DR. ROY HO HSIN CHEN MD
NPI 1720248081
Internal Medicine - Hematology & Oncology in Riverhead, NY
Quality Rating: 80 out of 100 score
NPI Status: Active since June 11, 2008
Contact Information
750 OLD COUNTRY ROAD BUILDING 2
RIVERHEAD, NY
ZIP 11901
Phone: (631) 751-3000
Fax: (631) 675-2001
- Individual
- Male
- Years of Experience 18
- Internal Medicine
- Hematology & Oncology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About ROY CHEN
This page provides the complete NPI Profile along with additional information for Roy Chen, an internist established in Riverhead, New York with a medical specialization in Internal Medicine, focusing in hematology & oncology and more than 18 years of experience. He graduated from State University Of Ny Upstate Medical University in 2008. The healthcare provider is registered in the NPI registry with number 1720248081 assigned on June 2008. The practitioner's primary taxonomy code is 207RH0003X with license number 262509 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1720248081
- Provider Name
- DR. ROY HO HSIN CHEN MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 750 OLD COUNTRY ROAD BUILDING 2 RIVERHEAD, NY 11901
- Location Phone
- (631) 751-3000
- Location Fax
- (631) 675-2001
- Mailing Address
- 1500 ROUTE 112 BLDG 4 PORT JEFFERSON STATION, NY 11776
- Mailing Phone
- (631) 751-3000
- Mailing Fax
- (631) 675-2001
- Medical School Name
- STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
- Graduation Year
- 2008
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-11-2008
- Last Update Date
- 02-03-2020
- Code Navigator
An internist like Roy Chen is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
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
Internal Medicine Hematology & Oncology
- Taxonomy Code
- 207RH0003X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 262509
- License State
- NY
- Taxonomy Description
- An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Medicare Participation & PECOS Enrollment Status
Roy Chen 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.
Roy Chen 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), a Home Health Agency (HHA) and Power Mobility Devices.
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: 1658540182
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: I20110817000675
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: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Unknown
Other-Enteral and Parenteral (OB005N)
Parenteral nutrition solution, not otherwise specified, 10 grams lipids (HCPCS:B4185)
1 DME suppliers used 16 Medicare Claims 96 Services Paid
Other-Enteral and Parenteral (OB005N)
Parenteral nutrition solution; compounded amino acid and carbohydrates with electrolytes, trace elements, and vitamins, including preparation, any strength, 52 to 73 grams of protein - premix (HCPCS:B4193)
1 DME suppliers used 16 Medicare Claims 48 Services Paid
Other-Enteral and Parenteral (OB005N)
Parenteral nutrition supply kit; premix, per day (HCPCS:B4220)
1 DME suppliers used 16 Medicare Claims 48 Services Paid
Other-Enteral and Parenteral (OB005N)
Parenteral nutrition administration kit, per day (HCPCS:B4224)
1 DME suppliers used 16 Medicare Claims 48 Services Paid
Treatment-Treatment - Miscellaneous (RX029N)
Capecitabine, oral, 500 mg (HCPCS:J8521)
2 DME suppliers used 24 Medicare Claims 1922 Services Paid
Treatment-Chemotherapy (RH012N)
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period (HCPCS:Q0512)
2 DME suppliers used 19 Medicare Claims 19 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Acute hepatitis panel
Administration of additional new drug or substance into vein using push technique
Administration of additional new drug or substance into vein, 1 hour or less
Administration of chemotherapy into vein, 1 hour or less
Administration of chemotherapy into vein, each additional hour
Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle
Administration of influenza virus vaccine
Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle
Albumin (protein) level
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
Beta-2 microglobulin (protein) level
Bilirubin level, total
Biopsy and aspiration of bone marrow sample for diagnosis
Blood creatinine level
Blood glucose (sugar) level
Blood smear for iron
Blood test, basic group of blood chemicals (calcium, ionized)
Blood test, basic group of blood chemicals (calcium, total)
Blood test, clotting time
Blood test, comprehensive group of blood chemicals
Blood test, lipids (cholesterol and triglycerides)
Blood test, thyroid stimulating hormone (tsh)
Carcinoembryonic antigen (cea) protein level
Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l
Cholesterol level
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month
Coagulation assessment blood test, plasma or whole blood
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service)
Cortisol (hormone) measurement, total
Cyanocobalamin (vitamin b-12) level
Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies
Detection test by nucleic acid for multiple organisms, amplified probe(s) technique
Detection test by nucleic acid for multiple types influenza virus
Detection test by nucleic acid for organism, amplified probe technique
Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique
Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique
Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique
Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique
Detection test for candida species (yeast), amplified probe technique
Drawing of blood for a medical problem
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Ferritin (blood protein) level
Flow cytometry technique for dna or cell analysis, each additional marker
Flow cytometry technique for dna or cell analysis, first marker
Folic acid level, serum
Follow-up hospital inpatient care per day, typically 35 minutes
Gammaglobulin (immune system protein) measurement
Gene analysis (calreticulin), common variants
Gene analysis (janus kinase 2) targeted sequence analysis
Gene analysis (janus kinase 2) variant
Gene analysis (mpl proto-oncogene, thrombopoietin receptor) for detection of common variants
Haptoglobin (serum protein) level
Hemoglobin a1c level
Ige (immune system protein) level
Immunologic analysis for detection of tumor antigen, quantitative; ca 125
Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3
Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9
Immunologic analysis technique on serum (immunofixation)
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free
Infusion into a vein for hydration, 31-60 minutes
Infusion into a vein for hydration, each additional hour
Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less
Infusion into a vein for therapy, prevention, or diagnosis, each additional hour
Infusion, normal saline solution , 1000 cc
Infusion, normal saline solution, 250 cc
Infusion, normal saline solution, sterile (500 ml = 1 unit)
Initial hospital inpatient care per day, typically 70 minutes
Injection of additional new drug or substance into vein
Injection of drug or substance into vein
Injection of drug or substance under skin or into muscle
