OSCAR O PEREZ JR. DO
NPI 1952415788
Family Medicine in Crittenden, KY

Active since August 18, 2006PECOS EnrolledAccepts Medicare Assignment
90.38/100
CMS Quality Rating
405 VIOLET RD, CRITTENDEN, KY 41030(859) 903-0268(859) 428-1444 Get Directions Write a Review

NPPES record last updated: November 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2022, Oct 8, 2018, Sep 13, 2018 and 3 more (6 updates tracked since 2016).

About Oscar O Perez Jr. Do NPPES

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

OSCAR O PEREZ JR. DO (NPI 1952415788) is an individual family medicine provider in Crittenden, Kentucky, licensed in Kentucky (02598) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Edgewood, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1952415788
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameOSCAR O PEREZ JR.Credential: DO
Location Address405 VIOLET RDCrittenden, KY 41030-8956
Mailing AddressPo Box 635283Cincinnati, OH 45263-5283 · (859) 903-0268 · Fax (859) 428-1444
Fax(859) 428-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 1996
Enumeration DateAugust 18, 2006
Last NPPES UpdateNovember 4, 20226 updates tracked since enumeration
NPPES CertifiedNovember 4, 2022
NPI 1952415788 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in KY · 02598 Licensed in IN · 02005323A
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
405 VIOLET RD, Crittenden, KY 41030

Other Identifiers 3

OtherP01721100KY · Rr Medicare
Medicaid64025947KY
Medicaid0179313OH

Accepted Insurance

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

Oscar O Perez Jr. Do 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 ID4880795301
PECOS Enrollment IDI20070726000764, I20181018001300
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 4

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.
81 services71 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
29 services28 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.
13 services13 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

St Elizabeth Edgewood

Acute Care Hospitals · Edgewood, KY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number180035
Location1 Medical Village DriveEdgewood, KY 41017 · Kenton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 41030 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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.

90.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.76
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030
Physician Assistant
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Family Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Emergency Medicine
405 VIOLET RD
CRITTENDEN, KY 41030
Nurse Practitioner
405 VIOLET RD
CRITTENDEN, KY 41030

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 Oscar Perez's NPI number?

The NPI number for Oscar Perez is 1952415788. It was assigned to this individual provider in the NPPES registry on August 18, 2006.

Where is Oscar Perez located?

Oscar Perez practices at 405 Violet Rd, Crittenden, KY 41030. The listed phone number is (859) 903-0268.

What is Oscar Perez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Oscar Perez enrolled in Medicare?

Yes. Oscar Perez 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.

What insurance does Oscar Perez accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter of Tennessee and CareSource list Oscar Perez 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.

Is Oscar Perez affiliated with any hospitals?

According to CMS data, Oscar Perez is affiliated with St Elizabeth Edgewood.

When was this NPI record last updated?

The NPPES record for Oscar Perez was last updated on November 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.