MRS. PAULA MARIA BARCIA-PENA M.D.
NPI 1477812980
Obstetrics & Gynecology in Teaneck, NJ

Active since May 04, 2012PECOS EnrolledAccepts Medicare Assignment
222 CEDAR LANE, SUITE 207, TEANECK, NJ 07666(201) 833-7087(201) 833-7123 Get Directions Write a Review

NPPES record last updated: December 7, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Paula Maria Barcia-pena M.d. NPPES

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

MRS. PAULA MARIA BARCIA-PENA M.D. (NPI 1477812980) is an individual obstetrics & gynecology provider in Teaneck, New Jersey, licensed in New Jersey (25MA09851400) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1477812980
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameMRS. PAULA MARIA BARCIA-PENACredential: M.D.
Location Address222 CEDAR LANE, SUITE 207Teaneck, NJ 07666-4312
Mailing Address718 Teaneck Rd, Health Partner ServicesTeaneck, NJ 07666-4245 · (201) 833-3000 · Fax (201) 227-6207
Fax(201) 833-7123
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateMay 4, 2012
Last NPPES UpdateDecember 7, 2016
NPI 1477812980 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in NJ · 25MA09851400
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
222 CEDAR LANE, Teaneck, NJ 07666

Other Identifiers 2

Medicaid0520225NJ
Medicare PIN525859VT2NJ

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

Mrs. Paula Maria Barcia-pena 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 ID1658667050
PECOS Enrollment IDI20160912001250
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
52 services52 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.
21 services18 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310008
Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07666 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
$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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
100%67 patients5/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
25%261 patients1/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
17%265 patients1/55-star benchmark: 99%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
27%265 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
0%265 patients1/55-star benchmark: 59%
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 10

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

Orthopaedic Surgery
222 CEDAR LANE, SUITE 120
TEANECK, NJ 07666
Physician Assistant
222 CEDAR LANE, SUITE 120
TEANECK, NJ 07666
Orthopaedic Surgery
222 CEDAR LANE, SUITE 120
TEANECK, NJ 07666
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
222 CEDAR LANE, SUITE 120
TEANECK, NJ 07666
Internal Medicine (Cardiovascular Disease)
222 CEDAR LANE, SUITE 309
TEANECK, NJ 07666
Specialist
222 CEDAR LANE, SUITE 207
TEANECK, NJ 07666
Obstetrics & Gynecology
222 CEDAR LANE, SUITE 204
TEANECK, NJ 07666
Physical Therapist
222 CEDAR LANE, SUITE 120
TEANECK, NJ 07666

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 Paula Barcia-pena's NPI number?

The NPI number for Paula Barcia-pena is 1477812980. It was assigned to this individual provider in the NPPES registry on May 4, 2012.

Where is Paula Barcia-pena located?

Paula Barcia-pena practices at 222 Cedar Lane Suite 207, Teaneck, NJ 07666. The listed phone number is (201) 833-7087.

What is Paula Barcia-pena's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Paula Barcia-pena enrolled in Medicare?

Yes. Paula Barcia-pena 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 Paula Barcia-pena accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paula Barcia-pena 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 Paula Barcia-pena affiliated with any hospitals?

According to CMS data, Paula Barcia-pena is affiliated with Hackensack University Medical Center, Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Paula Barcia-pena was last updated on December 7, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.