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DR. NELSON ALCARAZ M.D.
NPI 1548228232
Otolaryngology in Fresh Meadows, NY

Active since May 02, 2006PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
16303 HORACE HARDING EXPY FL 3, FRESH MEADOWS, NY 11365(718) 445-5100(718) 358-1044 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 14, 2024, Oct 19, 2023 (2 updates tracked since 2023).

About Dr. Nelson Alcaraz M.d. NPPES

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

DR. NELSON ALCARAZ M.D. (NPI 1548228232) is an individual otolaryngology provider in Fresh Meadows, New York, licensed in New York (198212) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1993).

NPPES Registry Identity

NPI1548228232
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. NELSON ALCARAZCredential: M.D.
Location Address16303 HORACE HARDING EXPY FL 3Fresh Meadows, NY 11365-1449
Mailing Address660 White Plains Rd Ste 400Tarrytown, NY 10591-5107 · (914) 984-2546
Phone(718) 445-5100
Fax(718) 358-1044
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1993
Enumeration DateMay 2, 2006
Last NPPES UpdateNovember 14, 20242 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
✔ NPI 1548228232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NY · 198212
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedOtolaryngology · Otolaryngology/Facial Plastic SurgeryTaxonomy 207YX0905X · License 198212 (NY)
16303 HORACE HARDING EXPY FL 3, Fresh Meadows, NY 11365
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Nelson Alcaraz M.d. 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 ID7719161447
PECOS Enrollment IDI20110405000272
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.

Medicare Billing Reassignment

Medicare enrollment records show Nelson Alcaraz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ent And Allergy Associates LLP
22 mi
Otolaryngology
660 WHITE PLAINS RD STE 400
Tarrytown, NY 10591
  • Reassigned Medicare billing, New York enrollment
  • 312 clinicians in this Medicare group
NPI 1376598326 (914) 333-5800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 8

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.
238 services199 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
156 services156 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
143 services142 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
133 services126 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
123 services109 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
61 services61 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11365 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$82.96 typical visit price
range $21.62 – $163.52
Typical copayment $20.74 (range $5.40 – $40.88)
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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 2

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

NIHA QAMAR M.D.
Allergy & Immunology
16303 HORACE HARDING EXPY FL 3
FRESH MEADOWS, NY 11365
Queens County (718) 445-5100
DR. KAMRAN SADRAZODI M.D.
Otolaryngology
16303 HORACE HARDING EXPY FL 3
FRESH MEADOWS, NY 11365
Queens County (718) 445-5100

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 Nelson Alcaraz's NPI number?

The NPI number for Nelson Alcaraz is 1548228232. It was assigned to this individual provider in the NPPES registry on May 2, 2006.

Where is Nelson Alcaraz located?

Nelson Alcaraz practices at 16303 Horace Harding Expy Fl 3, Fresh Meadows, NY 11365. The listed phone number is (718) 445-5100.

What is Nelson Alcaraz's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Nelson Alcaraz enrolled in Medicare?

Yes. Nelson Alcaraz 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.

Which organization bills Medicare for Nelson Alcaraz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nelson Alcaraz reassigns Medicare benefits to Ent And Allergy Associates LLP (Tarrytown, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nelson Alcaraz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nelson Alcaraz was last updated on November 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.