Injection, carboplatin, 50 mg
Injection, darbepoetin alfa, 1 microgram (non-esrd use)
Injection, denosumab, 1 mg
Injection, dexamethasone sodium phosphate, 1 mg
Injection, diphenhydramine hcl, up to 50 mg
Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units
Injection, ertapenem sodium, 500 mg
Injection, etoposide, 10 mg
Injection, ferric carboxymaltose, 1 mg
Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram
Injection, fluorouracil, 500 mg
Injection, fosnetupitant 235 mg and palonosetron 0.25 mg
Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg
Injection, iron sucrose, 1 mg
Injection, leucovorin calcium, per 50 mg
Injection, magnesium sulfate, per 500 mg
Injection, nivolumab, 1 mg
Injection, ondansetron hydrochloride, per 1 mg
Injection, oxaliplatin, 0.5 mg
Injection, paclitaxel, 1 mg
Injection, pegfilgrastim, excludes biosimilar, 0.5 mg
Injection, pembrolizumab, 1 mg
Injection, potassium chloride, per 2 meq
Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg
Insertion of needle into vein for collection of blood sample
Iron binding capacity
Iron level
Irrigation of implanted venous access drug delivery device
Lactate dehydrogenase (enzyme) level
Leuprolide acetate (for depot suspension), 7.5 mg
Liver function blood test panel
Magnesium level
Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody
Measurement c-reactive protein for detection of infection or inflammation, high sensitivity
Measurement of total estradiol (hormone)
Molecular pathology procedure; physician interpretation and report
New patient office or other outpatient visit, 60-74 minutes
Nuclear medicine study from skull base to mid-thigh with ct scan
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Parathormone (parathyroid hormone) level
Phosphatase (enzyme) measurement, acid, total
Phosphate level
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or
Protein measurement, serum
Psa (prostate specific antigen) measurement, total
Red blood cell concentration measurement
Red blood cell sedimentation rate, to detect inflammation, non-automated
Red blood count, manual test
Rheumatoid factor level
Stool analysis for blood to screen for colon tumors
Testosterone (hormone) level, total
Thyroid hormone evaluation
Thyroxine (thyroid chemical), free
Thyroxine (thyroid chemical), total
Transitional care management services for problem of high complexity
Transitional care management services for problem of moderate complexity
Triglycerides level
Urea nitrogen level to assess kidney function, quantitative
Uric acid level, blood
Urinalysis, manual test
Vitamin d-3 level
An acute hepatitis panel is a set of blood tests that checks for specific markers in your blood that indicate a recent infection with a type of hepatitis virus. It helps determine which type of hepatitis you may have to guide appropriate treatment.
This service was performed 66 times for 64 patientsThis procedure involves injecting a new medication or substance directly into your vein using a method called the 'push' technique. It's a quick way to deliver medication into your bloodstream for fast-acting relief or treatment.
This service was performed 115 times for 30 patientsThis procedure involves introducing a new drug or substance into your vein, typically via an IV drip. It lasts for an hour or less. This method allows the substance to quickly reach your bloodstream, ensuring rapid and effective treatment.
This service was performed 211 times for 62 patientsChemotherapy is a treatment that uses drugs to destroy cancer cells. When administered into a vein, it's often through an IV. This procedure usually lasts 1 hour or less. You may feel a slight pinch as the needle is inserted, but it's generally painless.
This service was performed 797 times for 193 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. The drugs are administered into a vein, usually in the arm. Each additional hour of chemotherapy allows for more of the medication to enter your bloodstream to fight against the cancer cells.
This service was performed 168 times for 58 patientsThis procedure involves the injection of hormone-based anti-cancer drugs under the skin or into a muscle. These medications help to slow down or stop the growth of certain types of cancer cells. The process is usually quick and can be performed in a clinic or hospital.
This service was performed 104 times for 39 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 58 times for 58 patientsThis procedure involves giving anti-cancer drugs, which don't contain hormones, into the muscle or under the skin. These drugs help to stop the growth of cancer cells. The process is usually quick and done by a healthcare professional.
This service was performed 131 times for 18 patientsThe Albumin Level test measures the amount of albumin, a vital protein made by the liver, in your blood. This protein helps keep fluid in your bloodstream so it doesn't leak into other tissues. It's also vital for tissue growth and healing. Low or high levels can indicate certain health issues.
This service was performed 19 times for 12 patientsThis 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.
This service was performed 72 times for 61 patientsThe Beta-2 microglobulin level test measures the amount of this protein in your blood. It's often used to check kidney function or monitor certain cancers. High levels may indicate a health issue. The test involves a simple blood draw.
This service was performed 190 times for 110 patientsA total bilirubin level test is a blood test that helps check how well your liver is functioning. It measures bilirubin, a yellow substance your body creates when it breaks down red blood cells. High levels may indicate a problem with your liver or bile duct.
This service was performed 35 times for 33 patientsA bone marrow biopsy and aspiration is a procedure where a small amount of bone marrow is removed for testing. It involves inserting a needle into a bone, typically the hip, to collect a sample. It can help diagnose various diseases and monitor treatment effectiveness.
This service was performed 19 times for 17 patientsA blood creatinine level test measures the amount of creatinine in your blood. Creatinine is a waste product that your body produces when it uses energy. High levels may indicate that your kidneys aren't working properly. This test is often used to monitor kidney health.
This service was performed 22 times for 22 patientsA blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
This service was performed 15 times for 15 patientsA blood smear for iron is a lab test that helps to evaluate your body's iron levels. A small sample of your blood is taken, spread thinly onto a glass slide, and examined under a microscope. This helps to identify any iron-related conditions such as anemia or iron overload.
This service was performed 23 times for 21 patientsA basic group of blood chemicals test, including calcium and ionized, is a simple procedure where a small amount of blood is drawn from your arm. This test helps assess your body's overall health and detect potential disorders like kidney disease or bone disease.
