DR. ANTON SVETLANOV D.O., PH.D.
NPI 1346667599
Psychiatry & Neurology - Neurology in Edison, NJ

Active since March 26, 2014PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating

NPPES record last updated: June 12, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Anton Svetlanov D.o., Ph.d. NPPES

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

DR. ANTON SVETLANOV D.O., PH.D. (NPI 1346667599) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MB10319800) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2014).

NPPES Registry Identity

NPI1346667599
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDR. ANTON SVETLANOVCredential: D.O., PH.D.
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address65 James StrEdison, NJ 08820-5612 · (732) 321-7010
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2014
Enumeration DateMarch 26, 2014
Last NPPES UpdateJune 12, 2020
NPPES CertifiedJune 12, 2020
NPI 1346667599 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NJ · 25MB10319800
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
65 JAMES ST, Edison, NJ 08820

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

Dr. Anton Svetlanov D.o., Ph.d. 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 ID345584744
PECOS Enrollment IDI20190829001434
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 12

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
200 services148 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
73 services65 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
42 services42 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.
42 services37 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.
29 services29 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.
27 services27 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Lightweight wheelchair K0003
DME-Wheelchairs · category DD000N
2 suppliers12 claims12 services$20.13 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$6.17 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.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820

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 Anton Svetlanov's NPI number?

The NPI number for Anton Svetlanov is 1346667599. It was assigned to this individual provider in the NPPES registry on March 26, 2014.

Where is Anton Svetlanov located?

Anton Svetlanov practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7010.

What is Anton Svetlanov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Anton Svetlanov enrolled in Medicare?

Yes. Anton Svetlanov 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.

Is Anton Svetlanov affiliated with any hospitals?

According to CMS data, Anton Svetlanov is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Anton Svetlanov was last updated on June 12, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.