DR. KRISTEN SCHWALL M.D. NPI 1194763474

Internal Medicine in Livingston, NJ

NPI 1194763474 Individual Female Years of Experience 22 Internal Medicine PECOS Enrolled Accepts Medicare Approved Payment

About KRISTEN SCHWALL

Kristen Schwall is an internal medicine provider established in Livingston, New Jersey and her medical specialization is internal medicine with more than 22 years of experience. The NPI number of Kristen Schwall is 1194763474 and was assigned on June 2006. The practitioner's primary taxonomy code is 207R00000X with license number 25MA07637800 (NJ). The provider is registered as an individual and her NPI record was last updated 10 years ago.

An internist like Dr. Kristen Schwall M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Kristen Schwall is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Kristen Schwall is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Saint Barnabas Medical Center.

NPI

1194763474

Provider NameDR. KRISTEN SCHWALL M.D.
Provider Location Address200 S ORANGE AVE SUITE 107 LIVINGSTON, NJ 07039
Provider Mailing Address200 S ORANGE AVE SUITE 107 LIVINGSTON, NJ 07039
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2000
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date06-02-2006
Last Update Date09-30-2011


Primary Taxonomy

Taxonomy Code207R00000X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
License No.25MA07637800
License StateNJ
Taxonomy DescriptionA physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Business Address

DR. KRISTEN SCHWALL M.D.
200 S ORANGE AVE
SUITE 107
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 322-0220
Fax: (973) 322-0221

Get Directions


Mailing Address

DR. KRISTEN SCHWALL M.D.
200 S ORANGE AVE
SUITE 107
LIVINGSTON, NJ
ZIP 07039
Phone: (973) 322-0220
Fax: (973) 322-0221



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6204737729
PECOS Enrollment IDI20040117000108
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 74Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
  • 34Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 19Administration of influenza virus vaccine (HCPCS:G0008)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Kristen Schwall is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
SAINT BARNABAS MEDICAL CENTER94 OLD SHORT HILLS ROAD
LIVINGSTON, NJ 7039
(973) 322-5000Acute Care Hospitals310076

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
H97548MEDICARE UPIN (02)

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1730181785DR. HENRY M. WROBLEWSKI M.D.
Individual
Physical Medicine & Rehabilitation (Pain Medicine)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7775
1902800568 MARJORIE M. LUCKEY M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7430
1053317636DR. BRUCE J. BRENER MD
Individual
Surgery (Vascular Surgery)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7233
1538166368 BONNIE SIDLER M.D.
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7302
1699775460SAINT BARNABAS OUTPATIENT CENTERS
Organization
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7430
1245226661 ABBY BLAUSTEIN RD
Individual
Dietitian, Registered200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7073
1942260690 SAMUEL DOWER MD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 S ORANGE AVE SUITE 219
LIVINGSTON, NJ 07039
(973) 322-7200
1043272479 JILL RITTER MD
Individual
Internal Medicine (Rheumatology)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7400
1528020591 LEE KAUFMAN MD
Individual
Internal Medicine (Rheumatology)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7400
1477516615DR. GEORGE PAUL GEWIRTZ M.DD
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7200
1427014182 SARAH STUART SCHAEFER MD
Individual
Surgery (Surgical Oncology)200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7020
1154377067MRS. CHRISTIE TOLERICO PT
Individual
Physical Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500
1174579916 YELENA SHAPIRO PT
Individual
Physical Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500
1144277195 JENNIFER GARGIULO RD
Individual
Dietitian, Registered200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7073
1427005446MS. RITA LOEW OT
Individual
Occupational Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500
1891742797MS. AUDREY EPPS OT
Individual
Occupational Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500
1073560975 GINA CICARELLI PT
Individual
Physical Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500
1669429486 ALLA MALKO PHD
Individual
Acupuncturist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7007
1568419380MR. EDWARD RIBUSTELLO
Individual
Massage Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7007
1336188010 RENEE URBAN PT
Individual
Physical Therapist200 S ORANGE AVE
LIVINGSTON, NJ 07039
(973) 322-7500

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.