DR. GARY B BREITBART M.D.
NPI 1073553400
Surgery - Vascular Surgery in South Plainfield, NJ

Q: What is Gary Breitbart's NPI number?

The NPI number for Gary Breitbart is 1073553400. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Q: What is Gary Breitbart's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Q: When was this NPI record last updated?

The NPPES record for Gary Breitbart was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment

94.95/100

CMS Quality Rating

1511 PARK AVE, SOUTH PLAINFIELD, NJ 07080(908) 561-9500(908) 561-7162 Get Directions Write a Review

NPPES record last updated: June 24, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Gary B Breitbart M.d. NPPES

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

DR. GARY B BREITBART M.D. (NPI 1073553400) is an individual vascular surgery provider in South Plainfield, New Jersey, licensed in New Jersey (25MA03993700) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (1978).

NPPES Registry Identity

NPI1073553400

Entity TypeIndividualMale

Primary Taxonomy2086S0129X

Provider Legal NameDR. GARY B BREITBARTCredential: M.D.

Location Address1511 PARK AVESouth Plainfield, NJ 07080-5516

Mailing Address1511 Park AveSouth Plainfield, NJ 07080-5516 · (908) 561-9500 · Fax (908) 561-7162

Phone(908) 561-9500

Fax(908) 561-7162

Sole ProprietorNo

Medical School CMSOtherGraduated 1978

Enumeration DateJune 7, 2006

Last NPPES UpdateJune 24, 2015

✔ NPI 1073553400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0129X

License✔ Licensed in NJ · 25MA03993700

Definition

A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.

Also ListedSurgeryTaxonomy 208600000X · License 25MA03993700 (NJ)

1511 PARK AVE, South Plainfield, NJ 07080

Open in Google Maps ↗

Other Identifiers 8

Medicare UPINC62902NJ

Medicare PIN020041513NJ

Other0280166000NJ · Amerihealth

Other1340660NJ · United Healthcare

Other1028839NJ · Cigna

OtherES137NJ · Oxford

Medicare PIN199549MLANJ

Other2292111NJ · Aetna

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Gary B Breitbart M.d. 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 ID7810907268

PECOS Enrollment IDI20060501000253

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.

Medicare Billing Reassignments

Medicare enrollment records show Gary Breitbart reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Community Hospital Group, Inc.

4.0 mi

Neurology

65 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment
165 clinicians in this Medicare group

NPI 1487680013 (732) 321-7010

Hmh Hospitals Corporation

4.0 mi

Family Medicine

65 JAMES ST
Edison, NJ 08820

Reassigned Medicare billing, New Jersey enrollment
164 clinicians in this Medicare group

NPI 1356016661 (732) 321-7000

Hackensack Meridian Health Medical Group - Specialty Care PC

24 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 31

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970

An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.

489 services440 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

322 services145 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.

305 services222 patients

Strapping, unna boot 29580

An Unna Boot is a special bandage, soaked in a gel, wrapped around your lower leg and foot. It helps heal leg sores, improve circulation, and reduce swelling. The boot hardens and provides compression, promoting healing and comfort.

234 services73 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.

163 services127 patients

Application of vein wound compression bandages on lower leg, ankle, and foot 29581

Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.

150 services64 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

This is a non-invasive procedure using sound waves to visualize veins in an arm or leg. It involves applying gentle pressure and performing certain movements. It helps identify any abnormal blood flow or clots, ensuring vascular health.

129 services124 patients

Ultrasound of both sides of head and neck blood flow 93880

An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.

111 services102 patients

Ultrasound study of arm and leg arteries 93922

An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.

82 services72 patients

Complete ultrasound study of arm and leg arteries 93923

This procedure involves using sound waves to produce images of your arm and leg arteries. It helps identify blockages or abnormalities that could lead to conditions like stroke or peripheral artery disease. It's non-invasive and painless.

72 services68 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.

62 services62 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

51 services46 patients

Ultrasound of both sides of head and neck blood flow 93880

45 services45 patients

Strapping, unna boot 29580

43 services19 patients

Ultrasound study of arm or leg veins with compression and maneuvers 93970

40 services39 patients

Complete ultrasound of aorta, vena cava, groin vessels or bypass grafts 93978

This procedure involves using sound waves to create images of your aorta, vena cava, groin vessels, or bypass grafts. It helps to detect abnormalities or blockages, ensuring your blood flows smoothly. It's painless and non-invasive.

