DR. THOMAS B PERERA M.D.
NPI 1750376919
Emergency Medicine in Bronx, NY
Quality Rating: 90.55 out of 100 score
NPI Status: Active since September 14, 2005
Contact Information
111 E 210TH ST
BRONX, NY
ZIP 10467
Phone: (718) 920-6626
- Individual
- Male
- Years of Experience 34
- Emergency Medicine
- Accepts Medicare Approved Payment
- PECOS Enrolled
About THOMAS PERERA
This page provides the complete NPI Profile along with additional information for Thomas Perera, a provider established in Bronx, New York with a medical specialization in Emergency Medicine and more than 34 years of experience. He graduated from Albany Medical College Of Union University in 1992. The healthcare provider is registered in the NPI registry with number 1750376919 assigned on September 2005. The practitioner's primary taxonomy code is 207P00000X with license number 199330-1 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1750376919
- Provider Name
- DR. THOMAS B PERERA M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 111 E 210TH ST BRONX, NY 10467
- Location Phone
- (718) 920-6626
- Mailing Address
- 624 FORTHILL RD SCARSDALE, NY 10583
- Mailing Phone
- (718) 918-2051
- Medical School Name
- ALBANY MEDICAL COLLEGE OF UNION UNIVERSITY
- Graduation Year
- 1992
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-14-2005
- Last Update Date
- 07-08-2007
- Code Navigator
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
Emergency Medicine
- Taxonomy Code
- 207P00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 199330-1
- License State
- NY
- Taxonomy Description
- An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
DD2547 | MEDICARE ID-TYPE UNSPECIFIED (04) | NY | |
02334307 | MEDICAID (05) | NY | |
G26333 | MEDICARE UPIN (02) | NY |
Medicare Participation & PECOS Enrollment Status
Thomas Perera is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Thomas Perera 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
PECOS PAC ID: 4082709324
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20071002000716
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.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 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.
Critical care, first 30-74 minutes
Emergency department visit for life threatening or functioning severity
Emergency department visit for problem of high severity
Emergency department visit for problem of moderate severity
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
This service was performed 41 times for 41 patientsAn emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
This service was performed 153 times for 153 patientsAn emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
This service was performed 100 times for 100 patientsAn emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
This service was performed 17 times for 17 patientsA routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
This service was performed 70 times for 69 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $26.26 for a new patient copayment and $29.4 for an established patient copayment.
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 10467 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $105.06
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $26.26
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* 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 90.55, 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: 90.55 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: 73.33
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: 91.84
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: 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. -
Cost Score: 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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical 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. Thomas Perera is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
---|---|---|---|---|
NORTH SHORE UNIVERSITY HOSPITAL | 300 COMMUNITY DRIVE MANHASSET, NY 11030 | (516) 562-0100 | Acute Care Hospitals | |
LONG ISLAND JEWISH MEDICAL CENTER | 270 - 05 76TH AVENUE NEW HYDE PARK, NY 11040 | (718) 470-7000 | Acute Care Hospitals |
Reviews for DR. THOMAS B PERERA M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
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. | |||||||||
1 | 7 | 5 | 0 | 3 | 7 | 6 | 9 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 10 | 0 | 6 | 7 | 12 | 9 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 1 + 0 + 0 + 6 + 7 + 1 + 2 + 9 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1750376919 is valid because the calculated check digit 9 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.
MS. CALETHA DICKS CRNA
Nurse Anesthetist, Certified Registered
111 E 210TH ST
BRONX, NY
ZIP 10467
DR. LEONARD FREEMAN MD
Nuclear Medicine
111 E 210TH ST
BRONX, NY
ZIP 10467
PING ZHOU MD
Pediatrics
(Pediatric Endocrinology)
111 E 210TH ST
BRONX, NY
ZIP 10467
DR. RICHARD HERBERT SAVEL MD
Internal Medicine
(Critical Care Medicine)
111 E 210TH ST
MONTEFIORE MEDICAL CENTER
BRONX, NY
ZIP 10467
DR. FRED SMITH M.D.
Pathology
(Anatomic Pathology & Clinical Pathology)
111 E 210TH ST
MONTEFIORE MED CTR DEPT PATHOLOGY
BRONX, NY
ZIP 10467
DR. SEYMOUR SOLOMON M.D.
Psychiatry & Neurology
(Neurology)
111 E 210TH ST
BRONX, NY
ZIP 10467
KAYANN WILSON
Nurse Practitioner
(Adult Health)
111 E 210TH ST
BRONX, NY
ZIP 10467
HENRY M USHAY MD
Pediatrics
111 E 210TH ST
ROSENTHAL 4
BRONX, NY
ZIP 10467
DR. ANDREA MARIE PORROVECCHIO MD
Internal Medicine
111 E 210TH ST
NW6
BRONX, NY
ZIP 10467
SARAH BELLEMARE M.D.
Surgery
111 E 210TH ST
ROSENTHAL 2
BRONX, NY
ZIP 10467
DR. JONATHAN PHILIP LEVINE M.D.
Ophthalmology
111 E 210TH ST
DEPT OF OPHTHALMOLOGY
BRONX, NY
ZIP 10467
DR. ALINA O. DULU M.D.
Anesthesiology
(Critical Care Medicine)
111 E 210TH ST
BRONX, NY
ZIP 10467
DR. PAUL RISKA MD
Internal Medicine
(Infectious Disease)
111 E 210TH ST
BRONX, NY
ZIP 10467
ENVER AKALIN M.D.
Internal Medicine
(Nephrology)
111 E 210TH ST
MONTEFIORE MEDICAL CENTER
BRONX, NY
ZIP 10467
GITIT TOMER M.D.
General Acute Care Hospital
(Children)
111 E 210TH ST
BRONX, NY
ZIP 10467
ANDREW K CHANG M.D.
Emergency Medicine
111 E 210TH ST
EMERGENCY DEPARTMENT
BRONX, NY
ZIP 10467
DR. YELENA AVERBUKH M.D.
Internal Medicine
111 E 210TH ST
BRONX, NY
ZIP 10467
MRS. JAMIE R MCKAY RN
Registered Nurse
111 E 210TH ST
BRONX, NY
ZIP 10467
KATHLEEN M. FAHEY R.N.
Registered Nurse
(Medical-Surgical)
111 E 210TH ST
MAP 4 DEPT OF SURGERY
BRONX, NY
ZIP 10467
DR. ALAN TEIGMAN M.D.
Emergency Medicine
111 E 210TH ST
BRONX, NY
ZIP 10467
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1750376919, enumerated as an "individual" on September 14, 2005.
The provider is located at 111 E 210TH ST BRONX, NY 10467 and the phone number is (718) 920-6626.
Emergency Medicine with taxonomy code 207P00000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
Thomas Perera is affiliated with: NORTH SHORE UNIVERSITY HOSPITAL and LONG ISLAND JEWISH MEDICAL CENTER.