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PAULA JERNIGAN
NPI 1689647265
Specialist in Pittsburgh, PA

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610, PITTSBURGH, PA 15232(412) 621-1200 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Paula Jernigan NPPES

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

PAULA JERNIGAN (NPI 1689647265) is an individual specialist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD069728L) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of University Of Pittsburgh School Of Medicine (1997).

NPPES Registry Identity

NPI1689647265
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NamePAULA JERNIGAN
Location Address5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610Pittsburgh, PA 15232-1300
Mailing Address5200 Centre Ave, Shadyside Medical Building, Suite 610Pittsburgh, PA 15232-1300
Phone(412) 621-1200
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1997
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMarch 25, 2021
✔ NPI 1689647265 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in PA · MD069728L
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
5200 CENTRE AVE, Pittsburgh, PA 15232
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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

Paula Jernigan 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 ID4688645534
PECOS Enrollment IDI20040804000230
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 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
51 services39 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.
38 services35 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
31 services30 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
23 services21 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
14 services13 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers50 claims50 services$31.36 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers23 claims23 services$81.04 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers27 claims79 services$30.64 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers25 claims141 services$15.48 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
6 suppliers45 claims45 services$43.85 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers38 claims38 services$13.93 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

KRISHNA KANCHARLA
Internal Medicine (Clinical Cardiac Electrophysiology)
5200 CENTRE AVE, SUITE 710
PITTSBURGH, PA 15232
Allegheny County (412) 623-6889
EMILY YEE
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SHADYSIDE MEDICAL BUILDING, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
HITENDRA PATEL
Legal Medicine
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
STEPHANIE RICHARDS
Specialist
5200 CENTRE AVE, SUITE 405
PITTSBURGH, PA 15232
Allegheny County (412) 623-2700
HARRY RAFKIN
Internal Medicine (Pulmonary Disease)
5200 CENTRE AVE, SUITE 610
PITTSBURGH, PA 15232
Allegheny County (412) 621-1200
DR. MARK RIZKO MD
Student in an Organized Health Care Education/Training Program
5200 CENTRE AVE
PITTSBURGH, PA 15232
Allegheny County (412) 623-2121
TINA MUSAHL
Internal Medicine (Gastroenterology)
5200 CENTRE AVE, SUITE 312
PITTSBURGH, PA 15232
Allegheny County (412) 621-7777
JOEL BIGLEY
Urology
5200 CENTRE AVE, MEDICAL ARTS BUILDING, SUITE 209
PITTSBURGH, PA 15232
Allegheny County (412) 605-3000

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 Paula Jernigan's NPI number?

The NPI number for Paula Jernigan is 1689647265. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Paula Jernigan located?

Paula Jernigan practices at 5200 Centre Ave Shadyside Medical Building, Suite 610, Pittsburgh, PA 15232. The listed phone number is (412) 621-1200.

What is Paula Jernigan's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Paula Jernigan enrolled in Medicare?

Yes. Paula Jernigan 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 Paula Jernigan affiliated with any hospitals?

According to CMS data, Paula Jernigan is affiliated with Upmc Mercy, Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for Paula Jernigan was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.