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DR. JACOB A OUSEPH M.D
NPI 1922274893
Internal Medicine in Suffern, NY

Active since May 01, 2008PECOS Enrolled
100/100
CMS Quality Rating
255 LAFAYETTE AVE, SUFFERN, NY 10901(845) 368-5000(845) 368-5989 Get Directions Write a Review

NPPES record last updated: June 27, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jacob A Ouseph M.d NPPES

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

DR. JACOB A OUSEPH M.D (NPI 1922274893) is an individual internal medicine provider in Suffern, New York, licensed in New York (258703) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922274893
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JACOB A OUSEPHCredential: M.D
Location Address255 LAFAYETTE AVESuffern, NY 10901-4812
Mailing Address6 Quail Hollow LnWest Nyack, NY 10994-2914
Phone(845) 368-5000
Fax(845) 368-5989
Sole ProprietorNo
Enumeration DateMay 1, 2008
Last NPPES UpdateJune 27, 2013
✔ NPI 1922274893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 258703
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
255 LAFAYETTE AVE, Suffern, NY 10901
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Jacob A Ouseph M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Jacob Ouseph reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Westchester Medical Center Advanced Physician Services PC
17 mi
Anesthesiology
100 WOODS RD, TAYLOR PAVILION - ROOM M229
Valhalla, NY 10595
  • Reassigned Medicare billing, New York enrollment
  • 1,663 clinicians in this Medicare group
NPI 1740687458 (914) 493-2844
The Westchester Medical Practice, PC
18 mi
Multi-Specialty
1980 CROMPOND RD
Cortlandt Manor, NY 10567
  • Reassigned Medicare billing, New York enrollment
  • 307 clinicians in this Medicare group
NPI 1982109120 (914) 739-0087
Newburgh Physician Services PC
54 mi
Physical Medicine & Rehabilitation
66 W GILBERT ST
Tinton Falls, NJ 07701
  • Reassigned Medicare billing, New York enrollment
  • 52 clinicians in this Medicare group
NPI 1205268364 (732) 212-0051

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 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.
282 services99 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.
210 services81 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.
76 services74 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.
32 services32 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10901 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
57%236 patients3/55-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

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

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
1 supplier11 claims11 services$54.59 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.

KAREEM ELTAKI ELTAKI MD
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
HOLLY DURNIAK
Speech-Language Pathologist
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
ROBERT PALACIOS
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5000
MARY ROSE ABPLANALP N.P.
Nurse Practitioner (Acute Care)
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 323-2942
MRS. ALISON M SULLIVAN RD
Dietitian, Registered
255 LAFAYETTE AVE, NUTRITION SERVICES
SUFFERN, NY 10901
Rockland County (845) 368-5016
STEPHANIE MOURA M.D.
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 357-5775
DR. BERNARD BAEZ M.D.
Anesthesiology
255 LAFAYETTE AVE
SUFFERN, NY 10901
Rockland County (845) 368-5039
FRANCES DOELLINGER RD, CDN
Dietitian, Registered
255 LAFAYETTE AVE, NUTRITION SERVICES
SUFFERN, NY 10901
Rockland County (845) 368-5000

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 Jacob Ouseph's NPI number?

The NPI number for Jacob Ouseph is 1922274893. It was assigned to this individual provider in the NPPES registry on May 1, 2008.

Where is Jacob Ouseph located?

Jacob Ouseph practices at 255 Lafayette Ave, Suffern, NY 10901. The listed phone number is (845) 368-5000.

What is Jacob Ouseph's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jacob Ouseph enrolled in Medicare?

Yes. Jacob Ouseph is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jacob Ouseph's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Ouseph reassigns Medicare benefits to 3 organizations: Westchester Medical Center Advanced Physician Services PC (Valhalla, NY), The Westchester Medical Practice, PC (Cortlandt Manor, NY) and Newburgh Physician Services PC (Tinton Falls, NJ). 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 Jacob Ouseph's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Ouseph accept?

Health plans from Oscar Health list Jacob Ouseph as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Ouseph was last updated on June 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.