PRATIBHA AVINASH KULKARNI M.D.
NPI 1306867478
Internal Medicine in Millburn, NJ

Q: What is Pratibha Kulkarni's NPI number?

The NPI number for Pratibha Kulkarni is 1306867478. It was assigned to this individual provider in the NPPES registry on July 22, 2006.

Q: What is Pratibha Kulkarni's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pratibha Kulkarni was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 22, 2006PECOS Enrolled

84.01/100

CMS Quality Rating

116 MILLBURN AVE, SUITE # 108, MILLBURN, NJ 07041(973) 564-5227 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Pratibha Avinash Kulkarni M.d. NPPES

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

PRATIBHA AVINASH KULKARNI M.D. (NPI 1306867478) is an individual internal medicine provider in Millburn, New Jersey, licensed in New Jersey (MA 41977) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306867478

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePRATIBHA AVINASH KULKARNICredential: M.D.

Location Address116 MILLBURN AVE, SUITE # 108Millburn, NJ 07041-1943

Mailing Address297 Walnut StLivingston, NJ 07039-5009 · (973) 564-5227

Phone(973) 564-5227

Sole ProprietorYes

Enumeration DateJuly 22, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1306867478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in NJ · MA 41977

Definition

A 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.

116 MILLBURN AVE, Millburn, NJ 07041

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Other Identifiers 3

Medicare UPINA64570NJ

Medicare ID-Type Unspecified454929NJ

Medicaid1883402NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratibha Avinash Kulkarni M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

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.

84.01/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.67

Promoting Interoperability

Improvement Activities

Cost

76.48

Reported Quality Measures

Breast Cancer Screening

66%129 patients3/55-star benchmark: 93%

Cervical Cancer Screening

50%217 patients3/55-star benchmark: 98%

Closing the Referral Loop: Receipt of Specialist Report

16%329 patients1/55-star benchmark: 87%

Controlling High Blood Pressure

58%203 patients3/55-star benchmark: 91%

Diabetes: Eye Exam

3%94 patients1/55-star benchmark: 100%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

24%94 patients4/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

99%1,054 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

16%110 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

41%452 patients2/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

92%415 patients4/55-star benchmark: 97%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

26%494 patients2/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients screened: 7% · 416 patients

6%416 patients

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

82%159 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 116 patients

Patients totalRate: 5% · 117 patients

5%117 patients4/55-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.

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