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DR. JOEL EFRAIN NIEVES SCHARON M.D.
NPI 1841569308
Internal Medicine - Pulmonary Disease in San Juan, PR

Active since December 29, 2011PECOS EnrolledAccepts Medicare Assignment
400 AVE FRANKLIN D. ROOSEVELT, CLINICA LAS AMERICAS SUITE 205, SAN JUAN, PR 00923(787) 763-5164 Get Directions Write a Review

NPPES record last updated: July 10, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2018, May 14, 2018 (2 updates tracked since 2018).

About Dr. Joel Efrain Nieves Scharon M.d. NPPES

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

DR. JOEL EFRAIN NIEVES SCHARON M.D. (NPI 1841569308) is an individual pulmonary disease provider in San Juan, Puerto Rico, licensed in Puerto Rico (019927) and active in the NPI registry since December 2011. He is enrolled in Medicare PECOS, is affiliated with San Juan Municipal Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1841569308
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. JOEL EFRAIN NIEVES SCHARONCredential: M.D.
Location Address400 AVE FRANKLIN D. ROOSEVELT, CLINICA LAS AMERICAS SUITE 205San Juan, PR 00923
Mailing Address1019 Avenue Luis Vigoreaux Doral Plaza, Apartment 10lGuaynabo, PR 00966 · (787) 342-2584
Phone(787) 763-5164
Sole ProprietorYes
Medical School CMSOtherGraduated 2010
Enumeration DateDecember 29, 2011
Last NPPES UpdateJuly 10, 20182 updates tracked since enumeration
✔ NPI 1841569308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in PR · 019927
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 019927 (PR)

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

Dr. Joel Efrain Nieves Scharon 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 ID1355691395
PECOS Enrollment IDI20180912001761
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 8

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 services67 patients
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.
153 services34 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.
106 services49 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
80 services64 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
59 services59 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

San Juan Municipal Hospital

Acute Care Hospitals · Rio Piedras, PR
OwnershipGovernment - Local
CMS Certification Number400015
LocationBarrio Monacillos,centro MedicoRio Piedras, PR 00936 · San Juan County
Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00923 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers18 claims18 services$84.42 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers11 claims11 services$25.80 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers19 claims19 services$24.62 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers21 claims73 services$3.53 avg. paid by Medicare
Humidifier, heated, used with positive airway pressure device E0562
DME-Other DME · category DE001N
1 supplier16 claims16 services$21.32 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
3 suppliers32 claims32 services$52.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Joel Nieves Scharon's NPI number?

The NPI number for Joel Nieves Scharon is 1841569308. It was assigned to this individual provider in the NPPES registry on December 29, 2011.

Where is Joel Nieves Scharon located?

Joel Nieves Scharon practices at 400 Ave Franklin D. Roosevelt Clinica Las Americas Suite 205, San Juan, PR 00923. The listed phone number is (787) 763-5164.

What is Joel Nieves Scharon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Joel Nieves Scharon enrolled in Medicare?

Yes. Joel Nieves Scharon 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 Joel Nieves Scharon affiliated with any hospitals?

According to CMS data, Joel Nieves Scharon is affiliated with San Juan Municipal Hospital and Hospital Pavia Santurce.

When was this NPI record last updated?

The NPPES record for Joel Nieves Scharon was last updated on July 10, 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.