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DR. MICHAEL JUDE FRONCEK M.D.
NPI 1386687713
Internal Medicine - Rheumatology in Lawrenceville, NJ

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
79.93/100
CMS Quality Rating
123 FRANKLIN CORNER RD, SUITE 106, LAWRENCEVILLE, NJ 08648(609) 896-2505(609) 896-2530 Get Directions Write a Review

NPPES record last updated: November 15, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael Jude Froncek M.d. NPPES

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

DR. MICHAEL JUDE FRONCEK M.D. (NPI 1386687713) is an individual rheumatology provider in Lawrenceville, New Jersey, licensed in New Jersey (MA07346000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1386687713
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. MICHAEL JUDE FRONCEKCredential: M.D.
Location Address123 FRANKLIN CORNER RD, SUITE 106Lawrenceville, NJ 08648-2526
Mailing Address123 Franklin Corner Rd, Suite 106Lawrenceville, NJ 08648-2526 · (609) 896-2505 · Fax (609) 896-2530
Phone(609) 896-2505
Fax(609) 896-2530
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateJune 14, 2006
Last NPPES UpdateNovember 15, 2011
✔ NPI 1386687713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NJ · MA07346000
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
123 FRANKLIN CORNER RD, Lawrenceville, NJ 08648
Open in Google Maps ↗

Other Identifiers 3

Medicaid0078298NJ
Medicare ID-Type Unspecified055323T3LNJ
Medicare UPINH23808NJ

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. Michael Jude Froncek M.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 ID8123065513
PECOS Enrollment IDI20050418000273
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 3

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.
533 services228 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.
188 services147 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08648 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

79.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.51
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Communication with the Physician or Other Clinician Managing On-going Care Post-Fracture for Men and Women Aged 50 Years and Older
Percentage of patients aged 50 years and older treated for a fracture with documentation of communication, between the physician treating the fracture and the physician or other clinician managing the patient's on-going care, that a fracture occurred and that…
70%23 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,796 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.
90%5,115 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
13%983 patients1/55-star benchmark: 98%
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.
98%647 patients4/55-star benchmark: 100%
Osteoarthritis (OA): Function and Pain Assessment
Percentage of patient visits for patients aged 21 years and older with a diagnosis of osteoarthritis (OA) with assessment for function and pain
8%1,824 patients1/55-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.
58%1,771 patients3/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
95%640 patients5/55-star benchmark: 90%
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…
44%1,657 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 98% · 1,207 patients
Patients tobacco: 86% · 1,207 patients
2%152 patients1/55-star benchmark: 98%
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…
83%1,771 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Assessment and Classification of Disease Prognosis
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease prognosis at least once within 12 months
90%302 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Functional Status Assessment
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) for whom a functional status assessment was performed at least once within 12 months
79%302 patients3/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Glucocorticoid Management
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have been assessed for glucocorticoid use and, for those on prolonged doses of prednisone >= 10 mg daily (or equivalent) with improvement or no change in disease…
88%302 patients4/55-star benchmark: 100%
Rheumatoid Arthritis (RA): Periodic Assessment of Disease Activity
Percentage of patients aged 18 years and older with a diagnosis of rheumatoid arthritis (RA) who have an assessment and classification of disease activity within 12 months
86%302 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
99%161 patients5/55-star benchmark: 98%
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…
61%1,771 patients4/55-star benchmark: 79%
Use of High-Risk Medications in the Elderly
Percentage of patients 65 years of age and older who were ordered high-risk medications. Two rates are submitted. 1) Percentage of patients who were ordered at least one high-risk medication.
Lower rates are better for this measure.
Patients 2+: 1% · 640 patients
6%640 patients3/55-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.

MICHAEL ROY DASH M.D.
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800
MS. KATIE SOTO LAC,LCADC
Counselor (Mental Health)
123 FRANKLIN CORNER RD
LAWRENCEVILLE, NJ 08648
Mercer County (609) 256-4200
STEVEN SUSSMAN M.D.
Obstetrics & Gynecology
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400
MR. RICHARD TONY KAUFFMAN B.S., M.P.T
Physical Therapist
123 FRANKLIN CORNER RD, SUITE 103
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9054
KATHLEEN GATER CNM
Advanced Practice Midwife
123 FRANKLIN CORNER RD, SUITE 214
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-1400
ASHLEY MARIE SHEMANSKY APN
Nurse Practitioner (Family)
123 FRANKLIN CORNER RD
LAWRENCE TOWNSHIP, NJ 08648
Mercer County (609) 537-7200
STEVEN PAUL ELLIS M.D.
Ophthalmology
123 FRANKLIN CORNER RD, STE 207
LAWRENCEVILLE, NJ 08648
Mercer County (609) 896-9448
INTERNAL MEDICINE ASSOCIATES OF LAWRENCE P C
Internal Medicine
123 FRANKLIN CORNER RD, SUITE 216
LAWRENCEVILLE, NJ 08648
Mercer County (609) 895-6800

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 Froncek's NPI number?

The NPI number for Michael Froncek is 1386687713. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Michael Froncek located?

Michael Froncek practices at 123 Franklin Corner Rd Suite 106, Lawrenceville, NJ 08648. The listed phone number is (609) 896-2505.

What is Michael Froncek's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Michael Froncek enrolled in Medicare?

Yes. Michael Froncek 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 Michael Froncek affiliated with any hospitals?

According to CMS data, Michael Froncek is affiliated with University Medical Center Of Princeton At Plainsboro, Capital Health Medical Center - Hopewell and Hospital Of Univ Of Pennsylvania.

When was this NPI record last updated?

The NPPES record for Michael Froncek was last updated on November 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.