DR. SETH M RUBIN MD
NPI 1023070422
Obstetrics & Gynecology in Flemington, NJ

Active since April 03, 2006PECOS EnrolledAccepts Medicare Assignment
88.63/100
CMS Quality Rating
4 WALTER E FORAN BLVD STE 302, FLEMINGTON, NJ 08822(908) 806-0080(908) 806-3478 Get Directions Write a Review

NPPES record last updated: March 3, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Seth M Rubin Md NPPES

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

DR. SETH M RUBIN MD (NPI 1023070422) is an individual obstetrics & gynecology provider in Flemington, New Jersey, licensed in New Jersey (25MA05897800) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1989).

NPPES Registry Identity

NPI1023070422
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. SETH M RUBINCredential: MD
Location Address4 WALTER E FORAN BLVD STE 302Flemington, NJ 08822-4668
Mailing AddressPo Box 2470Flemington, NJ 08822-2470 · (908) 806-0080 · Fax (908) 806-3478
Fax(908) 806-3478
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1989
Enumeration DateApril 3, 2006
Last NPPES UpdateMarch 3, 2022
NPPES CertifiedMarch 3, 2022
NPI 1023070422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA05897800
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedSpecialistTaxonomy 174400000X · License 25MA05897800 (NJ)
4 WALTER E FORAN BLVD STE 302, Flemington, NJ 08822

Other Identifiers 14

Other1291781One Health Plan
Other1804659Phcs
Other4369724Aetna
OtherHUP035Oxford
Other0662159000Amerihealth
Other223702560001Qualcare
Other1K5052Healthnet
Other420424Cigna
Other4486Local 825
Other1326818First Health/ccn
Medicaid5558409NJ
Other1054815NJ · Horizon Nj Health
Other1137940United
Other8199902Amerigroup

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

Dr. Seth M Rubin Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5395633895
PECOS Enrollment IDI20040308000059
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 12

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 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.
128 services123 patients
Urinalysis, manual test 81002
A 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.
115 services115 patients
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.
83 services50 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
66 services66 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
55 services53 patients
Limited ultrasound scan of pelvis 76857
A limited ultrasound scan of the pelvis is a non-invasive imaging test. It uses high-frequency sound waves to create pictures of the lower abdomen area. This helps doctors view and assess the health of certain internal structures. It's painless and usually takes about 30 minutes.
24 services24 patients

Hospital Affiliations CMS Care Compare 2

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08822 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$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.

88.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Promoting Interoperability100
Improvement Activities40
Cost62.12

Other Providers at the Same Location NPPES 9

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

Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Nurse Practitioner (Family)
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Nurse Practitioner (Women's Health)
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822
Obstetrics & Gynecology
4 WALTER E FORAN BLVD STE 302
FLEMINGTON, NJ 08822

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 Seth Rubin's NPI number?

The NPI number for Seth Rubin is 1023070422. It was assigned to this individual provider in the NPPES registry on April 3, 2006.

Where is Seth Rubin located?

Seth Rubin practices at 4 Walter E Foran Blvd Ste 302, Flemington, NJ 08822. The listed phone number is (908) 806-0080.

What is Seth Rubin's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Seth Rubin enrolled in Medicare?

Yes. Seth Rubin 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 Seth Rubin affiliated with any hospitals?

According to CMS data, Seth Rubin is affiliated with Hunterdon Medical Center and Robert Wood Johnson University Hospital - Somerset.

When was this NPI record last updated?

The NPPES record for Seth Rubin was last updated on March 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.