Active NPI 1811932965 Individual Practitioner Male Practitioner

Dr. Jaime Cepeda , MD

Surgery • Middletown, NY

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Jaime Cepeda, MD is a certified Surgery practicing in Middletown, NY. With approximately 29 years of clinical experience since graduating from University Of North Carolina At Chapel Hill School Of Medicine in 1997, Dr. Cepeda delivers high-quality medical care to the local community at 384 CRYSTAL RUN RD STE 201.

Dr. Cepeda is affiliated with Tri State Surgical Associates Pllc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, single contrast x-ray of upper digestive tract, new patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

384 Crystal Run Rd Ste 201

Middletown, NY 109414073

Telephone 8456928780

Associated Practice Facility / Clinic

🏢 Tri State Surgical Associates Pllc Facility NPI 1801993175

Medicare Profile & Education

Medical School

University Of North Carolina At Chapel Hill School Of Medicine

Graduation Year

1997

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Middletown, NY

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

29 Yrs +9.2 yrs vs City Avg

City Avg: 19.8 Yrs

State Avg: 27.8 Yrs

Regional Practice Density

24 Specialists

Practicing in Middletown, NY (2269 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

90.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cepeda (29 Years) 29 Yrs

Middletown Specialty Average (19.8 Years) 19.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	163	70	$255.00	$87.22
99213 Established patient office or other outpatient visit, typically 15 minutes	110	32	$255.00	$69.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	26	$375.00	$108.99
74240 Single contrast x-ray of upper digestive tract	34	30	$1395.00	$122.37
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	34	27	$155.00	$57.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$380.00	$119.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$380.00	$86.20
99202 New patient office or other outpatient visit, typically 20 minutes	17	17	$260.00	$74.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	15	$1100.00	$136.44
49505 Repair of groin hernia (5 years or older)	12	12	$6295.00	$566.94
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$4845.00	$113.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	195	79	$255.00	$94.72
99213 Established patient office or other outpatient visit, typically 15 minutes	143	42	$255.00	$70.07
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	33	$375.00	$127.45
74240 Single contrast x-ray of upper digestive tract	31	27	$1395.00	$132.28
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	27	25	$155.00	$57.39
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$380.00	$121.17
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$380.00	$88.76
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	20	20	$1100.00	$138.48
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$260.00	$78.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	262	97	$255.00	$93.74
99213 Established patient office or other outpatient visit, typically 15 minutes	193	42	$255.00	$71.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	118	67	$375.00	$128.94
74240 Single contrast x-ray of upper digestive tract	65	54	$1395.00	$127.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$380.00	$91.04
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$1100.00	$138.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$155.00	$58.65
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$380.00	$118.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$580.00	$174.08
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$4845.00	$148.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	209	104	$255.00	$97.19
99213 Established patient office or other outpatient visit, typically 15 minutes	179	43	$255.00	$73.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	80	52	$375.00	$134.74
74240 Single contrast x-ray of upper digestive tract	51	38	$1395.00	$134.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$380.00	$120.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$380.00	$91.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$4845.00	$153.40
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	18	$155.00	$61.89
47562 Removal of gallbladder using an endoscope	15	15	$9955.00	$729.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$580.00	$168.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	64	$255.00	$77.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	43	32	$375.00	$110.40
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$380.00	$115.64
74240 Single contrast x-ray of upper digestive tract	21	16	$1395.00	$131.56
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$155.00	$47.40
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	18	17	$4845.00	$150.10
36415 Insertion of needle into vein for collection of blood sample	14	14	$35.00	$2.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	84	$255.00	$75.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	79	53	$375.00	$110.86
74240 Single contrast x-ray of upper digestive tract	38	33	$1395.00	$130.25
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	36	26	$500.00	$153.27
36415 Insertion of needle into vein for collection of blood sample	34	28	$35.00	$2.77
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$380.00	$114.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	18	$1100.00	$143.43
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$4845.00	$152.02

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	76	58	$500.00	$134.98
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$255.00	$68.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	35	$375.00	$98.96
74240 Single contrast x-ray of upper digestive tract	26	24	$1395.00	$99.41
36415 Insertion of needle into vein for collection of blood sample	22	21	$35.00	$2.94
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$1100.00	$139.20
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$4845.00	$139.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	88	58	$500.00	$140.37
99213 Established patient office or other outpatient visit, typically 15 minutes	75	60	$255.00	$67.61
74240 Single contrast x-ray of upper digestive tract	56	51	$1395.00	$108.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	48	38	$377.60	$103.99
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	39	39	$1100.00	$132.57
36415 Insertion of needle into vein for collection of blood sample	32	26	$35.00	$2.94
99231 Follow-up hospital inpatient care per day, typically 15 minutes	31	18	$600.00	$37.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$380.00	$105.37
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	23	23	$29750.00	$705.14
47562 Removal of gallbladder using an endoscope	20	20	$9955.00	$613.31
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	20	20	$4845.00	$134.61
99202 New patient office or other outpatient visit, typically 20 minutes	11	11	$260.00	$72.58

Medical Specialties & State Licenses

CMS Verified: 2025-09-16

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NY 229029

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

02791564 (NY)

Commercial Insurance / Payer ID Medicare

WNW101 (NY)

Hospital & Practice Group Affiliations

Tri State Surgical Associates Pllc

460 Gidney Ave, Newburgh, NY 125503117

Phone: 8456928780

Tri State Surgical Associates Pllc

384 Crystal Run Rd, Middletown, NY 109414073

Phone: 8456928780

Secondary Practice Locations

5 Hudson Valley Professional Plaza

Newburgh, NY 125503117

Phone: 8456928780

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

10 Associated Practitioners

Alisha Fuller , FNP

Nurse Practitioner - Family

NPI 1083616544

Family Nurse Practitioner

Jeanne Karson , NP

Nurse Practitioner - Adult Health

NPI 1316268899

Nurse Practitioner

Susan Peters Manez , MSRD

Dietitian, Registered

NPI 1326263302

Dr. Peter Kwon , MD

Surgery

NPI 1356459929

Doctor of Medicine (M.D.)

Daniel Tarallo , PA

Physician Assistant - Medical

NPI 1437486941

Physician Assistant

Jeffrey Braisted , ASRT, R

Radiologic Technologist - Computed Tomography

NPI 1447573332

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location March 16, 2021

Registered at 384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 109414073 (Tel: 8456928780)

📍

Updated Business Mailing Address March 16, 2021

Registered at 384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 109414073 (Tel: 8456928780)

✅

NPI Profile Active March 15, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location March 15, 2010

Registered at 161 E MAIN ST, SUITE 301, PORT JERVIS, NY 127712113 (Tel: 8458563812)

📍

Updated Business Mailing Address March 15, 2010

Registered at 20 GRAND ST, 3RD FLOOR, WARWICK, NY 109901035 (Tel: 8459873972)

👤

Provider Name / Credentials Updated March 15, 2010

Recorded as JAIME CEPEDA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 15, 2010

Surgery (License #229029 in NY)

🟢

Initial NPI Registration & Enumeration June 20, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1811932965

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: June 20, 2006

Last Update: September 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

384 Crystal Run Rd Ste 201

Middletown, NY 109414073

Phone: 8456928780

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.