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PADAM K NEOPANE MD
NPI 1104967488
Family Medicine - Geriatric Medicine in Newark, NJ

Active since February 09, 2007PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST STE 300, NEWARK, NJ 07103(973) 972-2111(973) 972-2754 Get Directions Write a Review

NPPES record last updated: April 7, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Padam K Neopane Md NPPES

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

PADAM K NEOPANE MD (NPI 1104967488) is an individual geriatric medicine provider in Newark, New Jersey, licensed in New Jersey (25MA08490600) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Bergen New Bridge Medical Center, and maintains a secondary practice location in Paramus.

NPPES Registry Identity

NPI1104967488
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NamePADAM K NEOPANECredential: MD
Location Address90 BERGEN ST STE 300Newark, NJ 07103-2425
Mailing Address5525 Research Park Dr, 4th FloorBaltimore, MD 21228-4873 · (973) 831-3540 · Fax (973) 831-3503
Phone(973) 972-2111
Fax(973) 972-2754
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateFebruary 9, 2007
Last NPPES UpdateApril 7, 2022
NPPES CertifiedApril 7, 2022
✔ NPI 1104967488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in NJ · 25MA08490600
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
90 BERGEN ST STE 300, Newark, NJ 07103
Open in Google Maps ↗

Secondary Practice Location 1

Location 1230 E Ridgewood AveParamus, NJ 07652-4142 · Phone (201) 967-4000

Other Identifiers 1

Medicaid0206385NJ

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Padam K Neopane 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 ID1658424270
PECOS Enrollment IDI20090729000871
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

2

Medicare enrollment records show Padam Neopane reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc
Same address
Family Medicine
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 10 clinicians in this Medicare group
NPI 1467462168 (973) 972-3465
Bergen County Improvement Authority
16 mi
Internal Medicine
230 E RIDGEWOOD AVE
Paramus, NJ 07652
  • Reassigned Medicare billing, New Jersey enrollment
  • 120 clinicians in this Medicare group
NPI 1891836441 (201) 967-4000

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

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.
12 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Bergen New Bridge Medical Center

Acute Care Hospitals · Paramus, NJ
OwnershipVoluntary non-profit - Private
CMS Certification Number310058
Location230 East Ridgewood AveParamus, NJ 07652 · Bergen County
Emergency services

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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 Padam Neopane's NPI number?

The NPI number for Padam Neopane is 1104967488. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Padam Neopane located?

Padam Neopane practices at 90 Bergen St Ste 300, Newark, NJ 07103. The listed phone number is (973) 972-2111.

What is Padam Neopane's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Padam Neopane enrolled in Medicare?

Yes. Padam Neopane 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 Padam Neopane's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Padam Neopane reassigns Medicare benefits to 2 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ) and Bergen County Improvement Authority (Paramus, 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 Padam Neopane's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Padam Neopane accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Padam Neopane 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 Padam Neopane affiliated with any hospitals?

According to CMS data, Padam Neopane is affiliated with Bergen New Bridge Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Padam Neopane was last updated on April 7, 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.