DR. RIFAQAT BAIG M.D.
NPI 1194046490
Family Medicine in South Amboy, NJ

Active since June 21, 2010PECOS Enrolled
20.5/100
CMS Quality Rating
963 ROUTE 9 NORTH, SOUTH AMBOY, NJ 08879(732) 952-3627 Get Directions Write a Review

NPPES record last updated: September 2, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Rifaqat Baig M.d. NPPES

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

DR. RIFAQAT BAIG M.D. (NPI 1194046490) is an individual family medicine provider in South Amboy, New Jersey, licensed in New Jersey (25MA08864800) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2007).

NPPES Registry Identity

NPI1194046490
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. RIFAQAT BAIGCredential: M.D.
Location Address963 ROUTE 9 NORTHSouth Amboy, NJ 08879
Mailing Address963 Route 9 NorthSouth Amboy, NJ 08879 · (909) 228-0153
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateJune 21, 2010
Last NPPES UpdateSeptember 2, 2016
✔ NPI 1194046490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA08864800
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.
963 ROUTE 9 NORTH, South Amboy, NJ 08879

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Rifaqat Baig M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5991975153
PECOS Enrollment IDI20110825000033
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 Rifaqat Baig reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Urgent Care
963 ROUTE 9 NORTH
South Amboy, NJ 08879
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 clinicians in this Medicare group
Urgent Care
124 WASHINGTON AVE
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
  • 4 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 17

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.
771 services568 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.
620 services443 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.
132 services132 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
131 services103 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
108 services96 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
83 services83 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08879 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.

20.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost68.34

Other Providers at the Same Location NPPES

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

Clinic/Center (Urgent Care)
963 ROUTE 9 NORTH
SOUTH AMBOY, NJ 08879

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 Rifaqat Baig's NPI number?

The NPI number for Rifaqat Baig is 1194046490. It was assigned to this individual provider in the NPPES registry on June 21, 2010.

Where is Rifaqat Baig located?

Rifaqat Baig practices at 963 Route 9 North, South Amboy, NJ 08879. The listed phone number is (732) 952-3627.

What is Rifaqat Baig's specialty?

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

Is Rifaqat Baig enrolled in Medicare?

Yes. Rifaqat Baig is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Rifaqat Baig's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rifaqat Baig reassigns Medicare benefits to 2 organizations: Nj Doctors Urgent Care Of Sayreville LLC (South Amboy, NJ) and Nj Doctors Urgent Care LLC (Nutley, 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 Rifaqat Baig's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rifaqat Baig accept?

Health plans from Oscar Health list Rifaqat Baig 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.

When was this NPI record last updated?

The NPPES record for Rifaqat Baig was last updated on September 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.