JOHANNA C FIGUEROA MD
NPI 1730113689
Urology in Roslyn Heights, NY

Active since July 10, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
216 WILLIS AVE, SUITE 001, ROSLYN HEIGHTS, NY 11577(516) 399-2501(516) 399-2504 Get Directions Write a Review

NPPES record last updated: March 27, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Johanna C Figueroa Md NPPES

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

JOHANNA C FIGUEROA MD (NPI 1730113689) is an individual urology provider in Roslyn Heights, New York, licensed in New York (212108) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with North Shore University Hospital, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1997).

NPPES Registry Identity

NPI1730113689
Entity TypeIndividualFemale
Primary Taxonomy208800000X
Provider Legal NameJOHANNA C FIGUEROACredential: MD
Location Address216 WILLIS AVE, SUITE 001Roslyn Heights, NY 11577-2125
Mailing Address216 Willis Ave, Suite 001Roslyn Heights, NY 11577 · (516) 399-2501 · Fax (516) 399-2504
Fax(516) 399-2504
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1997
Enumeration DateJuly 10, 2006
Last NPPES UpdateMarch 27, 2018
NPI 1730113689 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NY · 212108
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
216 WILLIS AVE, Roslyn Heights, NY 11577

Other Identifiers 3

Medicaid02646371NY
Other181097PNY · Hip
Other2398359NY · Uhc

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

Johanna C Figueroa Md 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 ID5294708327
PECOS Enrollment IDI20040817000955
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 20

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.

Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
309 services164 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.
226 services132 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.
167 services112 patients
Insertion of temporary bladder tube 51701
This procedure involves placing a small tube into your lower abdomen to help drain urine from your bladder. It's a temporary measure, often used when normal urination is not possible. The tube remains in place until you can urinate on your own again.
76 services58 patients
Simple bladder irrigation and/or instillation 51700
Bladder irrigation and/or instillation is a process where a sterile solution is introduced into the bladder to cleanse it or deliver medication. This procedure helps manage certain bladder conditions, ensuring optimal bladder health.
68 services27 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.
68 services57 patients

Hospital Affiliations CMS Care Compare 3

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

North Shore University Hospital

Acute Care Hospitals · Manhasset, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330106
Location300 Community DriveManhasset, NY 11030 · Nassau County
Emergency services Birthing friendly

Northwell Hospital Glen Cove

Acute Care Hospitals · Glen Cove, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330181
Location101 St Andrews LaneGlen Cove, NY 11542 · Nassau County
Emergency services

Plainview Hospital

Acute Care Hospitals · Plainview, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330331
Location888 Old Country RoadPlainview, NY 11803 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11577 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Reported Quality Measures

Clinical Information Reconciliation
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician performs clinical information reconciliation.
33%340 patients2/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%624 patients4/55-star benchmark: 100%
Patient-Generated Health Data
Patient-generated health data or data from a non-clinical setting is incorporated into the certified EHR technology for at least one unique patient seen by the MIPS eligible clinician during the performance period.
2%502 patients
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from certified EHR technology to identify patient-specific educational resources and provide electronic access to those materials to at least one unique patient seen by the MIPS eligible…
99%502 patients4/55-star benchmark: 100%
Provide Patient Access
For at least one unique patient seen by the MIPS eligible clinician: (1) The patient (or the patient authorized representative) is provided timely access to view online, download, and transmit his or her health information; and (2) The MIPS eligible clinician…
94%502 patients4/55-star benchmark: 100%
Request/Accept Summary of Care
For at least one transition of care or referral received or patient encounter in which the MIPS eligible clinician has never before encountered the patient, the MIPS eligible clinician receives or retrieves and incorporates into the patient's record an…
77%309 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of certified EHR technology to the patient (or the patient-authorized representative), or in…
10%502 patients1/55-star benchmark: 75%
View, Download and Transmit (VDT)
During the performance period, at least one unique patient (or patient-authorized representatives) seen by the MIPS eligible clinician actively engages with the EHR made accessible by the MIPS eligible clinician.
13%502 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 14

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

Nutritionist
216 WILLIS AVE, STE 001
ROSLYN HEIGHTS, NY 11577
Specialist
216 WILLIS AVE
ROSLYN HEIGHTS, NY 11577
Nurse Practitioner (Adult Health)
216 WILLIS AVE, SUITE #1
ROSLYN HEIGHTS, NY 11577
Nutritionist
216 WILLIS AVE, SUITE 001
ROSLYN HEIGHTS, NY 11577
Specialist
216 WILLIS AVE, SUITE 001
ROSLYN HEIGHTS, NY 11577
Dietitian, Registered
216 WILLIS AVE, STE 001
ROSLYN HEIGHTS, NY 11577
Physiological Laboratory
216 WILLIS AVE
ROSLYN HTS, NY 11577
Dietitian, Registered
216 WILLIS AVE
ROSLYN HEIGHTS, NY 11577

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 Johanna Figueroa's NPI number?

The NPI number for Johanna Figueroa is 1730113689. It was assigned to this individual provider in the NPPES registry on July 10, 2006.

Where is Johanna Figueroa located?

Johanna Figueroa practices at 216 Willis Ave Suite 001, Roslyn Heights, NY 11577. The listed phone number is (516) 399-2501.

What is Johanna Figueroa's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Johanna Figueroa enrolled in Medicare?

Yes. Johanna Figueroa 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 Johanna Figueroa affiliated with any hospitals?

According to CMS data, Johanna Figueroa is affiliated with North Shore University Hospital, Northwell Hospital Glen Cove and Plainview Hospital.

When was this NPI record last updated?

The NPPES record for Johanna Figueroa was last updated on March 27, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.