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DR. LOUIS V SANGOSSE M.D.
NPI 1487694964
Internal Medicine - Pulmonary Disease in West Orange, NJ

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
745 NORTHFIELD AVE, WEST ORANGE, NJ 07052(973) 731-0200(923) 325-2244 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Louis V Sangosse M.d. NPPES

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

DR. LOUIS V SANGOSSE M.D. (NPI 1487694964) is an individual pulmonary disease provider in West Orange, New Jersey, licensed in New Jersey (25MA05916400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (1976).

NPPES Registry Identity

NPI1487694964
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. LOUIS V SANGOSSECredential: M.D.
Location Address745 NORTHFIELD AVEWest Orange, NJ 07052-1144
Mailing Address745 Northfield AveWest Orange, NJ 07052-1144 · (973) 731-0200 · Fax (923) 325-2244
Phone(973) 731-0200
Fax(923) 325-2244
Sole ProprietorYes
Medical School CMSOtherGraduated 1976
Enumeration DateJune 7, 2006
Last NPPES UpdateNovember 27, 2012
✔ NPI 1487694964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · 25MA05916400
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
745 NORTHFIELD AVE, West Orange, NJ 07052
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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

Dr. Louis V Sangosse 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 ID7719919158
PECOS Enrollment IDI20050907000010
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 5

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 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.
230 services105 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.
78 services78 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.
69 services49 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
30 services30 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

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 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
$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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
2%602 patients1/55-star benchmark: 99%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
100%119 patients5/55-star benchmark: 100%
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.
100%2,535 patients5/55-star benchmark: 100%
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.
94%11,535 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
1%80 patients1/55-star benchmark: 98%
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.
39%1,111 patients2/55-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.
29%1,799 patients2/55-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
5%386 patients1/55-star benchmark: 95%
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…
21%881 patients1/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
100%899 patients5/55-star benchmark: 100%
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…
17%1,799 patients1/55-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…
1%1,799 patients1/55-star benchmark: 79%
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 2

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
10 suppliers33 claims103 services$6.17 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers25 claims40 services$1.11 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.

ALISA G. CULLEN PA-C
Physician Assistant (Medical)
745 NORTHFIELD AVE, SUITE 4
WEST ORANGE, NJ 07052
Essex County (973) 736-0041
PIERRE MEDICAL GROUP LLC
Family Medicine
745 NORTHFIELD AVE, SUITE 1 LOWER WEST LEVEL
WEST ORANGE, NJ 07052
Essex County (973) 731-3800
RENAL MEDICAL ASSOCIATES LLC
Specialist
745 NORTHFIELD AVE, SUITE 1 LOWER WEST LEVEL
WEST ORANGE, NJ 07052
Essex County (973) 731-3800
HENRY J. MCCABE JR.
Internal Medicine
745 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Essex County (973) 325-0061
DR. JEFFREY ERIC LEVY M.D.
Pediatrics (Adolescent Medicine)
745 NORTHFIELD AVE, SUITE 3
WEST ORANGE, NJ 07052
Essex County (973) 731-6400
CONTEMPORARY WOMEN'S CARE. PC
Obstetrics & Gynecology (Maternal & Fetal Medicine)
745 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Essex County (973) 736-7700
THE MEDICAL GROUP P.A.
Internal Medicine (Gastroenterology)
745 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Essex County (973) 325-0061
DR. ROBERT A RUFFINI M.D.
Internal Medicine (Gastroenterology)
745 NORTHFIELD AVE
WEST ORANGE, NJ 07052
Essex County (973) 325-0061

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 Louis Sangosse's NPI number?

The NPI number for Louis Sangosse is 1487694964. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Louis Sangosse located?

Louis Sangosse practices at 745 Northfield Ave, West Orange, NJ 07052. The listed phone number is (973) 731-0200.

What is Louis Sangosse's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Louis Sangosse enrolled in Medicare?

Yes. Louis Sangosse 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 Louis Sangosse accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Louis Sangosse 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 Louis Sangosse affiliated with any hospitals?

According to CMS data, Louis Sangosse is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Louis Sangosse was last updated on November 27, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.