KONSTANTIN PERTSOVSKY DO
NPI 1306876602
Internal Medicine in Wayne, NJ
About Konstantin Pertsovsky Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KONSTANTIN PERTSOVSKY DO (NPI 1306876602) is an individual internal medicine provider in Wayne, New Jersey, licensed in New Jersey (25MB07552900) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 3
Other Identifiers 3
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)
Konstantin Pertsovsky Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Konstantin Pertsovsky reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Wayne, NJ 07470
- Reassigned Medicare billing, New Jersey enrollment
- 39 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 2
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07470 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
WAYNE, NJ 07470
WAYNE, NJ 07470
WAYNE, NJ 07470
WAYNE, NJ 07470
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 Konstantin Pertsovsky's NPI number?
The NPI number for Konstantin Pertsovsky is 1306876602. It was assigned to this individual provider in the NPPES registry on July 3, 2006.
Where is Konstantin Pertsovsky located?
Konstantin Pertsovsky practices at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne, NJ 07470. The listed phone number is (973) 942-6005.
What is Konstantin Pertsovsky's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Konstantin Pertsovsky enrolled in Medicare?
Yes. Konstantin Pertsovsky is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Konstantin Pertsovsky's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Konstantin Pertsovsky reassigns Medicare benefits to North Haledon Medical, PC (Wayne, NJ). The 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 Konstantin Pertsovsky's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Konstantin Pertsovsky accept?
Health plans from Oscar Health list Konstantin Pertsovsky 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 Konstantin Pertsovsky was last updated on November 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Konstantin Pertsovsky, DO · NPI 1306876602
Internal Medicine physician in Wayne, New Jersey. Individual provider, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1306876602 (Entity type: Individual)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MB07552900 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 510 HAMBURG TPKE, WAYNE COMMONS, SUITE 101, Wayne, NJ 07470-2025
- **Phone:** (973) 942-6005 · **Fax:** (973) 942-6009
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** North Haledon Medical, PC (NPI 1477624088, Wayne, NJ), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 6, 2014
- **Other identifiers:** Medicare PIN 104666PWS (NJ); Medicare UPIN H07992 (NJ); Medicaid 0157376 (NJ)
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Source: [NPI Profile](https://npiprofile.com/npi/1306876602) · Data from the CMS NPPES public registry.