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DR. EDWARD J BARBARITO MD
NPI 1174503148
Specialist in Denville, NJ

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
78.77/100
CMS Quality Rating
16 POCONO RD, STE 201, DENVILLE, NJ 07834(973) 627-4430(973) 586-2336 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Edward J Barbarito Md NPPES

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

DR. EDWARD J BARBARITO MD (NPI 1174503148) is an individual specialist in Denville, New Jersey, licensed in New Jersey (25MA068067) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1174503148
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. EDWARD J BARBARITOCredential: MD
Location Address16 POCONO RD, STE 201Denville, NJ 07834-2901
Mailing Address16 Pocono Rd, Ste 201Denville, NJ 07834-2901 · (973) 627-4430 · Fax (973) 586-2336
Phone(973) 627-4430
Fax(973) 586-2336
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateJanuary 18, 2006
Last NPPES UpdateNovember 4, 2025
NPPES CertifiedNovember 4, 2025
✔ NPI 1174503148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in NJ · 25MA068067
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Also ListedInternal MedicineTaxonomy 207R00000X · License 75118 (TN)
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 75118 (TN)
16 POCONO RD, Denville, NJ 07834
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1130 W Ravine RdKingsport, TN 37660-3837 · Phone (423) 224-4000
Location 21 Medical Park BlvdBristol, TN 37620-7430 · Phone (423) 844-1121

Other Identifiers 1

Medicaid8764301NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare.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. Edward J Barbarito 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 ID6103801444
PECOS Enrollment IDI20040622000164, I20251031002899
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 Edward Barbarito reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Consensus Medical Group LLC
57 mi
Internal Medicine
2399 ROUTE 34 BLDG A5
Manasquan, NJ 08736
  • Reassigned Medicare billing, New Jersey enrollment
  • 150 clinicians in this Medicare group
NPI 1811466881 (732) 528-5533
Wellmont Medical Associates, Inc.
512 mi
Internal Medicine
2686 W STATE ST
Bristol, TN 37620
  • Reassigned Medicare billing, Tennessee enrollment
  • 861 clinicians in this Medicare group
NPI 1558812198 (423) 844-0026

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 11

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.

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.
364 services187 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.
260 services156 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.
126 services121 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.
112 services112 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
86 services86 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.
85 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Wellmont Bristol Regional Medical Center

Acute Care Hospitals · Bristol, TN
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number440012
LocationOne Medical Park BlvdBristol, TN 37620 · Sullivan County
Emergency services Birthing friendly

Wellmont Holston Valley Medical Center

Acute Care Hospitals · Kingsport, TN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number440017
Location130 West Ravine RoadKingsport, TN 37662 · Sullivan County
Emergency services

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.

78.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality73.14
Improvement Activities40

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
100%49 patients5/55-star benchmark: 100%
Breast Cancer Screening
27%303 patients2/55-star benchmark: 93%
Cervical Cancer Screening
23%366 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
4%48 patients
Colorectal Cancer Screening
80%606 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
67%163 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
36%42 patients2/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%42 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
24%1,922 patients1/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
28%375 patients2/55-star benchmark: 100%
HIV Screening
2%756 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
16%686 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
20%981 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%648 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 52% · 548 patients
49%548 patients
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
69%121 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 392 patients
Patients totalRate: 14% · 407 patients
14%407 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.

ALANA M SCORZO APRN, FNP-BC
Nurse Practitioner (Family)
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 586-3700
DR. MICHAEL GERARD GIRONTA DO
Internal Medicine
16 POCONO RD, SUITE 313
DENVILLE, NJ 07834
Morris County (973) 625-0112
CHARLES ROBERT BUSHONG JR. M.D.
Pediatrics
16 POCONO RD, SUITE 214
DENVILLE, NJ 07834
Morris County (973) 627-6129
LAKELAND UROLOGY L L C
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
ASSOCIATES IN PULMONARY MEDICINE PA
Internal Medicine (Pulmonary Disease)
16 POCONO RD, 217
DENVILLE, NJ 07834
Morris County (800) 750-8616
DIAMOND SPRING DENTAL ASSOCIATES PA
Dentist
16 POCONO RD, SUITE 116
DENVILLE, NJ 07834
Morris County (973) 627-1220
DR. VINCENT CUBELLI M.D.
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Morris County (973) 627-3411
DR. CEM S. OMAY M.D.
Obstetrics & Gynecology
16 POCONO RD
DENVILLE, NJ 07834
Morris County (973) 627-1400

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 Edward Barbarito's NPI number?

The NPI number for Edward Barbarito is 1174503148. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is Edward Barbarito located?

Edward Barbarito practices at 16 Pocono Rd Ste 201, Denville, NJ 07834. The listed phone number is (973) 627-4430.

What is Edward Barbarito's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Edward Barbarito enrolled in Medicare?

Yes. Edward Barbarito 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 Edward Barbarito's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Barbarito reassigns Medicare benefits to 2 organizations: Consensus Medical Group LLC (Manasquan, NJ) and Wellmont Medical Associates, Inc. (Bristol, TN). 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 Edward Barbarito's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Barbarito accept?

Health plans from Cigna Healthcare list Edward Barbarito 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 Edward Barbarito affiliated with any hospitals?

According to CMS data, Edward Barbarito is affiliated with Morristown Medical Center, Saint Clare's Hospital/ Denville Campus, Wellmont Bristol Regional Medical Center and Wellmont Holston Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Edward Barbarito was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.