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ANDREA R. MEDEL P.A.
NPI 1508098765
Physician Assistant in Glen Ridge, NJ

Active since August 20, 2009PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1 BAY ST, GLEN RIDGE, NJ 07028(973) 429-6200 Get Directions Write a Review

NPPES record last updated: July 2, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Andrea R. Medel P.a. NPPES

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

ANDREA R. MEDEL P.A. (NPI 1508098765) is an individual physician assistant in Glen Ridge, New Jersey, licensed in New Jersey (25MP00221300) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1508098765
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameANDREA R. MEDELCredential: P.A.
Location Address1 BAY STGlen Ridge, NJ 07028-1505
Mailing Address1 Bay StGlen Ridge, NJ 07028-1505 · (973) 429-6200
Phone(973) 429-6200
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 20, 2009
Last NPPES UpdateJuly 2, 2016
✔ NPI 1508098765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NJ · 25MP00221300
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1 BAY ST, Glen Ridge, NJ 07028
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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

Andrea R. Medel P.a. 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 ID9537215744
PECOS Enrollment IDI20090914000025
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.
44 services34 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
30 services30 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
27 services24 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
15 services12 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.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07028 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

Other Providers at the Same Location NPPES 3

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

KAREN CALHOUN
Registered Nurse
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (717) 799-7665
MRS. JILL D LANGELL OTR/L
Occupational Therapist
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (973) 429-6000
BRIAN KOCH
Emergency Medicine
1 BAY ST
GLEN RIDGE, NJ 07028
Essex County (925) 595-1994

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 Andrea Medel's NPI number?

The NPI number for Andrea Medel is 1508098765. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Andrea Medel located?

Andrea Medel practices at 1 Bay St, Glen Ridge, NJ 07028. The listed phone number is (973) 429-6200.

What is Andrea Medel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Andrea Medel enrolled in Medicare?

Yes. Andrea Medel 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.

When was this NPI record last updated?

The NPPES record for Andrea Medel was last updated on July 2, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.