JONAS DEMURO MD NPI 1558385203

Surgery in Mineola, NY

Individual Male Years of Experience 27 Surgery PECOS Enrolled Accepts Medicare Approved Payment MIPS Quality Score 36.5

About JONAS DEMURO MD

Jonas Demuro is a provider established in Mineola, New York and his medical specialization is Surgery with more than 27 years of experience. He graduated from State University Of New York At Stony Brook, School Of Medicine in 1996. The NPI number of Jonas Demuro is 1558385203 and was assigned on July 2006. The practitioner's primary taxonomy code is 208600000X with license number 220572 (NY). The provider is registered as an individual and his NPI record was last updated 9 years ago.

A surgeon like Jonas Demuro Md treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.

NPI

1558385203

Provider Name JONAS DEMURO MD
Provider Location Address120 MINEOLA BLVD SUITE 320 MINEOLA, NY 11501
Provider Mailing Address120 MINEOLA BLVD SUITE 320 MINEOLA, NY 11501
GenderMale
NPI Entity TypeIndividual
Medical School NameSTATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Graduation Year1996
Is Sole Proprietor?No
Enumeration Date07-26-2006
Last Update Date08-26-2013



Jonas Demuro 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.

Jonas Demuro 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 he has hospital affiliations with Good Samaritan Hospital Medical Center.

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 36.5, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $27.39 for a new patient copayment and $22.04 for an established patient copayment.



Primary Taxonomy

Taxonomy Code208600000X
ClassificationSurgery
TypeAllopathic & Osteopathic Physicians
License No.220572
License StateNY
Taxonomy DescriptionA general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Business Address

JONAS DEMURO MD
120 MINEOLA BLVD
SUITE 320
MINEOLA, NY
ZIP 11501
Phone: (516) 663-3300
Fax: (516) 663-2136

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Mailing Address

JONAS DEMURO MD
120 MINEOLA BLVD
SUITE 320
MINEOLA, NY
ZIP 11501
Phone: (516) 663-3300
Fax: (516) 663-2136


PECOS Enrollment and Medicare Participation

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 ID4486633062
PECOS Enrollment IDI20040716000732
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 11501 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$71.49 $215.02 $109.58
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$17.87 $53.75 $27.39
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
$22.05 $174.06 $88.17
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.51 $43.51 $22.04

* 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% 21.2
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% N/A
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 - 36.5
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.

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jonas Demuro is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
GOOD SAMARITAN HOSPITAL MEDICAL CENTER1000 MONTAUK HIGHWAY
WEST ISLIP, NY 11795
(631) 376-3000Acute Care Hospitals330286

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
1558385203MEDICARE PIN (08)NY

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.
1558385203
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108681020
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 8 + 1 + 0 + 2 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1558385203 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1609869734 VALERIE CUCCO DO
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1487647525 ADAM FLISSER MD
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1104819242 FREDRIC MOON DO
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1841285152 DIANA HYEJUNG KONG NP
Individual
Nurse Practitioner (Pediatrics)120 MINEOLA BLVD SUITE 210
MINEOLA, NY 11501
(516) 663-4600
1891783130 SVETLIN S IVANOV MD
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1639150949 JOHN J GONCALVES MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)120 MINEOLA BLVD SUITE 300
MINEOLA, NY 11501
(516) 663-4400
1558343558 LEWIS E WILLIAMS MD
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)120 MINEOLA BLVD SUITE 300
MINEOLA, NY 11501
(516) 663-4400
1265414791 REESE A WAIN MD
Individual
Surgery (Vascular Surgery)120 MINEOLA BLVD SUITE 300
MINEOLA, NY 11501
(516) 663-4400
1801879648 PATRICE VORWERK M.D.
Individual
Radiology (Diagnostic Radiology)120 MINEOLA BLVD
MINEOLA, NY 11501
(516) 663-4510
1922063841MRS. BARBARA KIMBERLY MOSKOWITZ ANP
Individual
Nurse Practitioner (Adult Health)120 MINEOLA BLVD SUITE 320
MINEOLA, NY 11501
(516) 663-3300
1790741304 CYNTHIA ARLEEN FRETWELL MD
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1871543983WINTHROP SURGICAL ASSOCIATES, PC
Organization
Surgery120 MINEOLA BLVD SUITE 320
MINEOLA, NY 11501
(516) 663-3300
1992748677 BARBARA E CROCITTO NP
Individual
Nurse Practitioner120 MINEOLA BLVD STE 10 LOWER LEVEL
MINEOLA, NY 11501
(516) 663-4510
1265475941 SUSANA H FUCHS MD
Individual
Radiology (Diagnostic Radiology)120 MINEOLA BLVD SUITE 10 LOWER LEVEL
MINEOLA, NY 11501
(516) 663-4510
1386688984 TRACY JAE WON LEE MD
Individual
Radiology (Body Imaging)120 MINEOLA BLVD STE 10 LOWER LEVEL
MINEOLA, NY 11501
(516) 663-4510
1073532461 PETER S. FINAMORE MD
Individual
Obstetrics & Gynecology120 MINEOLA BLVD SUITE 100
MINEOLA, NY 11501
(516) 663-3010
1356362685 IGAL FLIGMAN M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)120 MINEOLA BLVD SUITE 460
MINEOLA, NY 11501
(516) 663-9400
1760403927 LEONARD ROY KRILOV M.D.
Individual
Pediatrics (Pediatric Infectious Diseases)120 MINEOLA BLVD SUITE 210
MINEOLA, NY 11501
(516) 663-9570
1770597817 PHILIP GEORGE SCIMECA M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)120 MINEOLA BLVD SUITE 460
MINEOLA, NY 11501
(516) 663-9400
1407860570 MARK EFRAIM WEINBLATT M.D.
Individual
Pediatrics (Pediatric Hematology-Oncology)120 MINEOLA BLVD SUITE 460
MINEOLA, NY 11501
(516) 663-9400

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Jonas Demuro Md is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
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.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.