Doctor profile · Federal record
Dr. Jaclyn Anne Sta. Maria, MD
Family Medicine Physician (CMS: Family Practice) · West Nyack, NY
- NPI 1740625631
- Accepts Medicare
- MIPS 96.8 / 100 · 2023
- 21 yrs in practice
- Female
- Group practice
- No sanctions
Practice & contact
- Primary practice
-
2 Centerock RD
West Nyack, NY 109942215
(845) 703-6999
fax (845) 703-6297 - Mailing address
-
155 Crystal Run RD
Middletown, NY 109414028
Credentials & registration
- NPI registered
- May 2013 — 13 yrs on file
- Profile last updated
- October 16, 2020
- Year of graduation
- 2005 — 21 yrs since
- Specialty taxonomy
- 207Q00000X — NUCC code
- State license (1)
- New York #276147
- Medicaid
- NY #03917599
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1740625631. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
700
Distinct HCPCS
10
Medicare allowed
$70,637
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 291 | 202 | $140 | |
36415 |
Insertion of needle into vein for collection of blood sample | 145 | 110 | $8 | |
G0439 |
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 54 | 54 | $145 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 39 | 34 | $99 | |
0241U |
Respiratory infectious agent detection by rna for severe acute respiratory syndrome coronavirus 2 (covid 19), influenza a, influenza b, and respiratory syncytial virus, upper respiratory specimen, each reported as detected or not detected | 36 | 33 | $136 | |
93000 |
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 32 | 31 | $16 | |
90662 |
Influenza vaccine split virus, preservative free | 23 | 23 | $69 | |
G0008 |
Administration of influenza virus vaccine | 23 | 23 | $25 | |
90677 |
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use | 19 | 19 | $281 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 19 | 19 | $185 |
In context: peer comparison
Among 3 peers in this city , average services per provider: 62. This provider delivers 11× the peer median.Medicare Part D · 2023
Top prescriptions
Total claims
633
Patients
318
Total drug cost
$7,985
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Atorvastatin Calcium | Generic | 127 | 66 | $1,454 |
| Amlodipine Besylate | Generic | 81 | 40 | $734 |
| Losartan Potassium | Generic | 61 | 31 | $822 |
| Levothyroxine Sodium | Generic | 57 | 22 | $980 |
| Metformin Hcl | Generic | 38 | 22 | $393 |
| Metoprolol Succinate | Generic | 33 | 16 | $647 |
| Amoxicillin-Clavulanate Potass (Amoxicillin/Potassium Clav) | Brand | 30 | 28 | $279 |
| Famotidine | Generic | 30 | 0 | $375 |
| Hydrochlorothiazide | Generic | 29 | 15 | $183 |
| Rosuvastatin Calcium | Generic | 29 | 18 | $564 |
Frequently asked questions
What is Dr. Jaclyn Anne Sta. Maria's medical specialty?
Dr. Jaclyn Anne Sta. Maria practices Family Medicine Physician in West Nyack, NY.
Where does Dr. Jaclyn Anne Sta. Maria practice?
Dr. Jaclyn Anne Sta. Maria practices at 2 Centerock RD, West Nyack, NY 109942215. Office phone: 8457036999.
What is Dr. Jaclyn Anne Sta. Maria's NPI?
Dr. Jaclyn Anne Sta. Maria's National Provider Identifier (NPI) is 1740625631, issued by NPPES.
Does Dr. Jaclyn Anne Sta. Maria accept Medicare assignment?
Yes. Dr. Jaclyn Anne Sta. Maria accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Jaclyn Anne Sta. Maria commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Insertion of needle into vein for collection of blood sample (HCPCS 36415); Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS G0439). Source: CMS Medicare Physician & Other Practitioners file.