MANUEL S VERGARA MD
NPI 1487638268
Psychiatry & Neurology - Epilepsy
in Lawrenceville, NJ
Active since December 05, 2005PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
3120 PRINCETON PIKE FL 2, LAWRENCEVILLE, NJ 08648(609) 896-1701(609) 896-3735 Get Directions Write a Review
About Manuel S Vergara Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MANUEL S VERGARA MD (NPI 1487638268) is an individual epilepsy provider in Lawrenceville, New Jersey, licensed in New Jersey (25MA06794000) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and maintains a secondary practice location in Princeton.
NPPES Registry Identity
NPI1487638268
Entity TypeIndividualMale
Primary Taxonomy2084E0001X
Provider Legal NameMANUEL S VERGARACredential: MD
Location Address3120 PRINCETON PIKE FL 2Lawrenceville, NJ 08648-2325
Mailing Address3120 Princeton Pike Fl 2Lawrenceville, NJ 08648-2325 · (609) 896-1701 · Fax (609) 896-3735
Phone(609) 896-1701
Fax(609) 896-3735
Sole ProprietorYes
Medical School CMSOther
Enumeration DateDecember 5, 2005
Last NPPES UpdateJanuary 19, 2024
NPPES CertifiedJanuary 19, 2024
✔ NPI 1487638268 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 2
★ Primary SpecialtyPsychiatry & Neurology · EpilepsyAllopathic & Osteopathic Physicians
Taxonomy Code2084E0001X
License✔ Licensed in NJ · 25MA06794000
Definition
Epilepsy is a subspecialty of neurology focused on the diagnosis and treatment of patients with epilepsy, including new-onset, medically refractory epilepsy, psychogenic nonepileptic seizures, and epilepsy in special populations (the elderly, women, patients with co-morbidities). Epilepsy is a multidisciplinary field that provides comprehensive care of the patient.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA06794000 (NJ)
3120 PRINCETON PIKE FL 2, Lawrenceville, NJ 08648
Secondary Practice Location 1
Location 18 Forrestal Rd SPrinceton, NJ 08540-6658 · Phone (609) 896-1701
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
Manuel S Vergara 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 ID3375667850
PECOS Enrollment IDI20100907000269
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.
Injection, onabotulinumtoxina, 1 unit J0585
Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.
9,845 services15 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.
495 services321 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.
99 services86 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.
97 services89 patients
Needle measurement of electrical activity in arm or leg muscles, complete study 95886
This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.
96 services54 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
46 services46 patients
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Medical Center Of Princeton At Plainsboro
Acute Care Hospitals · Plainsboro, NJOwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly
Capital Health Medical Center - Hopewell
Acute Care Hospitals · Pennington, NJOwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly
Saint Peter's University Hospital
Acute Care Hospitals · New Brunswick, NJOwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly
Capital Health Regional Medical Center
Acute Care Hospitals · Trenton, NJOwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services
Robert Wood Johnson University Hospital At Hamilton
Acute Care Hospitals · Hamilton, NJOwnershipVoluntary non-profit - Private
CMS Certification Number310110
LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County
Emergency services
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.
75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceReported Quality Measures
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
99%409 patients4/55-star benchmark: 100%
Dementia: Caregiver Education and Support
Percentage of patients with dementia whose caregiver(s)* were provided with education** on dementia disease management and health behavior changes AND were referred to additional resources*** for support in the last 12 months
11%100 patients1/55-star benchmark: 100%
Dementia: Functional Status Assessment
Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months
97%101 patients4/55-star benchmark: 100%
Diabetes/Pre-Diabetes Screening for Patients with DSP
Percentage of patients age 18 years and older with a diagnosis of distal symmetric polyneuropathy who had screening tests for diabetes (eg fasting blood sugar test, a hemoglobin A1C, or a 2 hour Glucose Tolerance Test) reviewed, requested or ordered when seen…
21%34 patients
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,633 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%1,811 patients5/55-star benchmark: 100%
Falls: Plan of Care
Percentage of patients aged 65 years and older with a history of falls that had a plan of care for falls documented within 12 months
100%256 patients5/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
91%256 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
75%409 patients4/55-star benchmark: 99%
MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK
Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.
53%148 patients3/55-star benchmark: 90%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
71%2,051 patients3/55-star benchmark: 100%
Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment
Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for cognitive impairment or dysfunction in the past 12 months
29%24 patients2/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
38%1,047 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
94%1,047 patients4/55-star benchmark: 100%
Screening for Psychiatric or Behavioral Health Disorders
Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.
91%106 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
5%1,047 patients1/55-star benchmark: 79%
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.
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Psychiatry & Neurology (Neurology)
3120 PRINCETON PIKE FL 2
LAWRENCEVILLE, NJ 08648
LAWRENCEVILLE, NJ 08648
Psychiatry & Neurology (Epilepsy)
3120 PRINCETON PIKE FL 2
LAWRENCEVILLE, NJ 08648
LAWRENCEVILLE, NJ 08648
Psychiatry & Neurology (Vascular Neurology)
3120 PRINCETON PIKE FL 2
LAWRENCEVILLE, NJ 08648
LAWRENCEVILLE, NJ 08648
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 Manuel Vergara's NPI number?
The NPI number for Manuel Vergara is 1487638268. It was assigned to this individual provider in the NPPES registry on December 5, 2005.
Where is Manuel Vergara located?
Manuel Vergara practices at 3120 Princeton Pike Fl 2, Lawrenceville, NJ 08648. The listed phone number is (609) 896-1701.
What is Manuel Vergara's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Epilepsy, with taxonomy code 2084E0001X.
Is Manuel Vergara enrolled in Medicare?
Yes. Manuel Vergara 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 Manuel Vergara affiliated with any hospitals?
According to CMS data, Manuel Vergara is affiliated with University Medical Center Of Princeton At Plainsboro, Capital Health Medical Center - Hopewell, Saint Peter's University Hospital, Capital Health Regional Medical Center and Robert Wood Johnson University Hospital At Hamilton.
When was this NPI record last updated?
The NPPES record for Manuel Vergara was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
