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JOSE E PIOVANETTI
NPI 1528023876
Ophthalmology in San Juan, PR

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
93.67/100
CMS Quality Rating
AVE JESUS T PINERO #1250 CAPARRA TERRACE, SAN JUAN, PR 00921(787) 781-2565(787) 782-9524 Get Directions Write a Review

NPPES record last updated: August 19, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Jose E Piovanetti NPPES

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

JOSE E PIOVANETTI (NPI 1528023876) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Puerto Rico (8338) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1963).

NPPES Registry Identity

NPI1528023876
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameJOSE E PIOVANETTI
Location AddressAVE JESUS T PINERO #1250 CAPARRA TERRACESan Juan, PR 00921
Mailing AddressPo Box 10431San Juan, PR 00922-0431 · (787) 781-2565 · Fax (787) 782-9524
Phone(787) 781-2565
Fax(787) 782-9524
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1963
Enumeration DateApril 19, 2006
Last NPPES UpdateAugust 19, 2010
✔ NPI 1528023876 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
License✔ Licensed in PR · 8338
Definition
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.
AVE JESUS T PINERO #1250 CAPARRA TERRACE, San Juan, PR 00921
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Other Identifiers 2

Medicare ID-Type Unspecified24161BPR
Medicare UPINC83769

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

Jose E Piovanetti 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 ID6305932021
PECOS Enrollment IDI20100804000993
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 2

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 problem focused exam of visual system 92012
This is a routine check-up for existing patients focusing on the visual system. It involves examining your eyes to detect any potential issues or changes in your vision. It's a crucial part of maintaining good eye health.
74 services31 patients
Exam of visual field with extended testing 92083
An extended visual field exam is a detailed test to evaluate your peripheral (side) vision. It helps to detect any potential blind spots which may not be noticeable in daily life. These could be caused by eye diseases like glaucoma, or neurological conditions.
20 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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.

93.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost78.91

Reported Quality Measures

Age-Related Macular Degeneration (AMD): Counseling on Antioxidant Supplement
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) or their caregiver(s) who were counseled within 12 months on the benefits and/or risks of the Age-Related Eye Disease Study (AREDS) formulation for…
7%67 patients1/55-star benchmark: 100%
Age-Related Macular Degeneration (AMD): Dilated Macular Examination
Percentage of patients aged 50 years and older with a diagnosis of age-related macular degeneration (AMD) who had a dilated macular examination performed which included documentation of the presence or absence of macular thickening or geographic atrophy or…
87%67 patients3/55-star benchmark: 100%
Diabetes: Eye Exam
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
80%214 patients4/55-star benchmark: 100%
Diabetic Retinopathy: Documentation of Presence or Absence of Macular Edema and Level of Severity of Retinopathy
Percentage of patients aged 18 years and older with a diagnosis of diabetic retinopathy who had a dilated macular or fundus exam performed which included documentation of the level of severity of retinopathy and the presence or absence of macular edema during…
81%64 patients4/55-star benchmark: 100%
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%2,739 patients5/55-star benchmark: 100%
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.
19%2,674 patients1/55-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.
97%628 patients4/55-star benchmark: 100%
Primary Open-Angle Glaucoma (POAG): Optic Nerve Evaluation
Percentage of patients aged 18 years and older with a diagnosis of primary open-angle glaucoma (POAG) who have an optic nerve head evaluation during one or more office visits within 12 months
86%450 patients4/55-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…
1%743 patients1/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 0% · 911 patients
0%911 patients5/55-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 3

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

JORGE L FERNANDEZ BAHAMONDE SR. MD
Ophthalmology
AVE JESUS T PINERO #1250 CAPARRA TERRACE
SAN JUAN, PR 00921
San Juan Municipio (787) 781-2565
PEDRO J GORBEA LANDRON OD OPTOMETRISTS
Optometrist
AVE JESUS T PINERO #1250 CAPARRA TERRACE
SAN JUAN, PR 00921
San Juan Municipio (787) 781-2565
MRS. FRANCINE VIVONI MD
Ophthalmology
AVE JESUS T PINERO #1250 CAPARRA TERRACE
SAN JUAN, PR 00921
San Juan Municipio (787) 781-2565

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 Jose Piovanetti's NPI number?

The NPI number for Jose Piovanetti is 1528023876. It was assigned to this individual provider in the NPPES registry on April 19, 2006.

Where is Jose Piovanetti located?

Jose Piovanetti practices at Ave Jesus T Pinero #1250 Caparra Terrace, San Juan, PR 00921. The listed phone number is (787) 781-2565.

What is Jose Piovanetti's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Jose Piovanetti enrolled in Medicare?

Yes. Jose Piovanetti 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 Jose Piovanetti was last updated on August 19, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.