This service was performed 56 times for 44 patientsA basic group blood test measures the levels of certain chemicals in your blood, including calcium. This helps assess your overall health and detect potential problems. The procedure involves drawing a small amount of blood from your arm, which is then analyzed in a lab.
This service was performed 17 times for 14 patientsA clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
This service was performed 380 times for 98 patientsA comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
This service was performed 4,217 times for 1,802 patientsA lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
This service was performed 35 times for 35 patientsA TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
This service was performed 531 times for 321 patientsCarcinoembryonic Antigen (CEA) protein level is a blood test often used in cancer care. It measures the amount of CEA protein in your blood, which can increase in cases of certain types of cancer. It's used to monitor treatment progress and check for cancer recurrence.
This service was performed 821 times for 339 patientsChemotherapy is a treatment method that uses drugs to destroy cancer cells. In the office, a pump is used to start an intravenous infusion of these drugs. The infusion can then be continued at home or another setting, like a rest home.
This service was performed 67 times for 16 patientsA cholesterol level test is a blood test that helps evaluate your risk of heart disease. It measures the amount of different types of cholesterol in your blood, including "good" (HDL) and "bad" (LDL) cholesterol. High cholesterol can lead to blockages in your blood vessels, so regular testing is important for maintaining heart health.
This service was performed 17 times for 17 patientsChronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
This service was performed 13 times for 11 patientsChronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
This service was performed 1,412 times for 366 patientsA coagulation assessment blood test evaluates how well your blood clots, helping identify potential bleeding or clotting disorders. This test uses a sample of your plasma or whole blood. It's a standard procedure to ensure your body's clotting process is functioning properly.
This service was performed 18 times for 18 patientsA Complete Blood Cell Count is a common test that measures various components of the blood, including red cells (carry oxygen), white cells (fight infection), and platelets (help blood clot). An automated test ensures accuracy. The differential count provides detailed information about white cell types.
This service was performed 5,549 times for 2,070 patientsThis service involves a thorough evaluation of patients needing ongoing care for chronic conditions. It includes creating a tailored care plan, coordinating with healthcare providers, and monitoring progress regularly. The goal is to provide optimal, personalized care for your long-term health needs.
This service was performed 15 times for 15 patientsCortisol measurement is a test that checks the level of cortisol, a hormone, in your body. It's often used to assess stress levels or check for conditions like Addison's disease or Cushing's syndrome. This involves a simple blood or saliva sample.
This service was performed 27 times for 22 patientsA Cyanocobalamin (Vitamin B-12) level test is a blood test that checks the amount of Vitamin B-12 in your body. This vitamin is vital for nerve function and the creation of red blood cells. Low or high levels could indicate a potential health issue.
This service was performed 841 times for 607 patientsThis is a test that checks for proteins (antigens) of HIV-1 and antibodies to both HIV-1 and HIV-2 in your blood. These elements appear when your body responds to the HIV virus. It's a vital method for early HIV detection and helps manage your health.
This service was performed 13 times for 13 patientsThis is a test that identifies various microorganisms in your body using a method called amplified probe technique. It targets specific genetic material (nucleic acids) of the organisms, amplifying them for easy detection. This helps in diagnosing infections accurately.
This service was performed 99 times for 32 patientsA detection test by nucleic acid for multiple types of influenza virus is a diagnostic procedure. It identifies the genetic material of the virus in your body. It's highly accurate and can distinguish between different flu strains, helping in prompt and precise treatment.
This service was performed 18 times for 18 patientsA nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
This service was performed 416 times for 31 patientsA detection test for Staphylococcus aureus uses a method called the amplified probe technique. This method identifies the bacteria's unique genetic material, or nucleic acid, helping to confirm its presence. It's a highly accurate way to detect this type of bacteria.
This service was performed 33 times for 32 patientsThis test detects Group A Streptococcus bacteria in your body. It uses an amplified probe technique, which amplifies the bacteria's nucleic acid, making it easier to identify. This test helps diagnose conditions like strep throat or scarlet fever.
This service was performed 36 times for 35 patientsA detection test by nucleic acid for Group B Strep uses an amplified probe technique. This test identifies the presence of Group B Strep bacteria in the body. It involves collecting a sample, usually a swab, which is then examined in a lab for the bacteria's genetic material.
This service was performed 33 times for 32 patientsThe detection test by nucleic acid for vancomycin-resistant strep (VRE) is a laboratory procedure. It uses an amplified probe technique to identify specific genetic material in bacteria. This helps determine if the bacteria are resistant to the antibiotic vancomycin.
This service was performed 33 times for 32 patientsThis test helps identify Candida, a type of fungus often present in the human body. An amplified probe technique is used, which enhances detection of the fungus in a sample. This method increases the accuracy of the test, helping to determine the best treatment.
This service was performed 78 times for 32 patientsDrawing blood is a simple procedure where a needle is inserted into a vein, usually in your arm, to collect a small sample. This sample helps in diagnosing any medical issues you may have. You might feel a small prick, but overall, it's a quick and safe process.
This service was performed 101 times for 67 patientsThis 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.
This service was performed 49 times for 43 patientsThis 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.
This service was performed 2,492 times for 1,194 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 915 times for 461 patientsA Ferritin level test measures the amount of ferritin, a protein that stores iron, in your blood. It helps determine how much iron your body is storing. If levels are low, it may indicate iron deficiency, while high levels could signify conditions like iron overload.
This service was performed 2,044 times for 1,093 patientsFlow cytometry is a technique that helps analyze the physical and chemical characteristics of cells or particles. When an additional marker is used, it aids in identifying specific cell types or stages of disease. This helps in precise diagnosis and treatment planning.
