DR. PAUL MANUEL TEJERA M.D.
NPI 1295047736
Internal Medicine - Endocrinology, Diabetes & Metabolism in Canton, NY

Active since July 13, 2010PECOS EnrolledAccepts Medicare Assignment
95.38/100
CMS Quality Rating
6119 US HIGHWAY 11, CANTON, NY 13617(315) 261-5810 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Mar 31, 2021, Aug 3, 2017 (3 updates tracked since 2017).

About Dr. Paul Manuel Tejera M.d. NPPES

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

DR. PAUL MANUEL TEJERA M.D. (NPI 1295047736) is an individual endocrinology, diabetes & metabolism provider in Canton, New York, licensed in New York (279414) and active in the NPI registry since July 2010. He is enrolled in Medicare PECOS, is affiliated with Adirondack Medical Center - Saranac Lake, and maintains a secondary practice location in Potsdam.

NPPES Registry Identity

NPI1295047736
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. PAUL MANUEL TEJERACredential: M.D.
Location Address6119 US HIGHWAY 11Canton, NY 13617-3991
Mailing Address50 Leroy StPotsdam, NY 13676-1786 · (315) 265-3300
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 13, 2010
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedMarch 31, 2021
NPI 1295047736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NY · 279414
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License MT196680 (PA)
6119 US HIGHWAY 11, Canton, NY 13617

Secondary Practice Location 1

Location 150 LeRoy StPotsdam, NY 13676-1786 · Phone (315) 265-3300

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. Paul Manuel Tejera 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 ID4587970322
PECOS Enrollment IDI20150825003508
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 5

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.
764 services476 patients
Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report 95251
This procedure involves placing a small sensor under your skin to continuously monitor your blood sugar levels in tissue fluid. The data is interpreted and a report is generated to help manage your diabetes more effectively.
218 services114 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
77 services77 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.
29 services25 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.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330079
Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County
Emergency services Birthing friendly

Canton-Potsdam Hospital

Acute Care Hospitals · Potsdam, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330197
Location50 Leroy StreetPotsdam, NY 13676 · St. Lawrence County
Emergency services Birthing friendly

Gouverneur Hospital

Critical Access Hospitals · Gouverneur, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331315
Location77 West Barney StreetGouverneur, NY 13642 · St. Lawrence County
Emergency services

Slhs Massena, Inc

Critical Access Hospitals · Massena, NY
OwnershipVoluntary non-profit - Private
CMS Certification Number331322
Location1 Hospital DriveMassena, NY 13662 · St. Lawrence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13617 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

95.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.26
Promoting Interoperability99.17
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 9

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
8 suppliers34 claims440 services$19.18 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
8 suppliers32 claims1,030 services$2.41 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
36 suppliers211 claims729 services$6.06 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers15 claims15 services$2.97 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
18 suppliers94 claims163 services$1.09 avg. paid by Medicare
External ambulatory infusion pump, insulin E0784
DME-Other DME · category DE017N
2 suppliers24 claims24 services$326.60 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 16

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

Nurse Practitioner
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery (Adult Reconstructive Orthopaedic Surgery)
6119 US HIGHWAY 11
CANTON, NY 13617
Nurse Practitioner (Family)
6119 US HIGHWAY 11
CANTON, NY 13617
Psychiatry & Neurology (Neurology)
6119 US HIGHWAY 11
CANTON, NY 13617
Orthopaedic Surgery
6119 US HIGHWAY 11
CANTON, NY 13617
Otolaryngology
6119 US HIGHWAY 11
CANTON, NY 13617
Physician Assistant
6119 US HIGHWAY 11
CANTON, NY 13617
Internal Medicine (Rheumatology)
6119 US HIGHWAY 11
CANTON, NY 13617

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 Paul Tejera's NPI number?

The NPI number for Paul Tejera is 1295047736. It was assigned to this individual provider in the NPPES registry on July 13, 2010.

Where is Paul Tejera located?

Paul Tejera practices at 6119 Us Highway 11, Canton, NY 13617. The listed phone number is (315) 261-5810.

What is Paul Tejera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Paul Tejera enrolled in Medicare?

Yes. Paul Tejera 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.

Is Paul Tejera affiliated with any hospitals?

According to CMS data, Paul Tejera is affiliated with Adirondack Medical Center - Saranac Lake, Canton-Potsdam Hospital, Gouverneur Hospital and Slhs Massena, Inc.

When was this NPI record last updated?

The NPPES record for Paul Tejera was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.