DR. JEFFREY PETER FIORENZA M.D.
NPI 1851577605
Internal Medicine - Gastroenterology in Monterey, CA

Active since January 10, 2008PECOS EnrolledAccepts Medicare Assignment
83.78/100
CMS Quality Rating
23 UPPER RAGSDALE DRIVE, SUITE 200, MONTEREY, CA 93940(831) 375-3577(831) 375-1478 Get Directions Write a Review

NPPES record last updated: December 18, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 18, 2020, Sep 17, 2018 (2 updates tracked since 2018).

About Dr. Jeffrey Peter Fiorenza M.d. NPPES

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

DR. JEFFREY PETER FIORENZA M.D. (NPI 1851577605) is an individual gastroenterology provider in Monterey, California, licensed in California (A140177) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS and is a graduate of Johns Hopkins University School Of Medicine (2009).

NPPES Registry Identity

NPI1851577605
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JEFFREY PETER FIORENZACredential: M.D.
Location Address23 UPPER RAGSDALE DRIVE, SUITE 200Monterey, CA 93940-7849
Mailing Address23 Upper Ragsdale Drive, Suite 200Monterey, CA 93940-7849 · (831) 375-3577 · Fax (831) 375-1478
Fax(831) 375-1478
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2009
Enumeration DateJanuary 10, 2008
Last NPPES UpdateDecember 18, 20202 updates tracked since enumeration
NPPES CertifiedDecember 18, 2020
NPI 1851577605 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A140177
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 247495 (MA)
23 UPPER RAGSDALE DRIVE, Monterey, CA 93940

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. Jeffrey Peter Fiorenza 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 ID4789840067
PECOS Enrollment IDI20160811001712
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 23

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.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
208 services207 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.
175 services149 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
145 services145 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.
138 services127 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
128 services126 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.
79 services68 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 93940 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
$139.84 typical visit price
range $61.69 – $184.30
Typical copayment $34.96 (range $15.42 – $46.07)
Most-billed visit code 99204
Established Patient
$108.04 typical visit price
range $20.34 – $151.02
Typical copayment $27.01 (range $5.08 – $37.75)
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.

83.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality75.86
Promoting Interoperability95
Improvement Activities40
Cost70.65

Reported Quality Measures

Advance Care Plan
84%514 patients4/55-star benchmark: 100%
Closing the Referral Loop: Receipt of Specialist Report
33%87 patients2/55-star benchmark: 87%
Colorectal Cancer Screening
83%725 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
45%97 patients2/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
100%126 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%1,566 patients4/55-star benchmark: 100%
e-Prescribing
97%444 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
28%1,114 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
22%1,352 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 38% · 304 patients
36%304 patients
Provide Patients Electronic Access to Their Health Information
61%395 patients3/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
80%142 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 446 patients
Patients totalRate: 2% · 446 patients
2%446 patients4/55-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.

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.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims330 services$5.71 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims4,125 services$0.35 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 Jeffrey Fiorenza's NPI number?

The NPI number for Jeffrey Fiorenza is 1851577605. It was assigned to this individual provider in the NPPES registry on January 10, 2008.

Where is Jeffrey Fiorenza located?

Jeffrey Fiorenza practices at 23 Upper Ragsdale Drive Suite 200, Monterey, CA 93940. The listed phone number is (831) 375-3577.

What is Jeffrey Fiorenza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Jeffrey Fiorenza enrolled in Medicare?

Yes. Jeffrey Fiorenza 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.

When was this NPI record last updated?

The NPPES record for Jeffrey Fiorenza was last updated on December 18, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.