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MS. MANSI BABARIA PA-C
NPI 1013645449
Physician Assistant in Morristown, NJ

Active since August 12, 2022PECOS EnrolledAccepts Medicare Assignment
98.67/100
CMS Quality Rating
111 MADISON AVE STE 100, MORRISTOWN, NJ 07960(862) 242-1922 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2025, Nov 19, 2024, Aug 12, 2022 (3 updates tracked since 2022).

About Ms. Mansi Babaria Pa-c NPPES

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

MS. MANSI BABARIA PA-C (NPI 1013645449) is an individual physician assistant in Morristown, New Jersey, licensed in New Jersey (25MP00712200) and active in the NPI registry since August 2022. She is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1013645449
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. MANSI BABARIACredential: PA-C
Location Address111 MADISON AVE STE 100Morristown, NJ 07960-6083
Mailing Address111 Madison Ave Ste 100Morristown, NJ 07960-6083 · (862) 242-1922
Phone(862) 242-1922
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 12, 2022
Last NPPES UpdateAugust 15, 20253 updates tracked since enumeration
NPPES CertifiedAugust 15, 2025
✔ NPI 1013645449 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00712200
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
111 MADISON AVE STE 100, Morristown, NJ 07960
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ms. Mansi Babaria Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800262635
PECOS Enrollment IDI20221020000120
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
299 services275 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
52 services48 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
49 services49 patients
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 0241U
This test detects the RNA of respiratory viruses, including COVID-19, Influenza A, Influenza B, and Respiratory Syncytial Virus, in an upper respiratory specimen. The test result will report if each virus is detected or not, helping in accurate diagnosis.
46 services45 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
43 services43 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
36 services35 patients

Hospital Affiliations CMS Care Compare

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07960 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

98.67/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality93.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES

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

MR. ALEX PEZZINO MSN, FNP
Nurse Practitioner (Family)
111 MADISON AVE STE 100
MORRISTOWN, NJ 07960
Morris County (862) 242-1922

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mansi Babaria's NPI number?

The NPI number for Mansi Babaria is 1013645449. It was assigned to this individual provider in the NPPES registry on August 12, 2022.

Where is Mansi Babaria located?

Mansi Babaria practices at 111 Madison Ave Ste 100, Morristown, NJ 07960. The listed phone number is (862) 242-1922.

What is Mansi Babaria's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Mansi Babaria enrolled in Medicare?

Yes. Mansi Babaria is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Mansi Babaria affiliated with any hospitals?

According to CMS data, Mansi Babaria is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Mansi Babaria was last updated on August 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.