DR. PANKAJ K AGARWALLA M.D.
NPI 1386965523
Neurological Surgery in Newark, NJ

Active since June 22, 2010PECOS EnrolledAccepts Medicare Assignment
73.27/100
CMS Quality Rating
90 BERGEN ST # 8100, NEWARK, NJ 07103(973) 972-2323(973) 972-2333 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pankaj K Agarwalla M.d. NPPES

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

DR. PANKAJ K AGARWALLA M.D. (NPI 1386965523) is an individual neurological surgery provider in Newark, New Jersey, licensed in New Jersey (25MA10448600) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and maintains a secondary practice location in Florham Park.

NPPES Registry Identity

NPI1386965523
Entity TypeIndividualMale
Primary Taxonomy207T00000X
Provider Legal NameDR. PANKAJ K AGARWALLACredential: M.D.
Location Address90 BERGEN ST # 8100Newark, NJ 07103
Mailing Address90 Bergen St Ste 8100Newark, NJ 07103-2425 · (973) 972-2323
Fax(973) 972-2333
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 2010
Enumeration DateJune 22, 2010
Last NPPES UpdateNovember 17, 2025
NPPES CertifiedNovember 17, 2025
✔ NPI 1386965523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNeurological SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207T00000X
License✔ Licensed in NJ · 25MA10448600
Definition
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
90 BERGEN ST # 8100, Newark, NJ 07103

Secondary Practice Location 1

Location 1150 Park AveFlorham Park, NJ 07932-1049 · Phone (973) 404-9887

Other Identifiers 1

Medicaid0670723NJ

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. Pankaj K Agarwalla 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 ID2062433733
PECOS Enrollment IDI20190123003879
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

3

Medicare enrollment records show Pankaj Agarwalla reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Neurological Surgery
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 13 clinicians in this Medicare group
Multi-Specialty
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP
Berkeley Heights, NJ 07922
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,184 clinicians in this Medicare group
Urology
195 LITTLE ALBANY ST
New Brunswick, NJ 08901
  • Reassigned Medicare billing, New Jersey enrollment
  • 259 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 2

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

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

The University Hospital

Acute Care Hospitals · Newark, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310119
Location150 Bergen StNewark, NJ 07103 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$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.

73.27/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality44.89
Promoting Interoperability83
Improvement Activities40
Cost47.69

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.

Physician Assistant (Surgical)
90 BERGEN ST # 8100
NEWARK, NJ 07103
Psychiatry & Neurology (Vascular Neurology)
90 BERGEN ST # 8100
NEWARK, NJ 07103
Otolaryngology
90 BERGEN ST # 8100
NEWARK, NJ 07103
Neurological Surgery
90 BERGEN ST # 8100
NEWARK, NJ 07103

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 Pankaj Agarwalla's NPI number?

The NPI number for Pankaj Agarwalla is 1386965523. It was assigned to this individual provider in the NPPES registry on June 22, 2010.

Where is Pankaj Agarwalla located?

Pankaj Agarwalla practices at 90 Bergen St # 8100, Newark, NJ 07103. The listed phone number is (973) 972-2323.

What is Pankaj Agarwalla's specialty?

The primary specialty registered for this NPI is Neurological Surgery with taxonomy code 207T00000X.

Is Pankaj Agarwalla enrolled in Medicare?

Yes. Pankaj Agarwalla 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 Pankaj Agarwalla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pankaj Agarwalla reassigns Medicare benefits to 3 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Summit Medical Group PA (Berkeley Heights, NJ) and Rutgers Health-Rwj Neurosurgery Faculty (New Brunswick, 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 Pankaj Agarwalla's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Pankaj Agarwalla affiliated with any hospitals?

According to CMS data, Pankaj Agarwalla is affiliated with Cooperman Barnabas Medical Center and The University Hospital.

When was this NPI record last updated?

The NPPES record for Pankaj Agarwalla was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.