PEDRO EVELIO CORDERO M.D.
NPI 1295896231
Surgery in Roselle Park, NJ

Active since December 13, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
236 E WESTFIELD AVE, SUITE 4, ROSELLE PARK, NJ 07204(908) 241-2401(908) 241-2402 Get Directions Write a Review

NPPES record last updated: January 19, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pedro Evelio Cordero M.d. NPPES

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

PEDRO EVELIO CORDERO M.D. (NPI 1295896231) is an individual surgery provider in Roselle Park, New Jersey, licensed in New Jersey (25MA04440600) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of State University Of New York At Buffalo School Of Medicine (1978).

NPPES Registry Identity

NPI1295896231
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NamePEDRO EVELIO CORDEROCredential: M.D.
Location Address236 E WESTFIELD AVE, SUITE 4Roselle Park, NJ 07204-2084
Mailing Address236 E Westfield Ave, Suite 4Roselle Park, NJ 07204-2084 · (908) 241-2401 · Fax (908) 241-2402
Fax(908) 241-2402
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1978
Enumeration DateDecember 13, 2006
Last NPPES UpdateJanuary 19, 2009
NPI 1295896231 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in NJ · 25MA04440600
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
236 E WESTFIELD AVE, Roselle Park, NJ 07204

Other Identifiers 3

Medicaid3397904NJ
Medicare PIN546334NJ
Medicare UPINC57300NJ

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

Pedro Evelio Cordero 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 ID3375604143
PECOS Enrollment IDI20081211000628
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 12

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
97 services92 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.
79 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
70 services49 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
47 services45 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
25 services25 patients
Ultrasound study of one arm or leg veins with compression and maneuvers 93971
This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.
22 services15 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07204 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
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
100%47 patients5/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
0%30 patients5/55-star benchmark: 98%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%831 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%907 patients5/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 75% · 490 patients
Patients screened: 79% · 490 patients
100%37 patients5/55-star benchmark: 100%
Surgical Site Infection (SSI)
Lower rates are better for this measure.
0%724 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 4

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

Ostomy skin barrier, pectin-based, paste, per ounce A4406
DME-Orthotic Devices · category DF010N
1 supplier22 claims32 services$5.00 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
1 supplier11 claims220 services$5.46 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
1 supplier21 claims420 services$2.49 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
1 supplier11 claims550 services$0.23 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 13

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

Internal Medicine (Pulmonary Disease)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Clinic/Center (Physical Therapy)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Nurse Practitioner (Psychiatric/Mental Health)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Clinic/Center (Physical Therapy)
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Internal Medicine
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204
Dentist
236 E WESTFIELD AVE
ROSELLE PARK, NJ 07204

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 Pedro Cordero's NPI number?

The NPI number for Pedro Cordero is 1295896231. It was assigned to this individual provider in the NPPES registry on December 13, 2006.

Where is Pedro Cordero located?

Pedro Cordero practices at 236 E Westfield Ave Suite 4, Roselle Park, NJ 07204. The listed phone number is (908) 241-2401.

What is Pedro Cordero's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Pedro Cordero enrolled in Medicare?

Yes. Pedro Cordero 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 Pedro Cordero accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Pedro Cordero 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 Pedro Cordero affiliated with any hospitals?

According to CMS data, Pedro Cordero is affiliated with Robert Wood Johnson University Hospital At Rahway and Trinitas Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Pedro Cordero was last updated on January 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.