40 services38 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

40 services39 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

38 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

37 services33 patients

Ultrasound of one leg arteries or artery grafts 93926

An ultrasound of leg arteries or artery grafts is a non-invasive test using sound waves to create images of your blood vessels. This helps doctors assess blood flow, identify blockages, and monitor the health of grafts.

33 services30 patients

Ultrasound of one leg arteries or artery grafts 93926

28 services26 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.

23 services23 patients

Ultrasound study of one arm or leg veins with compression and maneuvers 93971

22 services22 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

21 services15 patients

Ultrasound of hemodialysis access 93990

An ultrasound of hemodialysis access is a non-invasive procedure that uses sound waves to create images of your dialysis access site. It helps monitor the access site's health and detect any potential issues like blockages or narrowing.

19 services17 patients

Application of skin substitute graft to wound of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 25.0 sq cm or less of wound 100.0 sq cm or less 15275

This procedure involves applying a skin substitute graft to a wound that's 25.0 sq cm or less, located on areas such as the face, scalp, eyelids, mouth, neck, ears, around eyes, hands, feet, fingers, or toes. The graft aids in wound healing and tissue regeneration.

18 services11 patients

Ultrasound of leg arteries or artery grafts 93925

An ultrasound of leg arteries or artery grafts is a non-invasive imaging test. It uses high-frequency sound waves to capture live images from inside your body, specifically your leg arteries or grafts. This helps in detecting any blockages or abnormalities.

18 services18 patients

Review by radiologist of abdominal aorta image 75625

This is a procedure where a radiologist, a doctor specialized in medical imaging, examines an image of your abdominal aorta. The abdominal aorta is the large blood vessel that carries blood to your lower body. The radiologist checks for any abnormalities to ensure your overall vascular health.

16 services16 patients

Review by radiologist of arm or leg artery image 75710

This procedure involves a radiologist examining images of your arm or leg arteries. These images are obtained through a non-invasive method, like an ultrasound or CT scan. The radiologist reviews these images to identify any abnormalities, such as blockages or narrowing, which can affect blood flow.

16 services16 patients

Complete ultrasound study of arm and leg arteries 93923

15 services15 patients

Ultrasound study of arm and leg arteries 93922

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310039

Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County

Emergency services Birthing friendly

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 07080 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.

94.95/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

87.26

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Radiology: Stenosis Measurement in Carotid Imaging Reports

Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…

100%104 patients

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 11

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

KIMBERLY SAGE FNP

Nurse Practitioner (Family)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

DR. EDWIN BLUMBERG MD

Internal Medicine (Cardiovascular Disease)

1511 PARK AVE, 2ND FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 756-4438

PARK INTERNAL MEDICINE LLC

Internal Medicine

1511 PARK AVE, 3RD FLOOR, STE # A
SOUTH PLAINFIELD, NJ 07080

Middlesex County (551) 322-6162

MR. RYAN P BROWN MD

Internal Medicine (Nephrology)

1511 PARK AVE, 3RD FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 757-4544

GEOFFREY WONG MD

Surgery (Vascular Surgery)

1511 PARK AVE, THIRD FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

DR. DAVID M RICHMAND M.D.

Surgery (Vascular Surgery)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

GARDEN STATE SURGICAL ASSOCIATES, P.A.

Surgery (Vascular Surgery)

1511 PARK AVE
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

ALEC N SIMPSON M.D.

Surgery (Vascular Surgery)

1511 PARK AVE, THIRD FLOOR
SOUTH PLAINFIELD, NJ 07080

Middlesex County (908) 561-9500

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 Breitbart's NPI number?

The NPI number for Gary Breitbart is 1073553400. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Gary Breitbart located?

Gary Breitbart practices at 1511 Park Ave, South Plainfield, NJ 07080. The listed phone number is (908) 561-9500.

What is Gary Breitbart's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Gary Breitbart enrolled in Medicare?

Yes. Gary Breitbart 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.

Which organizations bill Medicare for Gary Breitbart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Breitbart reassigns Medicare benefits to 3 organizations: Community Hospital Group, Inc. (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Gary Breitbart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Breitbart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gary Breitbart 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 Breitbart affiliated with any hospitals?

According to CMS data, Gary Breitbart is affiliated with Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Breitbart was last updated on June 24, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.