FRANK JOSEPH CASELLA D.O.
NPI 1306888912
Internal Medicine in Sparta, NJ

Active since June 11, 2006PECOS EnrolledAccepts Medicare Assignment
82.01/100
CMS Quality Rating
89 SPARTA AVE, SUITE 100, SPARTA, NJ 07871(973) 729-2121(973) 729-3454 Get Directions Write a Review

NPPES record last updated: December 5, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Frank Joseph Casella D.o. NPPES

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

FRANK JOSEPH CASELLA D.O. (NPI 1306888912) is an individual internal medicine provider in Sparta, New Jersey, licensed in New Jersey (25MB05398600) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of At Still University Of Health Sciences, College Of Osteo Med, Kirksville (1986).

NPPES Registry Identity

NPI1306888912
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameFRANK JOSEPH CASELLACredential: D.O.
Location Address89 SPARTA AVE, SUITE 100Sparta, NJ 07871-1777
Mailing Address532 Lafayette Rd, Suite 300Sparta, NJ 07871-4411 · (973) 940-0423 · Fax (973) 729-3454
Fax(973) 729-3454
Sole ProprietorNo
Medical School CMSAt Still University Of Health Sciences, College Of Osteo Med, KirksvilleGraduated 1986
Enumeration DateJune 11, 2006
Last NPPES UpdateDecember 5, 2017
NPI 1306888912 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MB05398600
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.

Also ListedInternal Medicine · NephrologyTaxonomy 207RN0300X · License MB053986 (NJ)
89 SPARTA AVE, Sparta, NJ 07871

Other Names 1

Other Name (5)Dr. Frank Joseph Casella

Other Identifiers 1

Medicaid6210201NJ

Accepted Insurance

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

Frank Joseph Casella D.o. 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 ID9931000916
PECOS Enrollment IDI20050422000418
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 18

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.
1,440 services574 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
218 services29 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
150 services150 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
146 services146 patients
Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457
This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.
99 services16 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.
81 services71 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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · 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

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 07871 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.

82.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.02
Promoting Interoperability85
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims52 services$6.35 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

Nurse Practitioner
89 SPARTA AVE
SPARTA, NJ 07871
Obstetrics & Gynecology
89 SPARTA AVE
SPARTA, NJ 07871
Pediatrics
89 SPARTA AVE, SUITE 100
SPARTA, NJ 07871
Psychiatry & Neurology (Psychiatry)
89 SPARTA AVE, SUITE 240
SPARTA, NJ 07871
Radiology (Diagnostic Radiology)
89 SPARTA AVE, SUITE 120
SPARTA, NJ 07871
Urology
89 SPARTA AVE, SUITE 200
SPARTA, NJ 07871
Internal Medicine
89 SPARTA AVE, SUITE 130
SPARTA, NJ 07871
Surgery (Surgical Oncology)
89 SPARTA AVE, SUITE 210
SPARTA, NJ 07871

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 Frank Casella's NPI number?

The NPI number for Frank Casella is 1306888912. It was assigned to this individual provider in the NPPES registry on June 11, 2006. The provider is also known as Dr. Frank Joseph Casella.

Where is Frank Casella located?

Frank Casella practices at 89 Sparta Ave Suite 100, Sparta, NJ 07871. The listed phone number is (973) 729-2121.

What is Frank Casella's specialty?

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

Is Frank Casella enrolled in Medicare?

Yes. Frank Casella 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.

What insurance does Frank Casella accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Frank Casella 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.

Is Frank Casella affiliated with any hospitals?

According to CMS data, Frank Casella is affiliated with Morristown Medical Center, Chilton Medical Center, Newton Medical Center and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Frank Casella was last updated on December 5, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.