SIMONE DE MAAR TEODORO NP
NPI 1710361258
Nurse Practitioner - Family in New York, NY


Quality Rating: 80.67 out of 100 score

NPI Status: Active since July 15, 2015

Contact Information

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016
Phone: (646) 501-7889

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  • Individual
  • Female
  • Nurse Practitioner
  • Family
  • PECOS Enrolled

About SIMONE TEODORO

This page provides the complete NPI Profile along with additional information for Simone Teodoro, a provider established in New York, New York with a medical specialization in Nurse Practitioner, focusing in family . The healthcare provider is registered in the NPI registry with number 1710361258 assigned on July 2015. The practitioner's primary taxonomy code is 363LF0000X with license number 339907 (NY). The provider is registered as an individual and her NPI record was last updated 4 years ago.

NPI
1710361258
Provider Name
SIMONE DE MAAR TEODORO NP
Other Name Type
Other Name (5)
Gender
Female
Entity Type
Individual
Location Address
240 E 38TH ST FL 14 NEW YORK, NY 10016
Location Phone
(646) 501-7889
Mailing Address
240 E 38TH ST FL 14 NEW YORK, NY 10016
Mailing Phone
(646) 501-7889
Is Sole Proprietor?
No
Enumeration Date
07-15-2015
Last Update Date
04-02-2021
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A nurse practitioner (NP) like Simone Teodoro is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Nurse Practitioner Family

Taxonomy Code
363LF0000X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
339907
License State
NY

Medicare Participation & PECOS Enrollment Status

Simone Teodoro 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.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 129 times for 83 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 69 times for 47 patients

Exam of ear using a microscope

An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.

This service was performed 46 times for 41 patients

Exam of the nose and throat using an endoscope

An endoscopic examination of the nose and throat is a procedure where a thin, flexible tube with a light and camera attached (endoscope) is used to view these areas in detail. It helps identify any abnormalities or issues that may be causing symptoms like difficulty swallowing, persistent cough, or nasal congestion.

This service was performed 34 times for 23 patients

New patient office or other outpatient visit, 30-44 minutes

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.

This service was performed 56 times for 56 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 77 times for 77 patients

Removal of impacted ear wax

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.

This service was performed 141 times for 117 patients

Repositioning exercises of head for treatment of dizziness, each day

Repositioning exercises of the head help manage dizziness by training your brain to cope with the signals that trigger this sensation. Daily, gentle movements of the head and body can reduce symptoms and improve balance.

This service was performed 32 times for 17 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 10016 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $102.04
  • Minimum New Patient Price $65.69
  • Maximum New Patient Price $198.19
  • Average New Patient Copayment $25.51
  • Minimum New Patient Copayment $16.42
  • Maximum New Patient Copayment $49.54

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $114.88
  • Minimum Established Patient Price $21.2
  • Maximum Established Patient Price $160.66
  • Average Established Patient Copayment $28.72
  • Minimum Established Patient Copayment $5.3
  • Maximum Established Patient Copayment $40.16

* The physician office visit costs information is generated by 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80.67, 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 Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS 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.

  • Final Score: 80.67 out of 100

    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.

  • Quality Score: 77.68

    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 Score: 100

    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 Score: 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 activities measure category compromises 15% providers final MPIS scores.

    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 Score: 57.89

    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.

  • Cost Score: 57.89

    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.

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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.
1710361258
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720662210
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 6 + 2 + 2 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1710361258 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

MEGAN M GAFFEY M.D.

Otolaryngology

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(646) 501-7890

MS. MISHAL PATEL PA-C

Physician Assistant

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(646) 521-0404

DR. ESTHER COHN AUD

Audiologist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-7349

DR. JACLYN CASTORO AU.D.

Audiologist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-7349

MARIA WREN CASEY PA

Physician Assistant

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(646) 501-7890

MARIE THERESE HOMSI MD

Otolaryngology

(Pediatric Otolaryngology)

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(646) 501-7890

DR. AHARON ELIEZER BENELYAHOO MD

Anesthesiology

(Pain Medicine)

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 201-1004

QIAN CHEN M.D.

Anesthesiology

(Pain Medicine)

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-7000

ALLYSON PERROTTI PT, DPT

Physical Therapist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-6033

DR. EMILY KAYLA LANCASTER AU.D.

Audiologist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(240) 381-1932

JULIA KRAUSHAAR

Occupational Therapist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-6037

HANNAH GELB OTR/L

Occupational Therapist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-6099

ABIGAIL ROSE KELLNER NP

Nurse Practitioner

(Family)

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(516) 902-9891

DR. SAMANTHA ESTOMO DPT

Physical Therapist

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(212) 263-6037

DR. NIKHITA JAIN MD

Otolaryngology

(Sleep Medicine)

240 E 38TH ST FL 14
NEW YORK, NY
ZIP 10016

(646) 501-7889

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710361258, enumerated as an "individual" on July 15, 2015.

The provider is located at 240 E 38TH ST FL 14 NEW YORK, NY 10016 and the phone number is (646) 501-7889.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.