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ROBERT SIPZNER M.D.
NPI 1467491589
Internal Medicine - Nephrology in Livingston, NJ

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
18.13/100
CMS Quality Rating
22 OLD SHORT HILLS RD, SUITE 212, LIVINGSTON, NJ 07039(973) 994-4550(973) 994-7085 Get Directions Write a Review

NPPES record last updated: February 22, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Sipzner M.d. NPPES

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

ROBERT SIPZNER M.D. (NPI 1467491589) is an individual nephrology provider in Livingston, New Jersey, licensed in New Jersey (25MA04976000) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and maintains a secondary practice location in Bayonne.

NPPES Registry Identity

NPI1467491589
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameROBERT SIPZNERCredential: M.D.
Location Address22 OLD SHORT HILLS RD, SUITE 212Livingston, NJ 07039-5604
Mailing Address22 Old Short Hills Rd, Suite 212Livingston, NJ 07039-5604 · (973) 994-4550 · Fax (973) 994-7085
Phone(973) 994-4550
Fax(973) 994-7085
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1982
Enumeration DateJune 5, 2006
Last NPPES UpdateFebruary 22, 2024
NPPES CertifiedFebruary 22, 2024
✔ NPI 1467491589 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NJ · 25MA04976000
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
22 OLD SHORT HILLS RD, Livingston, NJ 07039
Open in Google Maps ↗

Secondary Practice Location 1

Location 1477 BroadwayBayonne, NJ 07002-4797 · Phone (973) 994-4550 · Fax (973) 994-7085

Other Identifiers 1

Medicaid0285803NJ

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 Sipzner 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 ID143303446
PECOS Enrollment IDI20100916000386
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 8

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.
745 services343 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
162 services29 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
140 services137 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.
79 services19 patients
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.
32 services18 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.
30 services30 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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07039 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.

18.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost27.2

Referred Medical Equipment & Supplies CMS DME claims 9

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
16 suppliers39 claims82 services$6.24 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers15 claims19 services$1.17 avg. paid by Medicare
Cyclosporine, oral, 100 mg J7502
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers13 claims780 services$1.72 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers34 claims2,340 services$0.31 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims2,400 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier12 claims360 services$0.60 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.

JOSEPH S SOBELMAN MD
Psychiatry & Neurology (Neurology)
22 OLD SHORT HILLS RD, SUITE 106
LIVINGSTON, NJ 07039
Essex County (973) 994-1123
ALAN J LIFTIN, MD, MEDICAL SERVICES, PC
Dermatology
22 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 535-9550
HYPERTENSION AND RENAL GROUP, P.A.
Internal Medicine (Nephrology)
22 OLD SHORT HILLS RD, SUITE 212
LIVINGSTON, NJ 07039
Essex County (973) 994-4550
ALAN B ECHIKSON MD PA
Internal Medicine (Hematology)
22 OLD SHORT HILLS RD, SUITE 108
LIVINGSTON, NJ 07039
Essex County (973) 533-9299
DR. SRIDHAR SRINIVASAN NAMBI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
22 OLD SHORT HILLS RD, SUITE 201
LIVINGSTON, NJ 07039
Essex County (973) 535-8870
MARILYN MCARTHUR MD PA
Obstetrics & Gynecology
22 OLD SHORT HILLS RD, SUITE 202
LIVINGSTON, NJ 07039
Essex County (973) 758-9311
DR. MICHAEL J GERSON PH.D.
Psychologist (Clinical)
22 OLD SHORT HILLS RD, SUITE 216
LIVINGSTON, NJ 07039
Essex County (973) 994-9161
DR. ELLIOT N. COHEN D.M.D.
Dentist (Prosthodontics)
22 OLD SHORT HILLS RD, SUITE 208
LIVINGSTON, NJ 07039
Essex County (973) 740-0100

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 Sipzner's NPI number?

The NPI number for Robert Sipzner is 1467491589. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Robert Sipzner located?

Robert Sipzner practices at 22 Old Short Hills Rd Suite 212, Livingston, NJ 07039. The listed phone number is (973) 994-4550.

What is Robert Sipzner's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Robert Sipzner enrolled in Medicare?

Yes. Robert Sipzner 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 Sipzner accept?

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

According to CMS data, Robert Sipzner is affiliated with Morristown Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Sipzner was last updated on February 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.