DR. STACEY A SARMIENTO D.P.M.
NPI 1912902909
Podiatrist in Rochester, NY


Quality Rating: 92.8 out of 100 score

NPI Status: Active since June 16, 2005

Contact Information

2211 LYELL AVE
STE 103
ROCHESTER, NY
ZIP 14606
Phone: (585) 426-4460
Fax: (585) 426-4475

Get Directions Reviews

  • Individual
  • Female
  • Years of Experience 29
  • Podiatrist
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About STACEY SARMIENTO

Stacey Sarmiento is a provider established in Rochester, New York and her medical specialization is Podiatrist with more than 29 years of experience. She graduated from William M. Scholl College Of Podiatric Medicine in 1995. The healthcare provider is registered in the NPI registry with number 1912902909 assigned on June 2005. The practitioner's primary taxonomy code is 213E00000X with license number N005343 (NY). The provider is registered as an individual and her NPI record was last updated 13 years ago.

NPI
1912902909
Provider Name
DR. STACEY A SARMIENTO D.P.M.
Gender
Female
Entity Type
Individual
Location Address
2211 LYELL AVE STE 103 ROCHESTER, NY 14606
Location Phone
(585) 426-4460
Location Fax
(585) 426-4475
Mailing Address
2211 LYELL AVE STE 103 ROCHESTER, NY 14606
Mailing Phone
(585) 426-4460
Mailing Fax
(585) 426-4475
Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Graduation Year
1995
Is Sole Proprietor?
Yes
Enumeration Date
06-16-2005
Last Update Date
10-11-2011
Code Navigator

A podiatrist like Stacey Sarmiento provides medical and surgical care for people with foot, ankle, and lower leg issues. Podiatrists treat foot and ankle ailments like calluses, ingrown toenails, heel spurs, arthritis, congenital foot deformities, foot problems associated with diabetes and arch problems.

Stacey Sarmiento 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.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 92.8, 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 typical physician office visit costs for Medicare beneficiaries in this area are: $22.01 for a new patient copayment and $17.92 for an established patient copayment.

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

Podiatrist

Taxonomy Code
213E00000X
Type
Podiatric Medicine & Surgery Service Providers
License No.
N005343
License State
NY
Taxonomy Description
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Medicare

  • Medicaid


*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
U65595MEDICARE UPIN (02) 
DD6418MEDICARE ID-TYPE UNSPECIFIED (04) 
01799224MEDICAID (05)NY 

PECOS Enrollment and Medicare Participation Status

Stacey Sarmiento 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) and a Home Health Agency (HHA).

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: 9638073059

    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: I20031126000126

    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: No

Physician Visit Costs

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 14606 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $88.06
  • Minimum New Patient Price $57.17
  • Maximum New Patient Price $174.05
  • Average New Patient Copayment $22.01
  • Minimum New Patient Copayment $14.29
  • Maximum New Patient Copayment $43.51

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $71.71
  • Minimum Established Patient Price $17.76
  • Maximum Established Patient Price $142.28
  • Average Established Patient Copayment $17.92
  • Minimum Established Patient Copayment $4.44
  • Maximum Established Patient Copayment $35.57

* 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 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: 92.8 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: 85.6

    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: 100

    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.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 123

    Removal of tissue from 6 or more finger or toe nails (HCPCS:11721)

  • 45

    Removal of 2 to 4 thickened skin growths (HCPCS:11056)

Hospital Affiliations

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. Stacey Sarmiento is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ROCHESTER GENERAL HOSPITAL1425 PORTLAND AVENUE
ROCHESTER, NY 14621
(585) 922-4000Acute Care Hospitals
UNITY HOSPITAL1555 LONG POND ROAD
ROCHESTER, NY 14626
(585) 723-7000Acute Care Hospitals

Reviews for DR. STACEY A SARMIENTO D.P.M.

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.
1912902909
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2922180490
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 8 + 0 + 4 + 9 + 0 + 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 = 99

The NPI number 1912902909 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 12 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1386640712 GREGORY DAVID LEWISH M.D.
Individual
Orthopaedic Surgery2211 LYELL AVE STE 107
ROCHESTER, NY 14606
(585) 429-6440
1891791224 WILLIAM ANDREW CISZEWSKI M.D.
Individual
Orthopaedic Surgery2211 LYELL AVE STE 107
ROCHESTER, NY 14606
(585) 429-6440
1821037094DR. CLIFFORD J HURLEY D.O.
Individual
Family Medicine2211 LYELL AVE SUITE 101
ROCHESTER, NY 14606
(585) 426-0530
1891722062DR. JAGAT MEHTA MD
Individual
Internal Medicine2211 LYELL AVE
ROCHESTER, NY 14606
(585) 429-6550
1073545109DR. LEENA MEHTA MD
Individual
Dermatology2211 LYELL AVE
ROCHESTER, NY 14606
(585) 429-5555
1417094319 MICHAEL LAWRENCE AKYUZ DPM
Individual
Podiatrist2211 LYELL AVE SUITE 9
ROCHESTER, NY 14606
(585) 429-6501
1336388529CLIFFORD J HURLEY D.O., LLC
Organization
Family Medicine2211 LYELL AVE SUITE 101
ROCHESTER, NY 14606
(585) 426-0530
1356643779JAGAT S MEHTA MD PC
Organization
Internal Medicine2211 LYELL AVE
ROCHESTER, NY 14606
(585) 429-6550
1891183679ST FINGER LAKES MEDICAL PLLC
Organization
Physical Medicine & Rehabilitation (Pain Medicine)2211 LYELL AVE SUITE 106
ROCHESTER, NY 14606
(585) 247-2000
1962430975LEENA MEHTA .D., P.C.
Organization
Dermatology2211 LYELL AVE
ROCHESTER, NY 14606
(585) 429-5555
1346271871WESTSIDE ORTHOPAEDIC GROUP P.C.
Organization
Orthopaedic Surgery2211 LYELL AVE SUITE 107
ROCHESTER, NY 14606
(585) 429-6440
1902216393 JENNIFER LYNN TUTTLE FNP
Individual
Nurse Practitioner (Family)2211 LYELL AVE
ROCHESTER, NY 14606
(585) 426-0530

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912902909, enumerated in the NPI registry as an "individual" on June 16, 2005

The provider is located at 2211 Lyell Ave Ste 103 Rochester, Ny 14606 and the phone number is (585) 426-4460

The provider's speciality is Podiatrist with taxonomy code 213E00000X

The provider has more than 29 years of experience. She graduated from William M. Scholl College Of Podiatric Medicine in 1995.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 14, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME) and a Home Health Agency (HHA).

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

Medicare beneficiaries should expect a typical cost of $88.06 with an average copayment of $22.01 for new patient appointments. Established patients should expect a typical charge of $71.71 and an average copayment of 17.92. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Removal of tissue from 6 or more finger or toe nails and Removal of 2 to 4 thickened skin growths.

The practitioner is affiliated to the following hospital(s): ROCHESTER GENERAL HOSPITAL and UNITY HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 16, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.