This service was performed 5,434 times for 212 patientsFlow cytometry is a technique used to examine microscopic particles, like cells or DNA. It employs a beam of light to detect and measure physical and chemical characteristics of these particles. The 'first marker' refers to a specific characteristic or feature used to identify a particular cell or particle.
This service was performed 236 times for 212 patientsA Folic Acid Level, Serum test measures the amount of folic acid, a type of B vitamin, in your blood. This vitamin is important for cell growth and development. It's crucial for your body to function well. If your levels are low, it may indicate a deficiency, which can lead to health issues.
This service was performed 650 times for 497 patientsFollow-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.
This service was performed 360 times for 261 patientsGammaglobulin measurement is a blood test that checks the levels of certain proteins (gammaglobulins) that the body uses to fight infections. High or low levels can indicate various health conditions. It's a simple, quick procedure with minimal discomfort.
This service was performed 1,251 times for 255 patientsGene analysis of calreticulin, common variants, is a test that looks at specific genes to identify changes that may cause certain health issues. It helps in understanding your genetic makeup and potential health risks. It's a simple procedure involving a blood or saliva sample.
This service was performed 31 times for 30 patientsGene analysis, specifically Janus Kinase 2 (JAK2) targeted sequence analysis, is a lab test that studies a specific gene in your body. It helps identify changes or mutations in the JAK2 gene, which can be linked to certain health conditions. This analysis is performed on a blood or bone marrow sample.
This service was performed 31 times for 30 patientsGene analysis (Janus Kinase 2 variant) is a test that examines your DNA to identify any changes in the JAK2 gene. This gene is crucial for blood cell production. If it's mutated, it can lead to various blood disorders. The test helps in diagnosing these conditions.
This service was performed 31 times for 30 patientsGene analysis for the MPL proto-oncogene, thrombopoietin receptor, is a test that looks for common genetic variants. This helps in understanding certain health conditions related to blood cell production. It's a non-invasive procedure, involving a simple blood draw.
This service was performed 31 times for 30 patientsThe Haptoglobin level test measures the amount of haptoglobin, a protein made by the liver, in your blood. This test is often used to check for conditions that cause the breakdown of red blood cells. Lower levels may indicate hemolytic anemia, while higher levels can suggest inflammation.
This service was performed 82 times for 71 patientsHemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
This service was performed 135 times for 113 patientsThe IgE level test measures the amount of immunoglobulin E, a type of antibody, in your blood. It's used to help diagnose allergies or asthma. A high IgE level can indicate an allergic reaction or immune system disorder. It's a simple blood test.
This service was performed 45 times for 43 patientsThis test checks for CA 125, a protein often found in higher amounts in individuals with certain types of tumors. It involves analyzing a blood sample in a lab. It's a quantitative test, meaning it measures the level of CA 125 in your blood.
This service was performed 62 times for 33 patientsThis is a blood test that measures the level of CA 15-3, a protein often higher in individuals with certain types of cancer. It helps monitor response to treatment and check for cancer recurrence. It's not a standalone diagnostic test but used alongside other evaluations.
This service was performed 271 times for 123 patientsCA 19-9 is a type of protein found on the surface of some cancer cells. An immunologic analysis is a lab test that measures the level of CA 19-9 in your blood. High levels may suggest the presence of certain types of cancer, but further testing is needed for a definitive diagnosis.
This service was performed 88 times for 38 patientsImmunofixation is a lab test that helps identify proteins called immunoglobulins in your blood serum. These proteins are part of your immune system. Changes in their levels can indicate certain diseases. The test is simple and only requires a blood sample.
This service was performed 362 times for 258 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 33 times for 33 patientsThe quadrivalent influenza vaccine is a flu shot that protects against four different flu viruses. Derived from cell cultures, it is free of preservatives and antibiotics. It's a safe and effective way to reduce your risk of getting the flu.
This service was performed 23 times for 23 patientsThis is a procedure where a sterile solution is administered into your vein to help restore body fluid balance. It typically lasts between 31-60 minutes. It's a safe, common treatment for dehydration or to deliver medication.
This service was performed 135 times for 87 patientsThis procedure involves delivering fluids directly into your vein to keep your body hydrated. It is typically done when oral hydration is insufficient. Each additional hour means more fluid is infused to ensure adequate hydration.
This service was performed 424 times for 255 patientsThis is a procedure where a medical professional inserts a small tube into your vein to deliver medication, nutrients, or fluids directly into your bloodstream. This can be for treatment, prevention, or diagnosis. The process typically takes less than an hour.
This service was performed 638 times for 282 patientsThis procedure involves injecting fluids or medication directly into your vein. It's used for treatment, prevention, or diagnosis. An additional sequential infusion may be given within an hour if needed. This helps to ensure the medicine is distributed effectively in your body.
This service was performed 788 times for 162 patientsThis procedure involves delivering medication, fluids, or nutrients directly into your vein. This is done to treat, prevent, or diagnose various conditions. Each additional hour refers to the extended time you may need to receive these substances for optimal results.
This service was performed 241 times for 71 patientsAn infusion of normal saline solution, 1000 cc, is a common medical procedure. It involves introducing a saltwater solution into your bloodstream via an intravenous (IV) line. This helps to hydrate your body, correct electrolyte imbalances, and deliver medications if needed.
This service was performed 68 times for 34 patientsAn infusion of normal saline solution, 250 cc, involves administering a sterile saltwater solution into your body through a vein, usually in your arm. This helps to replenish fluids, maintain hydration, and balance electrolytes in your body.
This service was performed 275 times for 203 patientsAn infusion of a normal saline solution is a common medical procedure. Sterile saline (salt water) is administered into your bloodstream via a drip. This helps to maintain fluid balance in your body, especially when you're unable to drink enough liquids.
This service was performed 128 times for 82 patientsInitial 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.
This service was performed 14 times for 14 patientsThis procedure involves introducing a new medication or substance into your bloodstream via a vein. It's typically done using a small needle. The substance can help treat various conditions or assist in diagnostic procedures. It's generally safe and monitored by professionals.
