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DR. MICHAEL JAY BAUM D.O.
NPI 1376694786
Family Medicine in South Plainfield, NJ

Active since January 13, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 31D0708283 · Waiver
908 OAK TREE AVE STE L, SOUTH PLAINFIELD, NJ 07080(908) 757-6660(908) 757-5332 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Jay Baum D.o. NPPES

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

DR. MICHAEL JAY BAUM D.O. (NPI 1376694786) is an individual family medicine provider in South Plainfield, New Jersey, licensed in New Jersey (25MB04528600) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through August 31, 2028, and is affiliated with Jfk Medical Center.

NPPES Registry Identity

NPI1376694786
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL JAY BAUMCredential: D.O.
Location Address908 OAK TREE AVE STE LSouth Plainfield, NJ 07080-5100
Mailing Address908 Oak Tree Ave Ste LSouth Plainfield, NJ 07080-5100 · (908) 757-6660 · Fax (908) 757-5332
Phone(908) 757-6660
Fax(908) 757-5332
Sole ProprietorYes
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 1983
Enumeration DateJanuary 13, 2007
Last NPPES UpdateAugust 6, 2013
✔ NPI 1376694786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MB04528600
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
908 OAK TREE AVE STE L, South Plainfield, NJ 07080
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Other Names 1

Professional Name (2)Prof. Doctors Care Associa L.l.c.

Other Identifiers 3

Medicare ID-Type Unspecified451830NJ · Medicare
Other25MB04528600NJ · License
Medicare UPINC53398NH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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. Michael Jay Baum 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 ID3577751643
PECOS Enrollment IDI20101216000679
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 Reassignment

Medicare enrollment records show Michael Baum reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctors Care Associates, L.L.C.
0.1 mi
Family Medicine
908 OAK TREE AVE, SUITE L
South Plainfield, NJ 07080
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Doctorscare Associates, L.L.C.
NPI 1558414631 (908) 757-6660

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D0708283

Dr Michael J Baum Do · South Plainfield, NJ
Active · expires Aug 31, 2028
CLIA Number31D0708283
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2026
Certificate Expiration DateAugust 31, 2028
Laboratory DirectorMichael J. Baum Do
Laboratory Phone(908) 757-6660
Laboratory LocationDr Michael J Baum Do908 Oak Tree Road Suite L, South Plainfield, NJ 07080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

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.
520 services122 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.
285 services107 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.
232 services97 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.
164 services19 patients
Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454
This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.
119 services18 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.
117 services91 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 07080 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
$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

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.
89%1,729 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.
9%400 patients1/55-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…
79%400 patients4/55-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…
58%400 patients3/55-star benchmark: 79%
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

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
7 suppliers18 claims38 services$5.55 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Baum's NPI number?

The NPI number for Michael Baum is 1376694786. It was assigned to this individual provider in the NPPES registry on January 13, 2007. The provider is also known as Prof. Doctors Care Associa L.L.C..

Where is Michael Baum located?

Michael Baum practices at 908 Oak Tree Ave Ste L, South Plainfield, NJ 07080. The listed phone number is (908) 757-6660.

What is Michael Baum's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Baum enrolled in Medicare?

Yes. Michael Baum 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 organization bills Medicare for Michael Baum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Baum reassigns Medicare benefits to Doctors Care Associates, L.L.C. (South Plainfield, 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 Michael Baum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Michael Baum hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 31D0708283) is associated with this NPI, valid through August 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Michael Baum accept?

Health plans from Oscar Health list Michael Baum 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 Michael Baum affiliated with any hospitals?

According to CMS data, Michael Baum is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Baum was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.