DR. ROBERT A PANEBIANCO MD
NPI 1134129232
Internal Medicine - Cardiovascular Disease in Edison, NJ

Active since July 29, 2005PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
4 ETHEL RD, SUITE 406B, EDISON, NJ 08817(732) 287-6622(732) 287-2233 Get Directions Write a Review

NPPES record last updated: April 10, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 10, 2024, Feb 9, 2017 (2 updates tracked since 2017).

About Dr. Robert A Panebianco Md NPPES

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

DR. ROBERT A PANEBIANCO MD (NPI 1134129232) is an individual cardiovascular disease provider in Edison, New Jersey, licensed in New Jersey (25MA05559500) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital At Rahway, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1134129232
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. ROBERT A PANEBIANCOCredential: MD
Location Address4 ETHEL RD, SUITE 406BEdison, NJ 08817-2841
Mailing Address4 Ethel Rd, Suite 406bEdison, NJ 08817-2841 · (732) 287-6622 · Fax (732) 287-2233
Fax(732) 287-2233
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateJuly 29, 2005
Last NPPES UpdateApril 10, 20242 updates tracked since enumeration
NPPES CertifiedApril 10, 2024
✔ NPI 1134129232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA05559500
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA05559500 (NJ)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License 25MA05559500 (NJ)
4 ETHEL RD, Edison, NJ 08817

Accepted 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. Robert A Panebianco 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 ID2264569839
PECOS Enrollment IDI20100430000194
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

6

Medicare enrollment records show Robert Panebianco reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurology
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 165 clinicians in this Medicare group
Family Medicine
65 JAMES ST
Edison, NJ 08820
  • Reassigned Medicare billing, New Jersey enrollment
  • 164 clinicians in this Medicare group
Family Medicine
3 EXECUTIVE DRIVE, SUITE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 172 clinicians in this Medicare group
Cardiovascular Disease
530 NEW BRUNSWICK AVE
Perth Amboy, NJ 08861
  • Reassigned Medicare billing, New Jersey enrollment
  • 22 clinicians in this Medicare group
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
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

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 15

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
1,176 services464 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.
935 services433 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
549 services48 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
224 services164 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
160 services160 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.
77 services50 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

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 08817 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
$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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Cardiovascular Disease)
4 ETHEL RD, SUITE 405B
EDISON, NJ 08817
Physical Therapist
4 ETHEL RD, SUITE 403B
EDISON, NJ 08817
Physical Therapist
4 ETHEL RD, SUITE 403B
EDISON, NJ 08817
Physical Therapist
4 ETHEL RD, 403B
EDISON, NJ 08817
Internal Medicine
4 ETHEL RD, SUITE 406B
EDISON, NJ 08817
Internal Medicine (Cardiovascular Disease)
4 ETHEL RD, SUITE 406A
EDISON, NJ 08817
Nurse Practitioner (Women's Health)
4 ETHEL RD, SUITE 402
EDISON, NJ 08817
Occupational Therapist
4 ETHEL RD, SUITE 403B
EDISON, NJ 08817

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 Robert Panebianco's NPI number?

The NPI number for Robert Panebianco is 1134129232. It was assigned to this individual provider in the NPPES registry on July 29, 2005.

Where is Robert Panebianco located?

Robert Panebianco practices at 4 Ethel Rd Suite 406B, Edison, NJ 08817. The listed phone number is (732) 287-6622.

What is Robert Panebianco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Robert Panebianco enrolled in Medicare?

Yes. Robert Panebianco 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 Robert Panebianco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Panebianco reassigns Medicare benefits to 6 organizations: Community Hospital Group, Inc. (Edison, NJ), Hmh Hospitals Corporation (Edison, NJ), Robert Wood Johnson Physician Enterprise (Somerset, NJ), Rb Cardiology Reading Associates LLC (Perth Amboy, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and 1 more organization, listed in the Medicare section above. 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 Robert Panebianco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Panebianco accept?

Health plans from Oscar Health list Robert Panebianco 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 Robert Panebianco affiliated with any hospitals?

According to CMS data, Robert Panebianco is affiliated with Robert Wood Johnson University Hospital At Rahway, Raritan Bay Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Panebianco was last updated on April 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.