NICHOLAS G BARANETSKY MD
NPI 1093808164
Internal Medicine - Endocrinology, Diabetes & Metabolism in Newark, NJ

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment
93.7/100
CMS Quality Rating
268 DR MARTIN LUTHER KING JR BLVD STE B, NEWARK, NJ 07102(973) 877-5185 Get Directions Write a Review

NPPES record last updated: March 30, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Nicholas G Baranetsky Md NPPES

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

NICHOLAS G BARANETSKY MD (NPI 1093808164) is an individual endocrinology, diabetes & metabolism provider in Newark, New Jersey, licensed in New Jersey (MA046790) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Saint Michael's Medical Center, and maintains a secondary practice location in Newark.

NPPES Registry Identity

NPI1093808164
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameNICHOLAS G BARANETSKYCredential: MD
Location Address268 DR MARTIN LUTHER KING JR BLVD STE BNewark, NJ 07102-2011
Mailing AddressPo Box 298Livingston, NJ 07039 · (973) 877-5185 · Fax (973) 877-5210
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1974
Enumeration DateOctober 2, 2006
Last NPPES UpdateMarch 30, 2021
NPPES CertifiedMarch 30, 2021
NPI 1093808164 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in NJ · MA046790
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
268 DR MARTIN LUTHER KING JR BLVD STE B, Newark, NJ 07102

Secondary Practice Location 1

Location 1111 CENTRAL AVENEWARK, NJ 07102 · Phone (973) 877-5185 · Fax (973) 877-5210

Other Identifiers 3

Medicaid1080709NJ
Other28530Aetna
OtherE5102Oxford

Accepted 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

Nicholas G Baranetsky 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 ID6800812330
PECOS Enrollment IDI20051024000343
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 3

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.
42 services36 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.
24 services18 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.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Saint Michael's Medical Center

Acute Care Hospitals · Newark, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310096
Location111 Central AvenueNewark, NJ 07102 · Essex County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07102 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.

93.7/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.28
Improvement Activities40
Cost85.47

Referred Medical Equipment & Supplies CMS DME claims 3

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
25 suppliers85 claims243 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers25 claims35 services$1.04 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
8 suppliers100 claims100 services$184.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Nicholas Baranetsky's NPI number?

The NPI number for Nicholas Baranetsky is 1093808164. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Nicholas Baranetsky located?

Nicholas Baranetsky practices at 268 Dr Martin Luther King Jr Blvd Ste B, Newark, NJ 07102. The listed phone number is (973) 877-5185.

What is Nicholas Baranetsky's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Nicholas Baranetsky enrolled in Medicare?

Yes. Nicholas Baranetsky 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 Nicholas Baranetsky accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nicholas Baranetsky 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 Nicholas Baranetsky affiliated with any hospitals?

According to CMS data, Nicholas Baranetsky is affiliated with Saint Michael's Medical Center.

When was this NPI record last updated?

The NPPES record for Nicholas Baranetsky was last updated on March 30, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.