1. Home
  2. Directory
  3. New Jersey
  4. West Orange
  5. Internal Medicine
  6. NPI Profile

DR. ANNE-MARIE GIZELLE GRACIA M.D., MPH
NPI 1447328018
Internal Medicine - Geriatric Medicine in West Orange, NJ

Active since December 01, 2006PECOS Enrolled
59 MAIN ST, SUITE 204, WEST ORANGE, NJ 07052(973) 243-0220(973) 243-2441 Get Directions Write a Review

NPPES record last updated: March 21, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Anne-marie Gizelle Gracia M.d., Mph NPPES

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

DR. ANNE-MARIE GIZELLE GRACIA M.D., MPH (NPI 1447328018) is an individual geriatric medicine provider in West Orange, New Jersey, licensed in New Jersey (MA58440) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1447328018
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameDR. ANNE-MARIE GIZELLE GRACIACredential: M.D., MPH
Location Address59 MAIN ST, SUITE 204West Orange, NJ 07052-5341
Mailing AddressPo Box 3122, Memorial StationUpper Montclair, NJ 07043-3122 · (973) 243-0220 · Fax (973) 243-2441
Phone(973) 243-0220
Fax(973) 243-2441
Sole ProprietorYes
Enumeration DateDecember 1, 2006
Last NPPES UpdateMarch 21, 2008
✔ NPI 1447328018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License✔ Licensed in NJ · MA58440
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
59 MAIN ST, West Orange, NJ 07052
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING04234NJ
Medicaid6560610NJ
Medicare PIN707706NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Anne-marie Gizelle Gracia M.d., Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 9

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.
114 services52 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services45 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
51 services16 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
41 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
34 services34 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.
30 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
35%62 patients2/55-star benchmark: 92%
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.
91%139 patients4/55-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
3%65 patients1/55-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…
14%129 patients1/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
8%25 patients1/55-star benchmark: 88%
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+: 0% · 65 patients
3%65 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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
4 suppliers11 claims22 services$4.17 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.20 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers18 claims18 services$5.31 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$1.39 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 13

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

NORTHFIELD PODIATRY PC
Podiatrist
59 MAIN ST, SUITE 350
WEST ORANGE, NJ 07052
Essex County (973) 243-2666
GIZELLE MANOAH, PC, INC
Clinic/Center
59 MAIN ST, SUITE 204
WEST ORANGE, NJ 07052
Essex County (973) 243-0220
PEDRO O CABRERA BONET MD LLC
Anesthesiology (Pain Medicine)
59 MAIN ST, 3RD FLOOR
WEST ORANGE, NJ 07052
Essex County (908) 399-9835
NAISHA LAWRENCE NAISHA LAWRENCE
Social Worker
59 MAIN ST
WEST ORANGE, NJ 07052
Essex County (862) 343-6429
MERCY MEDICAL TRANSPORT
Ambulance (Land Transport)
59 MAIN ST, SUITE 303
WEST ORANGE, NJ 07052
Essex County (973) 223-3499
PREMIE HOME HEALTH CARE SERVICES, INC.
Home Health
59 MAIN ST, SUITE 300
WEST ORANGE, NJ 07052
Essex County (973) 325-3040
NORMA A RAE-LAYNE M.D.
Specialist
59 MAIN ST, SUITE 207
WEST ORANGE, NJ 07052
Essex County (862) 766-5363
NJ SPINE&PAIN INSTITUTE
Pain Medicine (Interventional Pain Medicine)
59 MAIN ST, SUITE 353
WEST ORANGE, NJ 07052
Essex County (908) 399-9835

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 Anne-marie Gracia's NPI number?

The NPI number for Anne-marie Gracia is 1447328018. It was assigned to this individual provider in the NPPES registry on December 1, 2006.

Where is Anne-marie Gracia located?

Anne-marie Gracia practices at 59 Main St Suite 204, West Orange, NJ 07052. The listed phone number is (973) 243-0220.

What is Anne-marie Gracia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Anne-marie Gracia enrolled in Medicare?

Yes. Anne-marie Gracia is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Anne-marie Gracia was last updated on March 21, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.