MIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROY MD
NPI 1497945174
Family Medicine in Arlington, VA

Active since July 28, 2007PECOS EnrolledAccepts Medicare Assignment
77.36/100
CMS Quality Rating
1715 N GEORGE MASON DR, SUITE 501, ARLINGTON, VA 22205(703) 527-4466(703) 552-1326 Get Directions Write a Review

NPPES record last updated: August 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Miriam Jacqueline Nicolasa Cusicanqui Monrroy Md NPPES

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

MIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROY MD (NPI 1497945174) is an individual family medicine provider in Arlington, Virginia, licensed in Virginia (0101241806) and active in the NPI registry since July 2007. She is enrolled in Medicare PECOS and is a graduate of Other (2001).

NPPES Registry Identity

NPI1497945174
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMIRIAM JACQUELINE NICOLASA CUSICANQUI MONRROYCredential: MD
Location Address1715 N GEORGE MASON DR, SUITE 501Arlington, VA 22205-3609
Mailing Address4710 Old Dominion DrArlington, VA 22207-3527 · (703) 527-4466 · Fax (703) 552-1326
Fax(703) 552-1326
Sole ProprietorYes
Medical School CMSOtherGraduated 2001
Enumeration DateJuly 28, 2007
Last NPPES UpdateAugust 10, 2016
NPI 1497945174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in VA · 0101241806
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1715 N GEORGE MASON DR, Arlington, VA 22205

Other Names 1

Professional Name (2)Ballston Family Medicine

Other Identifiers 5

Medicaid7100033620KY
Other132601VA · Medicare Ptan
Medicare PIN016869W82VA
Medicaid1497945174VA
Medicare PINP00605141VA

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

Miriam Jacqueline Nicolasa Cusicanqui Monrroy 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 ID9436233525
PECOS Enrollment IDI20080228000069
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

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 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.
13 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22205 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

77.36/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.82
Promoting Interoperability87
Improvement Activities40
Cost54.56

Reported Quality Measures

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%4,487 patients5/55-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…
66%1,298 patients3/55-star benchmark: 100%
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 20

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

Pediatrics
1715 N GEORGE MASON DR, SUITE 205
ARLINGTON, VA 22205
Psychiatry & Neurology (Psychiatry)
1715 N GEORGE MASON DR, #409
ARLINGTON, VA 22205
Advanced Practice Midwife
1715 N GEORGE MASON DR, #305
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, 408
ARLINGTON, VA 22205
Nurse Practitioner (Family)
1715 N GEORGE MASON DR, 402
ARLINGTON, VA 22205
Obstetrics & Gynecology
1715 N GEORGE MASON DR, SUITE 302
ARLINGTON, VA 22205
Orthopaedic Surgery
1715 N GEORGE MASON DR, SUITE 504
ARLINGTON, VA 22205
Specialist
1715 N GEORGE MASON DR, SUTIE #504
ARLINGTON, VA 22205

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 Miriam Cusicanqui Monrroy's NPI number?

The NPI number for Miriam Cusicanqui Monrroy is 1497945174. It was assigned to this individual provider in the NPPES registry on July 28, 2007. The provider is also known as Ballston Family Medicine.

Where is Miriam Cusicanqui Monrroy located?

Miriam Cusicanqui Monrroy practices at 1715 N George Mason Dr Suite 501, Arlington, VA 22205. The listed phone number is (703) 527-4466.

What is Miriam Cusicanqui Monrroy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miriam Cusicanqui Monrroy enrolled in Medicare?

Yes. Miriam Cusicanqui Monrroy 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.

When was this NPI record last updated?

The NPPES record for Miriam Cusicanqui Monrroy was last updated on August 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.