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MAGED T BOUTROS M.D.
NPI 1497785281
Internal Medicine in Clifton, NJ

Active since July 04, 2006PECOS EnrolledAccepts Medicare Assignment
1033 ROUTE 46 STE G1, CLIFTON, NJ 07013(973) 429-6000 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jul 21, 2022, Sep 11, 2017 (2 updates tracked since 2017).

About Maged T Boutros M.d. NPPES

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

MAGED T BOUTROS M.D. (NPI 1497785281) is an individual internal medicine provider in Clifton, New Jersey, licensed in New Jersey (25MA08097300) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1497785281
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMAGED T BOUTROSCredential: M.D.
Location Address1033 ROUTE 46 STE G1Clifton, NJ 07013-2448
Mailing Address1033 Route 46 East, Suite G1Clifton, NJ 07013 · (973) 777-3711 · Fax (973) 472-3938
Phone(973) 429-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateJuly 4, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1497785281 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08097300
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1033 ROUTE 46 STE G1, Clifton, NJ 07013
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Other Identifiers 4

Medicaid0111759NJ
OtherP00359479NJ · Railroad
Other0138808NJ · Ghi
OtherP00688848NJ · Railroad Medicare-highland Phys Srvs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Maged T Boutros 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 ID7214931005
PECOS Enrollment IDI20060911000083
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.

Medicare Billing Reassignment

Medicare enrollment records show Maged Boutros reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Prevention Clinics LLC
Same address
Primary Care
1033 ROUTE 46 STE G1
Clifton, NJ 07013
  • Reassigned Medicare billing, New Jersey enrollment
  • 3 clinicians in this Medicare group
NPI 1073981361 (973) 777-3711

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.
367 services184 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.
353 services212 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.
284 services55 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.
197 services197 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.
87 services83 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
74 services67 patients

Hospital Affiliations CMS Care Compare 5

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

Valley Hospital

Acute Care Hospitals · Paramus, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310012
Location4 Valley Health PlazaParamus, NJ 07652 · Bergen County
Emergency services Birthing friendly

St Joseph's University Medical Center Inc

Acute Care Hospitals · Paterson, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number310019
Location703 Main StPaterson, NJ 07503 · Passaic County
Birthing friendly

Hackensack Meridian Health, Mountainside Medical

Acute Care Hospitals · Montclair, NJ
2/5 CMS rating
OwnershipProprietary
CMS Certification Number310054
Location1 Bay AvenueMontclair, NJ 07042 · Essex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07013 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

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.
87%3,311 patients4/55-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.
99%1,142 patients4/55-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.
0%1,375 patients1/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
1%441 patients1/55-star benchmark: 90%
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%1,375 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…
0%1,375 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.

Referred Medical Equipment & Supplies CMS DME claims 5

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
12 suppliers33 claims68 services$5.29 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
5 suppliers13 claims13 services$0.87 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
2 suppliers21 claims21 services$59.74 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers16 claims16 services$13.30 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$208.63 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 2

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

PREVENTION CLINICS LLC
Clinic/Center (Primary Care)
1033 ROUTE 46 STE G1
CLIFTON, NJ 07013
Passaic County (973) 777-3711
AURORA C ANDREESCU MD
Internal Medicine
1033 ROUTE 46 STE G1
CLIFTON, NJ 07013
Passaic County (973) 777-3711

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 Maged Boutros's NPI number?

The NPI number for Maged Boutros is 1497785281. It was assigned to this individual provider in the NPPES registry on July 4, 2006.

Where is Maged Boutros located?

Maged Boutros practices at 1033 Route 46 Ste G1, Clifton, NJ 07013. The listed phone number is (973) 429-6000.

What is Maged Boutros's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maged Boutros enrolled in Medicare?

Yes. Maged Boutros 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.

Which organization bills Medicare for Maged Boutros's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maged Boutros reassigns Medicare benefits to Prevention Clinics LLC (Clifton, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Maged Boutros's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Maged Boutros accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Maged Boutros 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 Maged Boutros affiliated with any hospitals?

According to CMS data, Maged Boutros is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Valley Hospital, St Joseph's University Medical Center Inc and Hackensack Meridian Health, Mountainside Medical.

When was this NPI record last updated?

The NPPES record for Maged Boutros was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.