MICHAEL GUNDELL
NPI 1205264892
Physician Assistant in Hackettstown, NJ

Active since October 17, 2013PECOS EnrolledAccepts Medicare Assignment
79.44/100
CMS Quality Rating
108 BILBY RD, SUITE 201, HACKETTSTOWN, NJ 07840(908) 684-3005 Get Directions Write a Review

NPPES record last updated: October 17, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Michael Gundell NPPES

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

MICHAEL GUNDELL (NPI 1205264892) is an individual physician assistant in Hackettstown, New Jersey, licensed in New Jersey (25MP00319000) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1205264892
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL GUNDELL
Location Address108 BILBY RD, SUITE 201Hackettstown, NJ 07840-4174
Mailing Address108 Bilby Rd, Suite 201Hackettstown, NJ 07840-4174 · (908) 684-3005
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateOctober 17, 2013
NPI 1205264892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00319000
Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 25MP00319000 (NJ)
108 BILBY RD, Hackettstown, NJ 07840

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

Michael Gundell 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 ID9537382015
PECOS Enrollment IDI20140602001933
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.

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.

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.
286 services218 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.
267 services196 patients
X-ray of lower and sacral spine, minimum of 4 views 72110
An X-ray of the lower and sacral spine involves capturing images of your lower back and tailbone area. It helps in identifying issues like fractures, arthritis, or other abnormalities. At least four different angles or 'views' are taken to get a comprehensive picture.
157 services156 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.
84 services84 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
61 services53 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.
60 services60 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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310060
Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County
Emergency services

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07840 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
$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.

79.44/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.92
Promoting Interoperability99
Improvement Activities40
Cost57.39

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%75 patients1/55-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.

Orthopaedic Surgery (Sports Medicine)
108 BILBY RD, STE. 201
HACKETTSTOWN, NJ 07840
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
108 BILBY RD, SUITE 301
HACKETTSTOWN, NJ 07840
Physical Therapist
108 BILBY RD, SUITE 201
HACKETTSTOWN, NJ 07840
Surgery
108 BILBY RD, SUITE 303
HACKETTSTOWN, NJ 07840
Orthopaedic Surgery
108 BILBY RD, SUITE 201
HACKETTSTOWN, NJ 07840
Advanced Practice Midwife
108 BILBY RD, SUITE 305
HACKETTSTOWN, NJ 07840
Nurse Practitioner (Women's Health)
108 BILBY RD, SUITE 305
HACKETTSTOWN, NJ 07840
Physician Assistant (Surgical)
108 BILBY RD, STE 201
HACKETTSTOWN, NJ 07840

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 Michael Gundell's NPI number?

The NPI number for Michael Gundell is 1205264892. It was assigned to this individual provider in the NPPES registry on October 17, 2013.

Where is Michael Gundell located?

Michael Gundell practices at 108 Bilby Rd Suite 201, Hackettstown, NJ 07840. The listed phone number is (908) 684-3005.

What is Michael Gundell's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Gundell enrolled in Medicare?

Yes. Michael Gundell 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.

Is Michael Gundell affiliated with any hospitals?

According to CMS data, Michael Gundell is affiliated with Morristown Medical Center, Newton Medical Center, St Luke's Warren Hospital and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Gundell was last updated on October 17, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.