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JAIME CEPEDA MD
NPI 1811932965
Surgery in Middletown, NY

Active since June 20, 2006PECOS EnrolledAccepts Medicare Assignment
86.48/100
CMS Quality Rating
384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941(845) 692-8780 Get Directions Write a Review

NPPES record last updated: September 16, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 16, 2025, Mar 16, 2021 (2 updates tracked since 2021).

About Jaime Cepeda Md NPPES

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

JAIME CEPEDA MD (NPI 1811932965) is an individual surgery provider in Middletown, New York, licensed in New York (229029) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains a secondary practice location in Newburgh.

NPPES Registry Identity

NPI1811932965
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameJAIME CEPEDACredential: MD
Location Address384 CRYSTAL RUN RD STE 201Middletown, NY 10941-4073
Mailing Address384 Crystal Run Rd Ste 201Middletown, NY 10941-4073 · (845) 692-8780 · Fax (845) 692-3439
Phone(845) 692-8780
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1997
Enumeration DateJune 20, 2006
Last NPPES UpdateSeptember 16, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 16, 2025
✔ NPI 1811932965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NY · 229029
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
384 CRYSTAL RUN RD STE 201, Middletown, NY 10941
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Secondary Practice Location 1

Location 15 Hudson Valley Professional PlazaNewburgh, NY 12550-3117 · Phone (845) 692-8780 · Fax (845) 692-3439

Other Identifiers 2

Medicaid02791564NY
OtherWNW101NY · Medicare

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

Jaime Cepeda 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 ID9537264155
PECOS Enrollment IDI20070410000370
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 11

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.

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.
163 services70 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.
110 services32 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.
41 services26 patients
Single contrast x-ray of upper digestive tract 74240
A single contrast x-ray of the upper digestive tract is a diagnostic procedure that uses a special dye and x-rays to see how your digestive system is functioning. It helps in detecting abnormalities or diseases in your esophagus, stomach, and the first part of your small intestine.
34 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
34 services27 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
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.
32 services32 patients

Hospital Affiliations CMS Care Compare 3

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330126
Location707 East Main StreetMiddletown, NY 10940 · Orange County
Emergency services Birthing friendly

Bon Secours Community Hospital

Acute Care Hospitals · Port Jervis, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330135
Location160 East Main StreetPort Jervis, NY 12771 · Orange County
Emergency services

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number330264
Location70 Dubois StreetNewburgh, NY 12550 · Orange County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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
$95.99 typical visit price
range $61.88 – $187.05
Typical copayment $23.99 (range $15.47 – $46.76)
Most-billed visit code 99203
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

86.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality63.47
Improvement Activities40

Reported Quality Measures

Adult Major Depressive Disorder (MDD): Suicide Risk Assessment
0%43 patients
Advance Care Plan
1%252 patients1/55-star benchmark: 100%
Colorectal Cancer Screening
5%734 patients1/55-star benchmark: 88%
Controlling High Blood Pressure
54%334 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
0%165 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
99%165 patients1/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
15%1,450 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
35%1,160 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
13%3,841 patients1/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 235 patients
Patients totalRate: 0% · 236 patients
0%236 patients5/55-star benchmark: 100%
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 2

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

DANIEL W TARALLO PA
Physician Assistant (Medical)
384 CRYSTAL RUN RD STE 201
MIDDLETOWN, NY 10941
Orange County (845) 692-8780
JODY CEPEDA FNP
Nurse Practitioner (Family)
384 CRYSTAL RUN RD STE 201
MIDDLETOWN, NY 10941
Orange County (845) 692-8780

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 Jaime Cepeda's NPI number?

The NPI number for Jaime Cepeda is 1811932965. It was assigned to this individual provider in the NPPES registry on June 20, 2006.

Where is Jaime Cepeda located?

Jaime Cepeda practices at 384 Crystal Run Rd Ste 201, Middletown, NY 10941. The listed phone number is (845) 692-8780.

What is Jaime Cepeda's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Jaime Cepeda enrolled in Medicare?

Yes. Jaime Cepeda 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 Jaime Cepeda affiliated with any hospitals?

According to CMS data, Jaime Cepeda is affiliated with Garnet Health Medical Center, Bon Secours Community Hospital and St Luke's Cornwall Hospital.

When was this NPI record last updated?

The NPPES record for Jaime Cepeda was last updated on September 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.