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DR. JAMES ROBERT HOPPE M.D.
NPI 1174587661
Family Medicine in South Plainfield, NJ

Active since April 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D1051625 · Waiver
45.99/100
CMS Quality Rating
273 DURHAM AVE, SOUTH PLAINFIELD, NJ 07080(908) 561-9900(908) 561-6650 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. James Robert Hoppe M.d. NPPES

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

DR. JAMES ROBERT HOPPE M.D. (NPI 1174587661) is an individual family medicine provider in South Plainfield, New Jersey, licensed in New Jersey (MA07177500) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through April 18, 2027, and is affiliated with Jfk Medical Center.

NPPES Registry Identity

NPI1174587661
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JAMES ROBERT HOPPECredential: M.D.
Location Address273 DURHAM AVESouth Plainfield, NJ 07080-2504
Mailing Address273 Durham AveSouth Plainfield, NJ 07080-2504 · (908) 561-9900 · Fax (908) 561-6650
Phone(908) 561-9900
Fax(908) 561-6650
Sole ProprietorYes
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1998
Enumeration DateApril 13, 2006
Last NPPES UpdateJuly 7, 2014
✔ NPI 1174587661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · MA07177500
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
273 DURHAM AVE, South Plainfield, NJ 07080
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Other Identifiers 2

Medicare UPINH49675NJ
Medicare PIN051728WWNNJ

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

Dr. James Robert Hoppe 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 ID5496797573
PECOS Enrollment IDI20050531000179
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1051625

James R Hoppe MD LLC · South Plainfield, NJ
Active · expires Apr 18, 2027
CLIA Number31D1051625
Laboratory TypePhysician Office
Certificate Effective DateApril 19, 2025
Certificate Expiration DateApril 18, 2027
Laboratory DirectorJames R. Hoppe
Laboratory Phone(908) 561-9900
Laboratory LocationJames R Hoppe MD LLC273 Durham Avenue, South Plainfield, NJ 07080
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
442 services206 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
187 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.
139 services109 patients
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.
123 services119 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
65 services64 patients
Influenza vaccine, quadrivalent, 0.5 ml dosage 90688
The Influenza vaccine, quadrivalent, 0.5 ml dosage, is a flu shot to protect against four strains of the flu virus. It's given as a small injection, typically in the arm, to help your body build immunity and fight off potential flu infections.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

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
$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.

45.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.99
Improvement Activities0
Cost66.65

Referred Medical Equipment & Supplies CMS DME claims

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
6 suppliers11 claims28 services$6.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

DR. NGOC QUYNH THI TRAN-HOPPE MD
Obstetrics & Gynecology
273 DURHAM AVE
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 561-9900
JAMES R HOPPE MD, LLC
Family Medicine
273 DURHAM AVE
SOUTH PLAINFIELD, NJ 07080
Middlesex County (908) 561-9900

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 James Hoppe's NPI number?

The NPI number for James Hoppe is 1174587661. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is James Hoppe located?

James Hoppe practices at 273 Durham Ave, South Plainfield, NJ 07080. The listed phone number is (908) 561-9900.

What is James Hoppe's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Hoppe enrolled in Medicare?

Yes. James Hoppe 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.

Does James Hoppe hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D1051625) is associated with this NPI, valid through April 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is James Hoppe affiliated with any hospitals?

According to CMS data, James Hoppe is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for James Hoppe was last updated on July 7, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.