BIANCA N PLAZA JIMENEZ MD
NPI 1952971806
Hospitalist in Phillipsburg, NJ

Q: What is Bianca Plaza Jimenez's NPI number?

The NPI number for Bianca Plaza Jimenez is 1952971806. It was assigned to this individual provider in the NPPES registry on July 1, 2021. The provider is also known as Bianca N Plaza.

Q: What is Bianca Plaza Jimenez's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Active since July 01, 2021PECOS EnrolledAccepts Medicare Assignment

755 MEMORIAL PKWY STE 300, PHILLIPSBURG, NJ 08865(908) 847-3300(908) 847-7096 Get Directions Write a Review

NPPES record last updated: October 8, 2024. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 8, 2024, Jul 1, 2021 (2 updates tracked since 2021).

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About Bianca N Plaza Jimenez Md NPPES

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

BIANCA N PLAZA JIMENEZ MD (NPI 1952971806) is an individual hospitalist provider in Phillipsburg, New Jersey, licensed in Pennsylvania (MD486815) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Lehigh Valley Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1952971806

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameBIANCA N PLAZA JIMENEZCredential: MD

Location Address755 MEMORIAL PKWY STE 300Phillipsburg, NJ 08865-2748

Mailing Address755 Memorial Pkwy Ste 300Phillipsburg, NJ 08865-2748 · (908) 847-3300 · Fax (908) 847-7096

Phone(908) 847-3300

Fax(908) 847-7096

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateJuly 1, 2021

Last NPPES UpdateOctober 8, 20242 updates tracked since enumeration

NPPES CertifiedOctober 8, 2024

✔ NPI 1952971806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in PA · MD486815

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

755 MEMORIAL PKWY STE 300, Phillipsburg, NJ 08865

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Other Names 1

Former Name (1)Bianca N Plaza

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

Bianca N Plaza Jimenez Md 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 ID4688106297

PECOS Enrollment IDI20241021000285

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 3

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.

39 services22 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.

33 services18 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.

19 services19 patients

Hospital Affiliations CMS Care Compare

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

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390133

Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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.

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.

DR. QUINCY ROBERT HERDLEIN DO

Student in an Organized Health Care Education/Training Program