GISELLE A JIMENEZ CACERES MD
NPI 1245735745
Family Medicine in Bronx, NY

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
66.8/100
CMS Quality Rating
1276 FULTON AVE, BRONX, NY 10456(718) 908-8249 Get Directions Write a Review

NPPES record last updated: June 26, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 26, 2022, Mar 27, 2018 (2 updates tracked since 2018).

About Giselle A Jimenez Caceres Md NPPES

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

GISELLE A JIMENEZ CACERES MD (NPI 1245735745) is an individual family medicine provider in Bronx, New York, licensed in New York (317612) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1245735745
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameGISELLE A JIMENEZ CACERESCredential: MD
Location Address1276 FULTON AVEBronx, NY 10456-3402
Mailing Address258 Hylan BlvdStaten Island, NY 10305-2063 · (347) 229-8811
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 26, 20232 updates tracked since enumeration
NPPES CertifiedJune 26, 2023
NPI 1245735745 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in NY · 317612 Licensed in NJ · 25MA11670100
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1276 FULTON AVE, Bronx, NY 10456

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

Giselle A Jimenez Caceres 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 ID1850768284
PECOS Enrollment IDI20221027002513, I20230710000275
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.

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.
138 services70 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.
125 services92 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
47 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
29 services26 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
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
23 services23 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10456 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

66.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality83.27
Promoting Interoperability0.55
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.

Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Addiction Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Physician Assistant (Medical)
1276 FULTON AVE, PSYCHIATRY - MMTP
BRONX, NY 10456
Social Worker (Clinical)
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Social Worker
1276 FULTON AVE
BRONX, NY 10456
Psychiatry & Neurology (Psychiatry)
1276 FULTON AVE
BRONX, NY 10456
Clinic/Center (Mental Health (Including Community Mental Health Center))
1276 FULTON AVE
BRONX, NY 10456

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 Giselle Jimenez Caceres's NPI number?

The NPI number for Giselle Jimenez Caceres is 1245735745. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is Giselle Jimenez Caceres located?

Giselle Jimenez Caceres practices at 1276 Fulton Ave, Bronx, NY 10456. The listed phone number is (718) 908-8249.

What is Giselle Jimenez Caceres's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Giselle Jimenez Caceres enrolled in Medicare?

Yes. Giselle Jimenez Caceres 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.

When was this NPI record last updated?

The NPPES record for Giselle Jimenez Caceres was last updated on June 26, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.