This service was performed 712 times for 166 patientsThis procedure involves introducing a medication or substance directly into your vein using a syringe. It's a quick and efficient way to deliver treatment throughout your body. You might feel a small prick when the needle enters. It's generally safe and effective.
This service was performed 332 times for 233 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 1,834 times for 566 patientsCarboplatin is a chemotherapy drug used to treat various types of cancer by slowing or stopping the growth of cancer cells. The 50 mg injection is administered into a vein by a healthcare professional. Side effects may occur.
This service was performed 649 times for 33 patientsDarbepoetin alfa injection is a medication used to treat anemia (low red blood cell count) often caused by chronic kidney disease or chemotherapy. It works by stimulating your body to produce more red blood cells, helping to increase your energy and well-being.
This service was performed 49,200 times for 53 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 15,900 times for 76 patientsDexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
This service was performed 6,061 times for 162 patientsDiphenhydramine HCL injection is a medicine given to alleviate symptoms of allergies, colds, or hay fever. It can also help with motion sickness and certain symptoms of Parkinson's disease. Up to 50 mg may be administered depending on your condition.
This service was performed 278 times for 94 patientsEpoetin alfa-epbx (Retacrit) is a biosimilar injection used for non-ESRD (End-Stage Renal Disease). It helps your body make more red blood cells, increasing your energy and well-being. It's usually given under the skin or into a vein by a healthcare professional.
This service was performed 2,060 times for 15 patientsErtapenem sodium is a potent antibiotic administered via injection to treat a variety of serious bacterial infections. The 500 mg dosage helps your body fight off these bacteria effectively. It's given by a healthcare professional, often in a hospital setting.
This service was performed 44 times for 15 patientsEtoposide injection, 10 mg, is a chemotherapy medication used to treat certain types of cancer. It works by slowing or stopping the growth of cancer cells in your body. It's administered by a healthcare professional into a vein over a period of time.
This service was performed 616 times for 13 patientsFerric carboxymaltose is an iron supplement injection. It's given when your body needs more iron than you can consume through diet, like in anemia. The injection is administered by a healthcare professional into a vein.
This service was performed 200,250 times for 170 patientsFilgrastim (G-CSF) is a medication given via injection to stimulate your body's production of neutrophils, a type of white blood cell that fights infection. It's often used in patients with low neutrophil counts due to certain treatments or conditions.
This service was performed 22,080 times for 22 patientsFluorouracil is a chemotherapy drug, given as an injection to treat various types of cancer. The 500 mg dose helps to stop cancer cells from growing and multiplying. You might feel some side effects, but these are typically manageable.
This service was performed 870 times for 20 patientsThis is a combined medication injection used to prevent nausea and vomiting often associated with chemotherapy. Fosnetupitant blocks substance P/neurokinin 1, reducing the urge to vomit. Palonosetron prevents a chemical action in the brain that may cause nausea and vomiting.
This service was performed 234 times for 64 patientsThis procedure involves an intravenous injection of Octagam, a liquid immune globulin. It is a blood product that helps your body fight off infections. It's given through a vein (IV) and each dose contains 500 mg of the medication.
This service was performed 7,220 times for 21 patientsIron sucrose injection is a treatment given to replenish iron in your body, often used when oral iron supplements are not effective. This helps your body make red blood cells, improving health and energy levels.
This service was performed 30,200 times for 70 patientsLeucovorin calcium is an injection given to enhance the effectiveness of certain cancer treatments or to reduce the harmful effects of some medications. The dose is determined by your doctor and is typically administered in a healthcare setting.
This service was performed 1,236 times for 17 patientsMagnesium sulfate injection, per 500 mg, is a medication administered to manage certain health conditions. It aids in controlling seizures in conditions like eclampsia and in managing severe asthma attacks. It's also used to prevent premature labor in pregnant women.
This service was performed 822 times for 37 patientsNivolumab is a medication given via injection, often used in cancer treatment. It works by helping your immune system fight the cancer cells. The dosage is measured in milligrams (mg), with 1 mg being a common dose.
This service was performed 12,060 times for 12 patientsOndansetron hydrochloride is a medication given via injection to help prevent nausea and vomiting, often due to chemotherapy or surgery. It works by blocking certain chemicals in the body that trigger these symptoms.
This service was performed 636 times for 22 patientsOxaliplatin is a chemotherapy drug that is administered via injection. It works by stopping cancer cells from growing and dividing, which helps in the treatment of certain types of cancer. The dosage is 0.5 mg, and it's important to follow your doctor's instructions for this treatment.
This service was performed 13,600 times for 15 patientsPaclitaxel is a medication administered via injection to treat various types of cancer. It works by inhibiting cell division, thus preventing cancer cells from growing and multiplying. Each dose is tailored to the patient's body size.
This service was performed 10,363 times for 17 patientsPegfilgrastim is a medication given via injection to stimulate the production of white blood cells. It's used to prevent infections after chemotherapy. This specific dose is 0.5 mg, and it's not a biosimilar, meaning it's the original, not a copy.
This service was performed 276 times for 13 patientsPembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
This service was performed 29,800 times for 38 patientsPotassium chloride injection is a treatment to replenish low potassium levels in your body. Each 2 meq dose helps maintain heart function and fluid balance. It's administered by a healthcare professional, usually into a vein.
This service was performed 410 times for 16 patientsThis is a procedure where a small dose of Vitamin B-12, also known as Cyanocobalamin, is injected into your body. This vitamin is essential for nerve function and the production of red blood cells. It's often used to treat vitamin B-12 deficiency.
This service was performed 863 times for 289 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 5,579 times for 2,131 patientsIron binding capacity is a blood test that measures how well your body can bind and transport iron. This helps your healthcare provider assess if your body has too little or too much iron, which can indicate certain health conditions.
