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ROBERT S WIESEN MD
NPI 1437103678
Internal Medicine - Gastroenterology in Somerville, NJ

Active since May 20, 2006PECOS EnrolledAccepts Medicare Assignment
79.38/100
CMS Quality Rating
286 E MAIN ST, SOMERVILLE, NJ 08876(908) 231-1999(908) 231-1612 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Robert S Wiesen Md NPPES

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

ROBERT S WIESEN MD (NPI 1437103678) is an individual gastroenterology provider in Somerville, New Jersey, licensed in New Jersey (25MA07943500) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital - Somerset, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1437103678
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameROBERT S WIESENCredential: MD
Location Address286 E MAIN STSomerville, NJ 08876-3006
Mailing Address25 Port ImperialWest New York, NJ 07093-8302 · (201) 601-0772 · Fax (908) 231-1612
Phone(908) 231-1999
Fax(908) 231-1612
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 20, 2006
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1437103678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA07943500
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
286 E MAIN ST, Somerville, NJ 08876
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert S Wiesen 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 ID3971516410
PECOS Enrollment IDI20060728000210
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 11

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.
306 services206 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.
123 services115 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.
87 services87 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
76 services76 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
74 services54 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
59 services57 patients

Hospital Affiliations CMS Care Compare 2

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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08876 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.

79.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.8
Promoting Interoperability98
Improvement Activities40
Cost58.13

Reported Quality Measures

Advance Care Plan
0%586 patients1/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
1%674 patients
Breast Cancer Screening
2%453 patients1/55-star benchmark: 93%
Cervical Cancer Screening
9%634 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%78 patients
Closing the Referral Loop: Receipt of Specialist Report
13%102 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
69%1,039 patients4/55-star benchmark: 88%
Documentation of Current Medications in the Medical Record
92%3,012 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
0%548 patients1/55-star benchmark: 100%
HIV Screening
0%1,389 patients1/55-star benchmark: 60%
Non-Recommended Cervical Cancer Screening in Adolescent Females
Lower rates are better for this measure.
0%21 patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
27%1,855 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
0%1,886 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
27%2,600 patients2/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 1% · 793 patients
1%793 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 39% · 768 patients
39%768 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
0%273 patients1/55-star benchmark: 98%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 582 patients
Patients totalRate: 4% · 583 patients
4%583 patients4/55-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 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JEFFREY S UNGER MD
Internal Medicine (Gastroenterology)
286 E MAIN ST
SOMERVILLE, NJ 08876
Somerset County (908) 223-1199
GASTROMED HEALTHCARE, P.A.
Internal Medicine (Gastroenterology)
286 E MAIN ST
SOMERVILLE, NJ 08876
Somerset County (908) 231-1999
STEPHEN R SHAPIRO MD
Internal Medicine (Gastroenterology)
286 E MAIN ST
SOMERVILLE, NJ 08876
Somerset County (908) 231-1999
KASEY CARMELLA OERTEL MA,LAMFT
Marriage & Family Therapist
286 E MAIN ST
SOMERVILLE, NJ 08876
Somerset County (908) 704-0011

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 Robert Wiesen's NPI number?

The NPI number for Robert Wiesen is 1437103678. It was assigned to this individual provider in the NPPES registry on May 20, 2006.

Where is Robert Wiesen located?

Robert Wiesen practices at 286 E Main St, Somerville, NJ 08876. The listed phone number is (908) 231-1999.

What is Robert Wiesen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Robert Wiesen enrolled in Medicare?

Yes. Robert Wiesen 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 Robert Wiesen accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Wiesen 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 Robert Wiesen affiliated with any hospitals?

According to CMS data, Robert Wiesen is affiliated with Robert Wood Johnson University Hospital - Somerset and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Robert Wiesen was last updated on February 24, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.