DR. JUSTIN ANTHONY NEIRA M.D.
NPI 1679968663
Neurological Surgery in New York, NY

Active since April 06, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
710 W 168TH ST, DEPARTMENT OF NEUROLOGICAL SURGERY, NEW YORK, NY 10032(212) 305-4118 Get Directions Write a Review

NPPES record last updated: August 8, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 8, 2022, Jun 10, 2022, May 12, 2022 (3 updates tracked since 2022).

About Dr. Justin Anthony Neira M.d. NPPES

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

DR. JUSTIN ANTHONY NEIRA M.D. (NPI 1679968663) is an individual neurological surgery provider in New York, New York, licensed in New York (316660-01) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Columbia University College Of Physicians And Surgeons (2015).

NPPES Registry Identity

NPI1679968663
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. JUSTIN ANTHONY NEIRACredential: M.D.
Location Address710 W 168TH ST, DEPARTMENT OF NEUROLOGICAL SURGERYNew York, NY 10032-3726
Mailing Address710 W 168th St, Department Of Neurological SurgeryNew York, NY 10032-3726 · (212) 305-4118
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 2015
Enumeration DateApril 6, 2015
Last NPPES UpdateAugust 8, 20223 updates tracked since enumeration
NPPES CertifiedAugust 8, 2022
NPI 1679968663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License Licensed in NY · 316660-01
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
710 W 168TH ST, New York, NY 10032

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

Dr. Justin Anthony Neira 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 ID5395081061
PECOS Enrollment IDI20220830002193
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 5

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
75 services75 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.
60 services46 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
17 services17 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.
14 services14 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.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hudson Valley Hospital Center

Acute Care Hospitals · Cortlandt Manor, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330267
Location1980 Crompond RoadCortlandt Manor, NY 10567 · Westchester County
Emergency services Birthing friendly

Helen Hayes Hospital

Acute Care Hospitals · West Haverstraw, NY
OwnershipGovernment - State
CMS Certification Number330405
Location51 North Route 9WWest Haverstraw, NY 10993 · Rockland County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

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.

Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
710 W 168TH ST
NEW YORK, NY 10032
Psychiatry & Neurology (Neurology)
710 W 168TH ST, 6TH FLOOR
NEW YORK, NY 10032
Clinical Neuropsychologist
710 W 168TH ST, COLUMBIA UNIVERSITY MEDICAL CENTER
NEW YORK, NY 10032
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
710 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
710 W 168TH ST
NEW YORK, NY 10032
Psychiatry & Neurology (Psychiatry)
710 W 168TH ST, 12TH FLOOR
NEW YORK, NY 10032
Psychiatry & Neurology (Neurology)
710 W 168TH ST
NEW YORK, NY 10032

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 Justin Neira's NPI number?

The NPI number for Justin Neira is 1679968663. It was assigned to this individual provider in the NPPES registry on April 6, 2015.

Where is Justin Neira located?

Justin Neira practices at 710 W 168th St Department Of Neurological Surgery, New York, NY 10032. The listed phone number is (212) 305-4118.

What is Justin Neira's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Justin Neira enrolled in Medicare?

Yes. Justin Neira 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 Justin Neira affiliated with any hospitals?

According to CMS data, Justin Neira is affiliated with New York-Presbyterian Hospital, Hudson Valley Hospital Center and Helen Hayes Hospital.

When was this NPI record last updated?

The NPPES record for Justin Neira was last updated on August 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.