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DR. GUILLERMO BETHENCOURT M.D.
NPI 1952321465
Internal Medicine in Old Bridge, NJ

Active since July 20, 2006PECOS Enrolled
3 HOSPITAL PLZ, SUITE 303, OLD BRIDGE, NJ 08857(732) 360-1600(732) 360-1601 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Guillermo Bethencourt M.d. NPPES

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

DR. GUILLERMO BETHENCOURT M.D. (NPI 1952321465) is an individual internal medicine provider in Old Bridge, New Jersey, licensed in New Jersey (MA54671) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1952321465
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUILLERMO BETHENCOURTCredential: M.D.
Location Address3 HOSPITAL PLZ, SUITE 303Old Bridge, NJ 08857-3093
Mailing Address3 Hospital Plaza, Suite 303Old Bridge, NJ 08857
Phone(732) 360-1600
Fax(732) 360-1601
Sole ProprietorYes
Enumeration DateJuly 20, 2006
Last NPPES UpdateJanuary 11, 2013
✔ NPI 1952321465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA54671
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.
3 HOSPITAL PLZ, Old Bridge, NJ 08857
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Other Names 1

Professional Name (2)Dr. Guillermo Bethencourt M.d.

Other Identifiers 1

Medicare UPINE55142NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guillermo Bethencourt 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08857 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
20%103 patients1/55-star benchmark: 98%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
77%103 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
98%2,547 patients4/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
92%1,233 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
10%20 patients1/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%29 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%399 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
50%246 patients3/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
31%712 patients2/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
19%479 patients1/55-star benchmark: 88%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
18%633 patients1/55-star benchmark: 96%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients tobacco: 83% · 578 patients
91%578 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
39%399 patients2/55-star benchmark: 100%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 4% · 246 patients
18%246 patients1/55-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 20

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

LEADING MEDICAL CARE LLC
Clinic/Center (Primary Care)
3 HOSPITAL PLZ, SUITE 409
OLD BRIDGE, NJ 08857
Middlesex County (973) 975-3084
RARITAN BAY INFECTIOUS DISEASES CONSULTANTS,PA
Specialist
3 HOSPITAL PLZ, SUITE 208
OLD BRIDGE, NJ 08857
Middlesex County (732) 360-2700
COASTAL MEDICAL GROUP PA
Internal Medicine
3 HOSPITAL PLZ, SUITE 315
OLD BRIDGE, NJ 08857
Middlesex County (732) 360-1500
STEPHANIE RENEE MISTRETTA MSN, APRN, ACNPC-AG
Nurse Practitioner (Acute Care)
3 HOSPITAL PLZ
OLD BRIDGE, NJ 08857
Middlesex County (732) 360-2700
HEALTHCARE PAIN & REHABILITATION INC
Clinic/Center (Pain)
3 HOSPITAL PLZ, STE 309
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-9000
HEALTHCARE PAIN & REHABILITATION
Specialist
3 HOSPITAL PLZ, SUITE 309
OLD BRIDGE, NJ 08857
Middlesex County (732) 607-9000
MICHAEL SCHMIERER DPM
Podiatrist (Foot & Ankle Surgery)
3 HOSPITAL PLZ, STE 314
OLD BRIDGE, NJ 08857
Middlesex County (732) 360-9200
PREMIER UROLOGY GROUP LLC
Specialist
3 HOSPITAL PLZ, SUITE 200
OLD BRIDGE, NJ 08857
Middlesex County (732) 679-2010

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 Guillermo Bethencourt's NPI number?

The NPI number for Guillermo Bethencourt is 1952321465. It was assigned to this individual provider in the NPPES registry on July 20, 2006. The provider is also known as Dr. Guillermo Bethencourt M.D..

Where is Guillermo Bethencourt located?

Guillermo Bethencourt practices at 3 Hospital Plz Suite 303, Old Bridge, NJ 08857. The listed phone number is (732) 360-1600.

What is Guillermo Bethencourt's specialty?

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

Is Guillermo Bethencourt enrolled in Medicare?

Yes. Guillermo Bethencourt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Guillermo Bethencourt was last updated on January 11, 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.