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DR. HARVEY KENNETH BUCHOLTZ MD
NPI 1427020296
Internal Medicine - Endocrinology, Diabetes & Metabolism in Edison, NJ

Active since February 06, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
2333 MORRIS AVE, B202, EDISON, NJ 07083(908) 688-2244(908) 688-9190 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Harvey Kenneth Bucholtz Md NPPES

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

DR. HARVEY KENNETH BUCHOLTZ MD (NPI 1427020296) is an individual endocrinology, diabetes & metabolism provider in Edison, New Jersey, licensed in New Jersey (29928) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of State University Of Ny Upstate Medical University (1968).

NPPES Registry Identity

NPI1427020296
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. HARVEY KENNETH BUCHOLTZCredential: MD
Location Address2333 MORRIS AVE, B202Edison, NJ 07083-5714
Mailing Address2 Lincoln Hwy Ste 501Edison, NJ 08820-3961 · (732) 549-7470 · Fax (732) 494-8956
Phone(908) 688-2244
Fax(908) 688-9190
Sole ProprietorNo
Medical School CMSState University Of Ny Upstate Medical UniversityGraduated 1968
Enumeration DateFebruary 6, 2006
Last NPPES UpdateMarch 7, 2023
✔ NPI 1427020296 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in NJ · 29928
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2333 MORRIS AVE, Edison, NJ 07083
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Other Identifiers 1

Medicaid0502405NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Harvey Kenneth Bucholtz Md 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 ID8921059072
PECOS Enrollment IDI20051103000019
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 Harvey Bucholtz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Newark Beth Israel Medical Center Inc
3.7 mi
General Acute Care Hospital
201 LYONS AVE
Newark, NJ 07112
  • Reassigned Medicare billing, New Jersey enrollment
  • 79 clinicians in this Medicare group
NPI 1033210323 (732) 557-7119
Barnabas Health Medical Group PC
4.6 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Hackensack Meridian Health Medical Group - Specialty Care PC
27 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

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

Areas of Expertise CMS Part B claims 4

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.
201 services81 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
91 services44 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 services26 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
15 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

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 07083 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
32 suppliers86 claims374 services$6.18 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers32 claims80 services$1.16 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
11 suppliers129 claims130 services$189.68 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.

UNION MIDDLESEX ORTHOPEDICS PC
Orthopaedic Surgery
2333 MORRIS AVE, SUITE A 115
UNION, NJ 07083
Union County (908) 686-5444
DR. MITCHELL S SILVERMAN MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2333 MORRIS AVE, B-9
UNION, NJ 07083
Union County (908) 964-5511
GLTR, LLC
Anesthesiology (Pain Medicine)
2333 MORRIS AVE, SUITE A107
UNION, NJ 07083
Union County (201) 634-9000
SLEEP DIAGNOSTICS OF NEW JERSEY INC.
Clinic/Center (Sleep Disorder Diagnostic)
2333 MORRIS AVE, SUITE C-103
UNION, NJ 07083
Union County (908) 688-3366
BEST HEALTH CHIROPRACTIC P.C.
Chiropractor
2333 MORRIS AVE, STE 210B
UNION, NJ 07083
Union County (908) 989-0989
QUALCARE THERAPY CENTER INC
Clinic/Center (Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF))
2333 MORRIS AVE, SUITE C-3
UNION, NJ 07083
Union County (908) 688-3366
DAVID KREIZMAN
Chiropractor (Nutrition)
2333 MORRIS AVE
UNION, NJ 07083
Union County (908) 989-0989
MATTHEW S COONS MD
Surgery (Plastic and Reconstructive Surgery)
2333 MORRIS AVE, SUITE C-16
UNION, NJ 07083
Union County (908) 810-8527

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 Harvey Bucholtz's NPI number?

The NPI number for Harvey Bucholtz is 1427020296. It was assigned to this individual provider in the NPPES registry on February 6, 2006.

Where is Harvey Bucholtz located?

Harvey Bucholtz practices at 2333 Morris Ave B202, Edison, NJ 07083. The listed phone number is (908) 688-2244.

What is Harvey Bucholtz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Harvey Bucholtz enrolled in Medicare?

Yes. Harvey Bucholtz 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 Harvey Bucholtz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harvey Bucholtz reassigns Medicare benefits to 3 organizations: Newark Beth Israel Medical Center Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, 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 Harvey Bucholtz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harvey Bucholtz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Harvey Bucholtz 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 Harvey Bucholtz affiliated with any hospitals?

According to CMS data, Harvey Bucholtz is affiliated with Morristown Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Harvey Bucholtz was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.