JEAN-CARLOS JIMENEZ M.D.
NPI 1801154455
Hospitalist in Sharon, CT

Active since May 01, 2012PECOS EnrolledAccepts Medicare Assignment
94.24/100
CMS Quality Rating
50 HOSPITAL HILL RD, SHARON, CT 06069(860) 364-4000 Get Directions Write a Review

NPPES record last updated: October 31, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 14, 2024, Aug 8, 2019, Dec 18, 2017 (3 updates tracked since 2017).

About Jean-carlos Jimenez M.d. NPPES

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

JEAN-CARLOS JIMENEZ M.D. (NPI 1801154455) is an individual hospitalist provider in Sharon, Connecticut, licensed in Connecticut (63895) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, is affiliated with Vassar Brothers Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1801154455
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJEAN-CARLOS JIMENEZCredential: M.D.
Location Address50 HOSPITAL HILL RDSharon, CT 06069-2092
Mailing Address50 Hospital Hill RdSharon, CT 06069-2092
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateMay 1, 2012
Last NPPES UpdateOctober 31, 20253 updates tracked since enumeration
NPPES CertifiedOctober 31, 2025
✔ NPI 1801154455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in CT · 63895
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 291249-1 (NY)
50 HOSPITAL HILL RD, Sharon, CT 06069

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jean-carlos Jimenez 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 ID2567790454
PECOS Enrollment IDI20190830001485, I20200819001914
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jean-carlos Jimenez reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
45 READE PLACE
Poughkeepsie, NY 12601
  • Reassigned Medicare billing, Connecticut enrollment
  • 88 clinicians in this Medicare group
Family Medicine
692 W 204TH ST
New York, NY 10034
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
Emergency Medicine
7 W 96TH ST APT 1H
New York, NY 10025
  • Reassigned Medicare billing, New York enrollment
  • 36 clinicians in this Medicare group
Internal Medicine
9516 63RD RD
Rego Park, NY 11374
  • Reassigned Medicare billing, New York enrollment
Urgent Care
7375 OSWEGO RD, SUITE1
Liverpool, NY 13090
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: Wellnow Urgent Care, P.C.
  • 511 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
299 services155 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
150 services139 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
99 services93 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
24 services17 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.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Vassar Brothers Medical Center

Acute Care Hospitals · Poughkeepsie, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330023
Location45 Reade PlacePoughkeepsie, NY 12601 · Dutchess County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06069 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
$138.84 typical visit price
range $60.82 – $183.10
Typical copayment $34.71 (range $15.20 – $45.77)
Most-billed visit code 99204
Established Patient
$106.68 typical visit price
range $19.76 – $149.26
Typical copayment $26.67 (range $4.94 – $37.31)
Most-billed visit code 99214
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.

94.24/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers24 claims25 services$15.62 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers24 claims25 services$77.52 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.

Nurse Practitioner
50 HOSPITAL HILL RD
SHARON, CT 06069
Dietitian, Registered
50 HOSPITAL HILL RD
SHARON, CT 06069
Specialist
50 HOSPITAL HILL RD
SHARON, CT 06069
Physical Therapist
50 HOSPITAL HILL RD
SHARON, CT 06069
Internal Medicine
50 HOSPITAL HILL RD
SHARON, CT 06069
Nurse Practitioner (Acute Care)
50 HOSPITAL HILL RD
SHARON, CT 06069
Surgery
50 HOSPITAL HILL RD
SHARON, CT 06069
Internal Medicine
50 HOSPITAL HILL RD
SHARON, CT 06069

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 Jean-carlos Jimenez's NPI number?

The NPI number for Jean-carlos Jimenez is 1801154455. It was assigned to this individual provider in the NPPES registry on May 1, 2012.

Where is Jean-carlos Jimenez located?

Jean-carlos Jimenez practices at 50 Hospital Hill Rd, Sharon, CT 06069. The listed phone number is (860) 364-4000.

What is Jean-carlos Jimenez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Jean-carlos Jimenez enrolled in Medicare?

Yes. Jean-carlos Jimenez 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.

Which organizations bill Medicare for Jean-carlos Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jean-carlos Jimenez reassigns Medicare benefits to 5 organizations: Nuvance Health Medical Practice PC (Poughkeepsie, NY), Rye Family Practice PC (New York, NY), Malina Medical Services PC (New York, NY), Jc Jimenez Medical PLLC (Rego Park, NY) and Wellnow Urgent Care, PC (Liverpool, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jean-carlos Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jean-carlos Jimenez affiliated with any hospitals?

According to CMS data, Jean-carlos Jimenez is affiliated with Vassar Brothers Medical Center.

When was this NPI record last updated?

The NPPES record for Jean-carlos Jimenez was last updated on October 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.