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DR. BARRY A EPPINGER D.O.
NPI 1336233956
Internal Medicine - Nephrology in Morristown, NJ

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
131 MADISON AVE STE 3, MORRISTOWN, NJ 07960(973) 631-6223(973) 631-6225 Get Directions Write a Review

NPPES record last updated: March 31, 2018. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 31, 2018, Mar 17, 2018, Mar 10, 2018 and 1 more (4 updates tracked since 2018).

About Dr. Barry A Eppinger D.o. NPPES

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

DR. BARRY A EPPINGER D.O. (NPI 1336233956) is an individual nephrology provider in Morristown, New Jersey, licensed in New Jersey (25MB07136200) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (1987).

NPPES Registry Identity

NPI1336233956
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. BARRY A EPPINGERCredential: D.O.
Location Address131 MADISON AVE STE 3Morristown, NJ 07960-7360
Mailing Address131 Madison Ave Ste 3Morristown, NJ 07960-7360 · (973) 631-6223 · Fax (973) 631-6225
Phone(973) 631-6223
Fax(973) 631-6225
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1987
Enumeration DateOctober 3, 2006
Last NPPES UpdateMarch 31, 20184 updates tracked since enumeration
✔ NPI 1336233956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MB07136200
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
131 MADISON AVE STE 3, Morristown, NJ 07960
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Other Identifiers 1

Medicaid847370602NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Barry A Eppinger 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 ID9436223435
PECOS Enrollment IDI20100830000111
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Barry Eppinger reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Kidney Care Of Morris County LLC
0.5 mi
Nephrology
290 MADISON AVE BLDG NO5 2ND FLOOR
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 11 clinicians in this Medicare group
NPI 1396265708 (973) 631-6223
Kidney Care And Hypertension Center Of Central Jersey LLC
21 mi
Nephrology
1350 HAMILTON ST
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1700645520 (973) 631-6223

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 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
954 services322 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.
388 services205 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
253 services150 patients
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.
245 services144 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services172 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
189 services70 patients

Hospital Affiliations CMS Care Compare 4

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

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

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris 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 07960 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.

Reported Quality Measures

Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%88 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
71%104 patients3/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
91%23 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
52%451 patients3/55-star benchmark: 99%
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…
100%470 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
5%451 patients1/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%451 patients1/55-star benchmark: 59%
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.

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers12 claims24 services$6.60 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier11 claims1,264 services$0.32 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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AYALA REHAB ASSOCIATES LLC
Clinic/Center (Rehabilitation)
131 MADISON AVE STE 3
MORRISTOWN, NJ 07960
Morris County (201) 549-9709
TATIANA OLENA HUK SIKORSKYJ PNP
Nurse Practitioner (Pediatrics)
131 MADISON AVE STE 3
MORRISTOWN, NJ 07960
Morris County (973) 326-9000
SHUBHO RANJAN SARKAR MD
Internal Medicine (Nephrology)
131 MADISON AVE STE 3
MORRISTOWN, NJ 07960
Morris County (973) 631-6223
DR. AMANDA CECILIA AYALA MD
Physical Medicine & Rehabilitation (Pediatric Rehabilitation Medicine)
131 MADISON AVE STE 3
MORRISTOWN, NJ 07960
Morris County (973) 326-9000

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 Barry Eppinger's NPI number?

The NPI number for Barry Eppinger is 1336233956. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Barry Eppinger located?

Barry Eppinger practices at 131 Madison Ave Ste 3, Morristown, NJ 07960. The listed phone number is (973) 631-6223.

What is Barry Eppinger's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Barry Eppinger enrolled in Medicare?

Yes. Barry Eppinger 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.

Which organizations bill Medicare for Barry Eppinger's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Barry Eppinger reassigns Medicare benefits to 2 organizations: Kidney Care Of Morris County LLC (Morristown, NJ) and Kidney Care And Hypertension Center Of Central Jersey LLC (Somerset, NJ). Each 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 Barry Eppinger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Barry Eppinger accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Barry Eppinger 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 Barry Eppinger affiliated with any hospitals?

According to CMS data, Barry Eppinger is affiliated with Hunterdon Medical Center, Morristown Medical Center, Saint Clare's Hospital/ Denville Campus and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for Barry Eppinger was last updated on March 31, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.