DR. ERION QAJA D.O.
NPI 1396185328
Surgery - Vascular Surgery in Poughkeepsie, NY

Active since July 05, 2013PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
21 READE PL STE 2200, POUGHKEEPSIE, NY 12601(845) 483-0698 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 20, 2020, Jul 3, 2018 (2 updates tracked since 2018).

About Dr. Erion Qaja D.o. NPPES

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

DR. ERION QAJA D.O. (NPI 1396185328) is an individual vascular surgery provider in Poughkeepsie, New York, licensed in New York (304899) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1396185328
Entity TypeIndividualMale
Primary Taxonomy2086S0129X
Provider Legal NameDR. ERION QAJACredential: D.O.
Location Address21 READE PL STE 2200Poughkeepsie, NY 12601-3970
Mailing Address21 Reade Pl Ste 2200Poughkeepsie, NY 12601-3970 · (860) 972-2840
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 5, 2013
Last NPPES UpdateJuly 20, 20202 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
NPI 1396185328 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License Licensed in NY · 304899
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
Also ListedSurgeryTaxonomy 208600000X · License 60607 (CT)
21 READE PL STE 2200, Poughkeepsie, NY 12601

Secondary Practice Location 1

Location 180 Seymour StHartford, CT 06102 · Phone (860) 972-2840

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. Erion Qaja D.o. 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 ID3173871340
PECOS Enrollment IDI20200821000510
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 29

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.

Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
374 services315 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.
194 services163 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.
154 services130 patients
Complete ultrasound study of arm and leg arteries 93923
This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.
125 services112 patients
Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978
This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.
109 services97 patients
Ultrasound of one leg arteries or artery grafts 93926
An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.
82 services71 patients

Hospital Affiliations CMS Care Compare 2

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Northern Dutchess Hospital

Acute Care Hospitals · Rhinebeck, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330049
Location6511 Springbrook AvenueRhinebeck, NY 12572 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12601 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

Surgery (Vascular Surgery)
21 READE PL STE 2200
POUGHKEEPSIE, NY 12601
Surgery (Vascular Surgery)
21 READE PL STE 2200
POUGHKEEPSIE, NY 12601
Surgery (Vascular Surgery)
21 READE PL STE 2200
POUGHKEEPSIE, NY 12601

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 Erion Qaja's NPI number?

The NPI number for Erion Qaja is 1396185328. It was assigned to this individual provider in the NPPES registry on July 5, 2013.

Where is Erion Qaja located?

Erion Qaja practices at 21 Reade Pl Ste 2200, Poughkeepsie, NY 12601. The listed phone number is (845) 483-0698.

What is Erion Qaja's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Erion Qaja enrolled in Medicare?

Yes. Erion Qaja 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 Erion Qaja affiliated with any hospitals?

According to CMS data, Erion Qaja is affiliated with Vassar Brothers Medical Center and Northern Dutchess Hospital.

When was this NPI record last updated?

The NPPES record for Erion Qaja was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.