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DR. GARY JOHN MISKO JR. MD
NPI 1033213236
Internal Medicine in Metuchen, NJ

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.14/100
CMS Quality Rating
267 CENTRAL AVE, METUCHEN, NJ 08840(732) 287-6004(732) 287-3575 Get Directions Write a Review

NPPES record last updated: May 9, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gary John Misko Jr. Md NPPES

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

DR. GARY JOHN MISKO JR. MD (NPI 1033213236) is an individual internal medicine provider in Metuchen, New Jersey, licensed in New Jersey (MA62917) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1033213236
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GARY JOHN MISKO JR.Credential: MD
Location Address267 CENTRAL AVEMetuchen, NJ 08840-1269
Mailing Address267 Central AveMetuchen, NJ 08840-1269 · (732) 287-6004 · Fax (732) 287-3575
Phone(732) 287-6004
Fax(732) 287-3575
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateSeptember 11, 2006
Last NPPES UpdateMay 9, 2017
✔ NPI 1033213236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA62917
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
267 CENTRAL AVE, Metuchen, NJ 08840
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Other Identifiers 18

Other223623486Horizon Ppo
Other0744764001Amerihealth Hmopos
Other0462541000Amerihealth Ppo
Other1734357First Health
Other2596853Ghi
OtherP1934612Oxford
Other1K2138Healthnet
Other110245387Medicare Rail Road
Other23641Aetna Cap
Other1737406United Healthcare
Medicare ID-Type Unspecified805532NJ
OtherJ7960Horizon Hmopos
Other40049Medichoice
Medicare UPING44743
Other2185368Aetna
Other31832Mastercare
Other4H8791Wellchoice
Other8637489Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

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. Gary John Misko Jr. 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 ID9739151382
PECOS Enrollment IDI20040812000822
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 6

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.
138 services70 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.
63 services33 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
39 services39 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
39 services39 patients
Administration of influenza virus vaccine G0008
The 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.
17 services17 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08840 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
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.

85.14/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality96.13
Promoting Interoperability100
Improvement Activities40
Cost54.35

Reported Quality Measures

Breast Cancer Screening
43%520 patients2/55-star benchmark: 93%
Cervical Cancer Screening
9%798 patients1/55-star benchmark: 98%
Closing the Referral Loop: Receipt of Specialist Report
23%649 patients2/55-star benchmark: 87%
Controlling High Blood Pressure
77%977 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
22%301 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
16%301 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
58%5,808 patients2/55-star benchmark: 100%
e-Prescribing
98%7,781 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%626 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
92%2,567 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
42%2,463 patients2/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
41%2,976 patients3/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 95% · 2,043 patients
Patients screened: 98% · 2,043 patients
64%184 patients3/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
83%1,895 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
61%1,380 patients2/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 632 patients
Patients totalRate: 9% · 677 patients
10%677 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
10 suppliers26 claims73 services$5.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
7 suppliers14 claims20 services$1.02 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

PEMCARE LLC
Internal Medicine
267 CENTRAL AVE
METUCHEN, NJ 08840
Middlesex County (732) 287-6004
MRS. MARIA CLARA DIAGO MISKO APN-C
Nurse Practitioner (Adult Health)
267 CENTRAL AVE
METUCHEN, NJ 08840
Middlesex County (732) 287-6004

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 Gary Misko's NPI number?

The NPI number for Gary Misko is 1033213236. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Gary Misko located?

Gary Misko practices at 267 Central Ave, Metuchen, NJ 08840. The listed phone number is (732) 287-6004.

What is Gary Misko's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gary Misko enrolled in Medicare?

Yes. Gary Misko 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.

What insurance does Gary Misko accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gary Misko as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Gary Misko affiliated with any hospitals?

According to CMS data, Gary Misko is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Misko was last updated on May 9, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.