This service was performed 1,879 times for 1,002 patientsAn iron level test measures the amount of iron in your blood. Iron is crucial for producing hemoglobin, a protein in red blood cells that carries oxygen throughout your body. This test helps identify iron deficiencies or excesses, which can lead to conditions like anemia or hemochromatosis.
This service was performed 1,941 times for 1,045 patientsIrrigation of an implanted venous access drug delivery device is a procedure to clean or unblock the device. This device is implanted under your skin to allow easy, frequent, and long-term access to your veins for medication delivery. The process involves flushing the device with a sterile solution to ensure it works properly.
This service was performed 47 times for 25 patientsA Lactate Dehydrogenase level test measures the amount of this enzyme in your body. It's often done when tissue damage is suspected, as high levels can indicate issues like heart disease, lung disease, liver disease, or blood disorders. This test helps in diagnosing and monitoring these conditions.
This service was performed 2,886 times for 1,253 patientsLeuprolide acetate is a medication that helps regulate certain hormone levels in your body. It's injected into your muscle once a month. This treatment can help manage various health conditions related to hormone imbalance. Always follow your doctor's instructions.
This service was performed 54 times for 11 patientsA liver function blood test panel helps check the health of your liver. It measures various proteins, liver enzymes, and bilirubin in your blood. If these levels are too high or too low, it could signal a liver problem. It's a simple, non-invasive test that involves drawing blood.
This service was performed 20 times for 20 patientsA magnesium level test is a simple blood test that measures the amount of magnesium in your body. Magnesium is a crucial mineral that helps your nerves, muscles, and heart function properly. The test can help detect health conditions like kidney disease or malnutrition.
This service was performed 2,875 times for 1,240 patientsThis procedure checks for antibodies to the COVID-19 virus in your blood. It indicates whether you've had a past infection. The body produces these antibodies while fighting off the virus. It's not a test for current infection.
This service was performed 15 times for 14 patientsThe high sensitivity C-reactive protein test is a blood test that helps detect low levels of inflammation in the body. It's often used to assess the risk of heart disease but can also indicate infection or other inflammatory conditions.
This service was performed 41 times for 37 patientsTotal estradiol measurement is a simple blood test that examines the level of a key hormone in your body. This hormone plays a vital role in many body functions. The test helps understand if hormone levels are balanced, which can impact overall health.
This service was performed 14 times for 12 patientsA molecular pathology procedure involves analyzing your body's cells at a molecular level to identify any abnormalities. This can help detect diseases early. A physician will interpret the results and provide a detailed report, explaining the findings clearly.
This service was performed 32 times for 31 patientsThis is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
This service was performed 96 times for 96 patientsA nuclear medicine study from skull base to mid-thigh with a CT scan involves using a small amount of radioactive material and CT imaging to examine body tissues and organs. This helps detect any abnormalities by providing detailed images of the body's internal structure.
This service was performed 11 times for 11 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 316 times for 205 patientsThe Parathormone level test measures the amount of parathyroid hormone in your blood. This hormone controls calcium and phosphorus levels in the body, which are vital for bone health. Abnormal levels may indicate issues like kidney disease or parathyroid gland disorders.
This service was performed 35 times for 32 patientsAcid phosphatase is an enzyme in your body involved in many functions, including bone and kidney health. The acid phosphatase test measures the total amount of this enzyme in your blood. It helps in diagnosing certain conditions and monitoring treatment progress.
This service was performed 34 times for 19 patientsA phosphate level test measures the amount of phosphate in your blood. Phosphate is a chemical that contains the mineral phosphorus, crucial for energy production, muscle and nerve function, and bone growth. Imbalances may indicate kidney disease or other health issues.
This service was performed 3,049 times for 1,346 patientsThis service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
This service was performed 15 times for 12 patientsA serum protein measurement is a blood test that determines the levels of proteins in your blood. It is used to evaluate your overall health, and diagnose nutritional problems, kidney disease, liver disease, or immune disorders.
This service was performed 364 times for 258 patientsPSA measurement is a simple blood test that checks for a specific protein produced by your body. High levels could indicate a health issue that needs further investigation. It's often used to monitor general wellness and is part of routine health screening.
This service was performed 365 times for 203 patientsRed blood cell concentration measurement is a routine blood test that assesses the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test can help identify conditions like anemia or dehydration. It's a simple, quick, and relatively painless procedure.
This service was performed 55 times for 43 patientsThe Red Blood Cell Sedimentation Rate test measures how quickly red blood cells settle at the bottom of a test tube. If they settle faster than normal, it may indicate inflammation in the body. This test is non-automated, meaning it's manually performed by a lab technician.
This service was performed 241 times for 161 patientsA Red Blood Count (RBC) manual test is a lab procedure that measures the number of red blood cells in your blood. These cells carry oxygen throughout your body. The test helps identify conditions like anemia or dehydration. It's a simple, quick, and safe procedure.
This service was performed 500 times for 370 patientsThe Rheumatoid Factor Level test is a blood test that helps detect the presence of Rheumatoid Factor (RF), a protein produced by your immune system. High RF levels often indicate autoimmune diseases like rheumatoid arthritis. The test involves a simple blood draw and lab analysis.
This service was performed 52 times for 51 patientsA stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
This service was performed 15 times for 15 patientsA total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.
This service was performed 184 times for 95 patientsA thyroid hormone evaluation is a test that measures the levels of thyroid hormones in your body. These hormones regulate energy and metabolism. If they're too high or too low, it could indicate a thyroid disorder. This test helps in diagnosing and managing such conditions.
This service was performed 15 times for 14 patientsThe Thyroxine (thyroid chemical), free test is a blood test that measures the level of free T4 in your body. T4 is a hormone produced by your thyroid gland and is essential for growth and metabolism. If your T4 levels are too high or too low, it could indicate a thyroid disorder.
