MARC ABBATE MD
NPI 1316911845
Dermatology in West Orange, NJ

Active since February 13, 2006PECOS EnrolledAccepts Medicare Assignment
90.65/100
CMS Quality Rating
347 MOUNT PLEASANT AVE, SUITE 103, WEST ORANGE, NJ 07052(973) 571-2121(973) 239-1591 Get Directions Write a Review

NPPES record last updated: May 1, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Marc Abbate Md NPPES

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

MARC ABBATE MD (NPI 1316911845) is an individual dermatology provider in West Orange, New Jersey, licensed in New Jersey (MA07509800) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Chilton Medical Center, and is a graduate of Rutgers R W Johnson Medical School (cam/new Bruns/pisc) (1998).

NPPES Registry Identity

NPI1316911845
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameMARC ABBATECredential: MD
Location Address347 MOUNT PLEASANT AVE, SUITE 103West Orange, NJ 07052-2744
Mailing Address347 Mount Pleasant Ave, Suite 205West Orange, NJ 07052-2744 · (973) 571-2121 · Fax (973) 571-2126
Fax(973) 239-1591
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 1998
Enumeration DateFebruary 13, 2006
Last NPPES UpdateMay 1, 2012
NPI 1316911845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NJ · MA07509800
Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

347 MOUNT PLEASANT AVE, West Orange, NJ 07052

Other Identifiers 3

Medicare UPINH56449
Medicare ID-Type Unspecified033830NJ · Group Number
Medicare ID-Type Unspecified081871NR4NJ

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

Marc Abbate Md 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 ID4082688817
PECOS Enrollment IDI20040825001458
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 53

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
6,598 services964 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
2,476 services1,464 patients
Test for allergy using skin patch 95044
A skin patch test helps identify allergens causing skin reactions. Small patches with potential allergens are applied to your skin, usually on the back. After 48 hours, they are removed to check for reactions. It's a safe and effective way to diagnose allergies.
2,111 services27 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
1,985 services1,188 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
1,656 services1,162 patients
Destruction of skin growth, 1-14 growths 17110
"Destruction of skin growth" refers to a procedure where 1-14 abnormal skin growths are removed. This is done using methods such as freezing, burning, or laser therapy. It helps prevent the growth from causing discomfort or turning into a more serious condition.
719 services559 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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.

90.65/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability89
Improvement Activities40

Reported Quality Measures

e-Prescribing
99%1,719 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
80%2,718 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.

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.

Ophthalmology
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Dermatology
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Plastic Surgery
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Dermatology
347 MOUNT PLEASANT AVE, SUITE 103
WEST ORANGE, NJ 07052
Nurse Practitioner (Family)
347 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Ophthalmology
347 MOUNT PLEASANT AVE, SUITE 101
WEST ORANGE, NJ 07052
Physician Assistant
347 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Physician Assistant (Medical)
347 MOUNT PLEASANT AVE, SUITE 205
WEST ORANGE, NJ 07052

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 Marc Abbate's NPI number?

The NPI number for Marc Abbate is 1316911845. It was assigned to this individual provider in the NPPES registry on February 13, 2006.

Where is Marc Abbate located?

Marc Abbate practices at 347 Mount Pleasant Ave Suite 103, West Orange, NJ 07052. The listed phone number is (973) 571-2121.

What is Marc Abbate's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Marc Abbate enrolled in Medicare?

Yes. Marc Abbate 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 Marc Abbate accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Marc Abbate 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 Marc Abbate affiliated with any hospitals?

According to CMS data, Marc Abbate is affiliated with Chilton Medical Center.

When was this NPI record last updated?

The NPPES record for Marc Abbate was last updated on May 1, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.