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PAUL M STOOPACK MD
NPI 1073509931
Internal Medicine - Gastroenterology in Jersey City, NJ

Active since September 26, 2005PECOS EnrolledAccepts Medicare Assignment
600 PAVONIA AVE, 3RD FLOOR, JERSEY CITY, NJ 07306(201) 216-3065(201) 499-0250 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul M Stoopack Md NPPES

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

PAUL M STOOPACK MD (NPI 1073509931) is an individual gastroenterology provider in Jersey City, New Jersey, licensed in New Jersey (MA05631200) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and is a graduate of New York University School Of Medicine (1979).

NPPES Registry Identity

NPI1073509931
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePAUL M STOOPACKCredential: MD
Location Address600 PAVONIA AVE, 3RD FLOORJersey City, NJ 07306-2929
Mailing AddressPo Box 8168, Fdr StationNew York, NY 10150-8168 · (201) 216-3065 · Fax (201) 499-0250
Phone(201) 216-3065
Fax(201) 499-0250
Medical School CMSNew York University School Of MedicineGraduated 1979
Enumeration DateSeptember 26, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1073509931 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · MA05631200
Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

600 PAVONIA AVE, Jersey City, NJ 07306
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Other Identifiers 3

Medicaid5037000NJ
Medicare UPINE69900NJ
Medicare ID-Type Unspecified675621NJ

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

Paul M Stoopack 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 ID7214938588
PECOS Enrollment IDI20110505000113
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.
170 services127 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.
152 services109 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
63 services63 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
58 services56 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.
40 services40 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.
35 services35 patients

Hospital Affiliations CMS Care Compare 2

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Jersey City Medical Center

Acute Care Hospitals · Jersey City, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310074
Location355 Grand StreetJersey City, NJ 07302 · Hudson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07306 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.

Reported Quality Measures

Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
Percentage of patients aged 50 to 75 years of age receiving a screening colonoscopy without biopsy or polypectomy who had a recommended follow-up interval of at least 10 years for repeat colonoscopy documented in their colonoscopy report
93%43 patients
Appropriate indication for colonoscopy
Percentage of colonoscopy procedures performed for an indication that is included in a published standard list of appropriate indications and the indication is documented
89%264 patients4/55-star benchmark: 99%
Appropriate management of anticoagulation in the peri-procedural period rate - EGD
Percentage of patients undergoing an EGD on an anti-platelet agent or an anticoagulant who leave the endoscopy unit with instructions for management of this medication
7%119 patients1/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%661 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%272 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
37%693 patients2/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
63%693 patients3/55-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.

Other Providers at the Same Location NPPES 20

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

ASHLEY DERDZIKOWSKI LAC
Counselor
600 PAVONIA AVE
JERSEY CITY, NJ 07306
Hudson County (732) 228-8060
HUDSON EYE PHYSICIANS & SURGEONS, LLC
Ophthalmology
600 PAVONIA AVE, 6TH FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 963-3937
DUEN S. SHIH, M.D., P.A.
Pain Medicine (Pain Medicine)
600 PAVONIA AVE
JERSEY CITY, NJ 07306
Hudson County (973) 564-8159
DR. GISELA LIDIA MUNNE M.D.
Internal Medicine
600 PAVONIA AVE, SUITE D - 2ND FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 216-3040
HUDSON THERAPY, LLC
Durable Medical Equipment & Medical Supplies
600 PAVONIA AVE, 7TH FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 418-0088
PAVONIA DIAGNOSTIC IMAGING, PA
Radiology (Diagnostic Radiology)
600 PAVONIA AVE, 2ND FLOOR
JERSEY CITY, NJ 07306
Hudson County (201) 222-3225
HEART JERSEY CITY
Internal Medicine (Cardiovascular Disease)
600 PAVONIA AVE, 5TH FL
JERSEY CITY, NJ 07306
Hudson County (201) 216-3060
RIDLEN CONSULTING INC
Social Worker (Clinical)
600 PAVONIA AVE, 3RD FL
JERSEY CITY, NJ 07306
Hudson County (201) 798-5725

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 Paul Stoopack's NPI number?

The NPI number for Paul Stoopack is 1073509931. It was assigned to this individual provider in the NPPES registry on September 26, 2005.

Where is Paul Stoopack located?

Paul Stoopack practices at 600 Pavonia Ave 3rd Floor, Jersey City, NJ 07306. The listed phone number is (201) 216-3065.

What is Paul Stoopack's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paul Stoopack enrolled in Medicare?

Yes. Paul Stoopack 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 Paul Stoopack accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paul Stoopack 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 Paul Stoopack affiliated with any hospitals?

According to CMS data, Paul Stoopack is affiliated with Englewood Hospital And Medical Center and Jersey City Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Stoopack was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.