This service was performed 213 times for 101 patientsA Thyroxine (thyroid chemical) total test measures the amount of thyroxine, a hormone produced by your thyroid gland, in your blood. This hormone helps regulate your body's metabolism. The test can help diagnose thyroid disorders, such as hypothyroidism or hyperthyroidism.
This service was performed 72 times for 52 patientsTransitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
This service was performed 43 times for 41 patientsTransitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
This service was performed 34 times for 30 patientsTriglycerides level refers to the amount of a specific type of fat in your blood. High levels can increase the risk of heart disease. A simple blood test, usually done after fasting, measures this. Healthy lifestyle choices help maintain optimal levels.
This service was performed 14 times for 14 patientsThe urea nitrogen level test is a routine blood test that checks the amount of urea nitrogen in your blood to evaluate how well your kidneys are working. If the levels are higher than normal, it may indicate that your kidneys are not functioning properly.
This service was performed 21 times for 21 patientsA blood uric acid level test measures the amount of uric acid in your blood. Uric acid is a waste product that your body produces when it breaks down purines, substances found in your body and in certain foods. High levels may lead to gout or kidney stones.
This service was performed 2,838 times for 1,225 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 106 times for 77 patientsA Vitamin D-3 level test measures the amount of Vitamin D-3, a crucial nutrient, in your body. This test helps identify if your levels are too low or too high. Low levels may lead to bone weakness, while high levels could harm your kidneys. It's a simple blood test.
This service was performed 599 times for 363 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $50.88 for a new patient copayment and $29.4 for an established patient copayment.
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 11901 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99205
- Average New Patient Price $203.53
- Minimum New Patient Price $67.4
- Maximum New Patient Price $203.53
- Average New Patient Copayment $50.88
- Minimum New Patient Copayment $16.85
- Maximum New Patient Copayment $50.88
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $117.62
- Minimum Established Patient Price $21.66
- Maximum Established Patient Price $164.45
- Average Established Patient Copayment $29.4
- Minimum Established Patient Copayment $5.41
- Maximum Established Patient Copayment $41.11
* 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 provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 80, 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 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.
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Final Score: 80 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.
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Quality Score: 77.91
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.
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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: 50.58
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: 50.58
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.
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
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. Roy Chen is affiliated with the following medical facilities:
Hospital Name | Address | Phone | Hospital Type | Overall Rating |
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PECONIC BAY MEDICAL CENTER | 1 HEROS WAY RIVERHEAD, NY 11901 | (631) 548-6000 | Acute Care Hospitals | |
JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON | 75 NORTH COUNTRY ROAD PORT JEFFERSON, NY 11777 | (631) 473-1320 | Acute Care Hospitals | |
SUNY/STONY BROOK UNIVERSITY HOSPITAL | HEALTH SCIENCES CENTER SUNY STONY BROOK, NY 11794 | (631) 444-4000 | Acute Care Hospitals |
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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. | |||||||||
1 | 7 | 2 | 0 | 2 | 4 | 8 | 0 | 8 | 1 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 4 | 0 | 4 | 4 | 16 | 0 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 7 + 4 + 0 + 4 + 4 + 1 + 6 + 0 + 1 + 6 + 24 = 59 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
60 - 59 = 1 | 1 |
The NPI number 1720248081 is valid because the calculated check digit 1 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 3 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
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1992740856 | DR. ALEXANDER I ZUHOSKI MD Individual | Internal Medicine (Hematology & Oncology) | 750 OLD COUNTRY ROAD BUILDING 2 RIVERHEAD, NY 11901 (631) 751-3000 |
1306058581 | DEEPALI SHARMA M.D. Individual | Internal Medicine (Hematology & Oncology) | 750 OLD COUNTRY ROAD BUILDING 2 RIVERHEAD, NY 11901 (631) 751-3000 |
1073803557 | DR. YELDA NOURI M.D. Individual | Internal Medicine (Hematology & Oncology) | 750 OLD COUNTRY ROAD BUILDING 2 RIVERHEAD, NY 11901 (631) 751-3000 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1720248081, enumerated in the NPI registry as an "individual" on June 11, 2008
The provider is located at 750 Old Country Road Building 2 Riverhead, Ny 11901 and the phone number is (631) 751-3000
The provider's speciality is Internal Medicine with taxonomy code 207RH0003X with a focus in Hematology & Oncology
The provider has more than 18 years of experience. He graduated from State University Of Ny Upstate Medical University in 2008.
Yes, as of June 20, 2025 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), a Home Health Agency (HHA) and Power Mobility Devices.
The provider has an overall high rating in the following quality measures: uses technology to exchange and make use of healthcare information.
