PAUL GREGORI SACCONE M.D.
NPI 1407071657
Plastic Surgery in Millburn, NJ

Active since April 14, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 07041(973) 379-5888(973) 912-9757 Get Directions Write a Review

NPPES record last updated: March 6, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Paul Gregori Saccone M.d. NPPES

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

PAUL GREGORI SACCONE M.D. (NPI 1407071657) is an individual plastic surgery provider in Millburn, New Jersey, licensed in New Jersey (25MA05313400) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Rutgers New Jersey Medical School (1987).

NPPES Registry Identity

NPI1407071657
Entity TypeIndividualMale
Primary Taxonomy208200000X
Provider Legal NamePAUL GREGORI SACCONECredential: M.D.
Location Address225 MILLBURN AVE, SUITE 104BMillburn, NJ 07041-1737
Mailing Address116 Shongum RdRandolph, NJ 07869-3320 · (973) 989-8930
Fax(973) 912-9757
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1987
Enumeration DateApril 14, 2007
Last NPPES UpdateMarch 6, 2015
NPI 1407071657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in NJ · 25MA05313400
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
225 MILLBURN AVE, Millburn, NJ 07041

Other Identifiers 1

Medicare UPING02440NJ

Accepted Insurance

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

Paul Gregori Saccone 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 ID4688699481
PECOS Enrollment IDI20051011000577
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 2

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.
29 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients

Hospital Affiliations CMS Care Compare

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07041 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
$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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

Internal Medicine (Nephrology)
225 MILLBURN AVE, SUITE 304
MILLBURN, NJ 07041
Psychiatry & Neurology (Psychiatry)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Clinic/Center (Adult Mental Health)
225 MILLBURN AVE, SUITE 210
MILLBURN, NJ 07041
Family Medicine (Obesity Medicine)
225 MILLBURN AVE, SUITE 204
MILLBURN, NJ 07041
Social Worker (Clinical)
225 MILLBURN AVE, SUITE 209A
MILLBURN, NJ 07041
Internal Medicine
225 MILLBURN AVE, SUITE 303
MILLBURN, NJ 07041
Urology
225 MILLBURN AVE
MILLBURN, NJ 07041

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 Paul Saccone's NPI number?

The NPI number for Paul Saccone is 1407071657. It was assigned to this individual provider in the NPPES registry on April 14, 2007.

Where is Paul Saccone located?

Paul Saccone practices at 225 Millburn Ave Suite 104B, Millburn, NJ 07041. The listed phone number is (973) 379-5888.

What is Paul Saccone's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Paul Saccone enrolled in Medicare?

Yes. Paul Saccone 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.

What insurance does Paul Saccone accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paul Saccone 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 Paul Saccone affiliated with any hospitals?

According to CMS data, Paul Saccone is affiliated with Newark Beth Israel Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Saccone was last updated on March 6, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.