DR. NNEKA OFFOR BROOKS M.D. NPI 1467614057
Ophthalmology in New York, NY

About DR. NNEKA OFFOR BROOKS M.D.

Nneka Brooks is a provider established in New York, New York and her medical specialization is Ophthalmology with more than 15 years of experience. She graduated from Js Weill Medical College, Cornell University in 2008. The NPI number of this provider is 1467614057 and was assigned on June 2008. The practitioner's primary taxonomy code is 207W00000X with license number 275024 (NY). The provider is registered as an individual and her NPI record was last updated 8 years ago.

NPI
1467614057
Provider NameDR. NNEKA OFFOR BROOKS M.D.
Location Address52 E 72ND ST NEW YORK, NY 10021
Location Phone(212) 439-9600
Mailing Address52 E 72ND ST NEW YORK, NY 10021
GenderFemale
NPI Entity TypeIndividual
Medical School NameJS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
Graduation Year2008
Is Sole Proprietor?No
Enumeration Date06-26-2008
Last Update Date08-25-2014

Nneka Brooks is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Nneka Brooks is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 85.4, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: diabetes: eye exam.

The typical physician office visit costs for Medicare beneficiaries in this area are: $39.54 for a new patient copayment and $21.49 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207W00000X
ClassificationOphthalmology
TypeAllopathic & Osteopathic Physicians
License No.275024
License StateNY
Taxonomy DescriptionAn ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

52 E 72ND ST
NEW YORK, NY
ZIP 10021
Phone: (212) 439-9600
Fax: (212) 439-0796

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Mailing Address

52 E 72ND ST
NEW YORK, NY
ZIP 10021
Phone: (212) 439-9600
Fax: (212) 439-0796


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID8022265966
PECOS Enrollment IDI20181030002359
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 10021 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$69.45 $208.72 $158.18
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.36 $52.18 $39.54
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.65 $169.66 $85.96
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.41 $42.41 $21.49

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 100
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 51.4
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 85.4
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Diabetes: Eye Exam 100% 32
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 81Diagnostic imaging of retina (HCPCS:92134)
  • 68Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • 15Photography of the retina (HCPCS:92250)
  • 11Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207W00000XAllopathic & Osteopathic PhysiciansOphthalmology251370MANo

Taxonomy Description: an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
002769001MEDICARE PIN (08)MA
110093027AMEDICAID (05)MA

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1467614057
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241271218010
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 2 + 7 + 1 + 2 + 1 + 8 + 0 + 1 + 0 + 24 = 53
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 53 = 77

The NPI number 1467614057 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1013078252DR. ROBERT CJ KRASNER MD
Individual
Internal Medicine52 E 72ND ST 5
NEW YORK, NY 10021
(212) 585-3343
1528121035 DANIEL F. ROSBERGER M.D., PH.D
Individual
Specialist52 E 72ND ST
NEW YORK, NY 10021
(212) 439-9600
1962770594MORRISON & MORTELLITI ASSOCIATES, INC.
Organization
Optometrist52 E 72ND ST
NEW YORK, NY 10021
(212) 439-9775
1760738827 MARLENE RENEE KRAUSS MD
Individual
Ophthalmology52 E 72ND ST PH
NEW YORK, NY 10021
(212) 319-5555
1093728289DR. DONALD ROLAND
Individual
Surgery (Plastic and Reconstructive Surgery)52 E 72ND ST
NEW YORK, NY 10021
(212) 744-9400
1841377355MACULACARE, PLLC
Organization
Specialist52 E 72ND ST
NEW YORK, NY 10021
(212) 439-9600

Frequently Asked Questions

What is Dr. Nneka Brooks M.D. NPI number?

The NPI number assigned to this healthcare provider is 1467614057, registered as an "individual" on June 26, 2008

Where is Dr. Nneka Brooks M.D. located?

The provider is located at 52 E 72nd St New York, Ny 10021 and the phone number is (212) 439-9600

Which is Dr. Nneka Brooks M.D. specialty?

The provider's speciality is Ophthalmology

How many years of experience does Dr. Nneka Brooks M.D. have?

The provider has more than 15 years of experience. She graduated from Js Weill Medical College, Cornell University in 2008.

What insurance does Dr. Nneka Brooks M.D. accept?

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Is Dr. Nneka Brooks M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dr. Nneka Brooks M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences.

How much is a visit to Dr. Nneka Brooks M.D.?

Medicare beneficiaries should expect a typical cost of $158.18 with an average copayment of $39.54 for new patient appointments. Established patients should expect a typical charge of $85.96 and an average copayment of 21.49. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Nneka Brooks M.D.?

The most common procedures or services performed by this practitioner are: Diagnostic imaging of retina, Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits, Photography of the retina and Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits.

How do I update my NPI information?

The NPI record of Dr. Nneka Brooks M.D. was last updated on June 26, 2008. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]