this Medicare group
Emergency Medicine
2300 PATTERSON ST
Nashville, TN 37203
  • Reassigned Medicare billing, Tennessee enrollment
  • 414 clinicians in this Medicare group
Emergency Medicine
3960 NEW COVINGTON PIKE
Memphis, TN 38128
  • Reassigned Medicare billing, Tennessee enrollment
  • 250 clinicians in this Medicare group
Emergency Medicine
7691 POPLAR AVE
Germantown, TN 38138
  • Reassigned Medicare billing, Tennessee enrollment
  • 251 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services33 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
22 services22 patients

Hospital Affiliations CMS Care Compare 4

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

Cary Medical Center

Acute Care Hospitals · Caribou, ME
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number200031
Location163 Van Buren Rd, Suite 1Caribou, ME 04736 · Aroostook County
Emergency services Birthing friendly

Tristar Hendersonville Medical Center

Acute Care Hospitals · Hendersonville, TN
4/5 CMS rating
OwnershipProprietary
CMS Certification Number440194
Location355 New Shackle Island RdHendersonville, TN 37075 · Sumner County
Emergency services Birthing friendly

Christus Southeast Texas- St Elizabeth

Acute Care Hospitals · Beaumont, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450034
Location2830 Calder AvenueBeaumont, TX 77702 · Jefferson County
Emergency services Birthing friendly

Valley Regional Medical Center

Acute Care Hospitals · Brownsville, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450662
Location100 A Alton GloorBrownsville, TX 78526 · Cameron County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07601 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

98.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.88
Promoting Interoperability100
Improvement Activities40

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.

Obstetrics & Gynecology (Maternal & Fetal Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Pediatrics (Adolescent Medicine)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Emergency Medicine
30 PROSPECT AVE
HACKENSACK, NJ 07601
Nurse Practitioner (Adult Health)
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601
Anesthesiology
30 PROSPECT AVE
HACKENSACK, NJ 07601

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 Carlos Cesar's NPI number?

The NPI number for Carlos Cesar is 1245286178. It was assigned to this individual provider in the NPPES registry on May 25, 2006.

Where is Carlos Cesar located?

Carlos Cesar practices at 30 Prospect Ave Faculty Practice Office, Hackensack, NJ 07601. The listed phone number is (201) 441-3349.

What is Carlos Cesar's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Cesar enrolled in Medicare?

Yes. Carlos Cesar 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.

Which organizations bill Medicare for Carlos Cesar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Cesar reassigns Medicare benefits to 17 organizations: Emergency Associates Of St Marys LLC (Passaic, NJ), Nes Georgia Inc (Newark, NJ), Garden State Healthcare Associates, LLC (Bayonne, NJ), Emergency Physician Associates Of North Jersey P C (Summit, NJ), Mainegeneral Medical Center (Augusta, ME) and 12 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carlos Cesar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Cesar accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, Oscar Insurance Company and UnitedHealthcare list Carlos Cesar 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 Carlos Cesar affiliated with any hospitals?

According to CMS data, Carlos Cesar is affiliated with Cary Medical Center, Tristar Hendersonville Medical Center, Christus Southeast Texas- St Elizabeth and Valley Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Carlos Cesar was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.