Medicare beneficiaries should expect a typical cost of $203.53 with an average copayment of $50.88 for new patient appointments. Established patients should expect a typical charge of $117.62 and an average copayment of 29.4. 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: Acute hepatitis panel, Administration of additional new drug or substance into vein using push technique, Administration of additional new drug or substance into vein, 1 hour or less, Administration of chemotherapy into vein, 1 hour or less, Administration of chemotherapy into vein, each additional hour, Administration of hormonal anti-neoplastic chemotherapy under skin or into muscle, Administration of influenza virus vaccine, Administration of non-hormonal anti-neoplastic chemotherapy under skin or into muscle, Albumin (protein) level, Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen, Beta-2 microglobulin (protein) level, Bilirubin level, total, Biopsy and aspiration of bone marrow sample for diagnosis, Blood creatinine level, Blood glucose (sugar) level, Blood smear for iron, Blood test, basic group of blood chemicals (calcium, ionized), Blood test, basic group of blood chemicals (calcium, total), Blood test, clotting time, Blood test, comprehensive group of blood chemicals, Blood test, lipids (cholesterol and triglycerides), Blood test, thyroid stimulating hormone (tsh), Carcinoembryonic antigen (cea) protein level, Chemotherapy administration, intravenous infusion technique; initiation of infusion in the office/clinic setting using office/clinic pump/supplies, with continuation of the infusion in the community setting (e.g., home, domiciliary, rest home or assisted l, Cholesterol level, Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month, Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month, Coagulation assessment blood test, plasma or whole blood, Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count, Comprehensive assessment of and care planning for patients requiring chronic care management services (list separately in addition to primary monthly care management service), Cortisol (hormone) measurement, total, Cyanocobalamin (vitamin b-12) level, Detection test by immunoassay technique for hiv-1 antigen and hiv-1 and hiv-2 antibodies, Detection test by nucleic acid for multiple organisms, amplified probe(s) technique, Detection test by nucleic acid for multiple types influenza virus, Detection test by nucleic acid for organism, amplified probe technique, Detection test by nucleic acid for staphylococcus aureus (bacteria), amplified probe technique, Detection test by nucleic acid for strep (streptococcus, group a), amplified probe technique, Detection test by nucleic acid for strep (streptococcus, group b), amplified probe technique, Detection test by nucleic acid for vancomycin resistance strep (vre), amplified probe technique, Detection test for candida species (yeast), amplified probe technique, Drawing of blood for a medical problem, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Ferritin (blood protein) level, Flow cytometry technique for dna or cell analysis, each additional marker, Flow cytometry technique for dna or cell analysis, first marker, Folic acid level, serum, Follow-up hospital inpatient care per day, typically 35 minutes, Gammaglobulin (immune system protein) measurement, Gene analysis (calreticulin), common variants, Gene analysis (janus kinase 2) targeted sequence analysis, Gene analysis (janus kinase 2) variant, Gene analysis (mpl proto-oncogene, thrombopoietin receptor) for detection of common variants, Haptoglobin (serum protein) level, Hemoglobin a1c level, Ige (immune system protein) level, Immunologic analysis for detection of tumor antigen, quantitative; ca 125, Immunologic analysis for detection of tumor antigen, quantitative; ca 15-3, Immunologic analysis for detection of tumor antigen, quantitative; ca 19-9, Immunologic analysis technique on serum (immunofixation), Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent derived from cell cultures, preservative and antibiotic free, Infusion into a vein for hydration, 31-60 minutes, Infusion into a vein for hydration, each additional hour, Infusion into a vein for therapy, prevention, or diagnosis, 1 hour or less, Infusion into a vein for therapy, prevention, or diagnosis, additional sequential infusion, 1 hour or less, Infusion into a vein for therapy, prevention, or diagnosis, each additional hour, Infusion, normal saline solution , 1000 cc, Infusion, normal saline solution, 250 cc, Infusion, normal saline solution, sterile (500 ml = 1 unit), Initial hospital inpatient care per day, typically 70 minutes, Injection of additional new drug or substance into vein, Injection of drug or substance into vein, Injection of drug or substance under skin or into muscle, Injection, carboplatin, 50 mg, Injection, darbepoetin alfa, 1 microgram (non-esrd use), Injection, denosumab, 1 mg, Injection, dexamethasone sodium phosphate, 1 mg, Injection, diphenhydramine hcl, up to 50 mg, Injection, epoetin alfa-epbx, biosimilar, (retacrit) (for non-esrd use), 1000 units, Injection, ertapenem sodium, 500 mg, Injection, etoposide, 10 mg, Injection, ferric carboxymaltose, 1 mg, Injection, filgrastim (g-csf), excludes biosimilars, 1 microgram, Injection, fluorouracil, 500 mg, Injection, fosnetupitant 235 mg and palonosetron 0.25 mg, Injection, immune globulin, (octagam), intravenous, non-lyophilized (e.g., liquid), 500 mg, Injection, iron sucrose, 1 mg, Injection, leucovorin calcium, per 50 mg, Injection, magnesium sulfate, per 500 mg, Injection, nivolumab, 1 mg, Injection, ondansetron hydrochloride, per 1 mg, Injection, oxaliplatin, 0.5 mg, Injection, paclitaxel, 1 mg, Injection, pegfilgrastim, excludes biosimilar, 0.5 mg, Injection, pembrolizumab, 1 mg, Injection, potassium chloride, per 2 meq, Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg, Insertion of needle into vein for collection of blood sample, Iron binding capacity, Iron level, Irrigation of implanted venous access drug delivery device, Lactate dehydrogenase (enzyme) level, Leuprolide acetate (for depot suspension), 7.5 mg, Liver function blood test panel, Magnesium level, Measure of severe acute respiratory syndrome coronavirus 2 (covid-19) antibody, Measurement c-reactive protein for detection of infection or inflammation, high sensitivity, Measurement of total estradiol (hormone), Molecular pathology procedure; physician interpretation and report, New patient office or other outpatient visit, 60-74 minutes, Nuclear medicine study from skull base to mid-thigh with ct scan, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Parathormone (parathyroid hormone) level, Phosphatase (enzyme) measurement, acid, total, Phosphate level, Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or, Protein measurement, serum, Psa (prostate specific antigen) measurement, total, Red blood cell concentration measurement, Red blood cell sedimentation rate, to detect inflammation, non-automated, Red blood count, manual test, Rheumatoid factor level, Stool analysis for blood to screen for colon tumors, Testosterone (hormone) level, total, Thyroid hormone evaluation, Thyroxine (thyroid chemical), free, Thyroxine (thyroid chemical), total, Transitional care management services for problem of high complexity, Transitional care management services for problem of moderate complexity, Triglycerides level, Urea nitrogen level to assess kidney function, quantitative, Uric acid level, blood, Urinalysis, manual test and Vitamin d-3 level.
The practitioner is affiliated to the following hospital(s): PECONIC BAY MEDICAL CENTER, JOHN T MATHER MEMORIAL HOSPITAL OF PORT JEFFERSON and SUNY/STONY BROOK UNIVERSITY 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 11, 2008. 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].
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