MICHAEL G NEKORANIK DO
NPI 1578654786
Internal Medicine - Pulmonary Disease in Phillipsburg, NJ

Q: What is Michael Nekoranik's NPI number?

The NPI number for Michael Nekoranik is 1578654786. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Q: What is Michael Nekoranik's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Michael Nekoranik was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.

Active since September 27, 2006PECOS EnrolledAccepts Medicare Assignment

95.64/100

CMS Quality Rating

123B ROSEBERRY ST, PHILLIPSBURG, NJ 08865(908) 213-3433(908) 213-3647 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Michael G Nekoranik Do NPPES

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

MICHAEL G NEKORANIK DO (NPI 1578654786) is an individual pulmonary disease provider in Phillipsburg, New Jersey, licensed in New Jersey (MB59157) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Warren Hospital, and maintains a secondary practice location in Bethlehem.

NPPES Registry Identity

NPI1578654786

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameMICHAEL G NEKORANIKCredential: DO

Location Address123B ROSEBERRY STPhillipsburg, NJ 08865-1629

Mailing Address123b Roseberry StPhillipsburg, NJ 08865-1629 · (908) 213-3433 · Fax (908) 213-3647

Phone(908) 213-3433

Fax(908) 213-3647

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1986

Enumeration DateSeptember 27, 2006

Last NPPES UpdateSeptember 22, 2025

NPPES CertifiedSeptember 22, 2025

✔ NPI 1578654786 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

Licenses✔ Licensed in NJ · MB59157✔ Licensed in PA · OS006265L

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.

123B ROSEBERRY ST, Phillipsburg, NJ 08865

Open in Google Maps ↗

Secondary Practice Location 1

Location 1801 Ostrum StBethlehem, PA 18015-1000 · Phone (484) 526-4000

Other Identifiers 3

Other110224540NJ · Railroad Medicare

Medicaid7105207NJ

Other110219308PA · Railroad Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Michael G Nekoranik Do 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 ID4183520547

PECOS Enrollment IDI20050106000188

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 Reassignments

Medicare enrollment records show Michael Nekoranik reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St. Luke's Warren Physician Group, PC

Same address

Hematology & Oncology

123A ROSEBERRY ST
Phillipsburg, NJ 08865

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: St Lukes Warren Physician Group PC
528 clinicians in this Medicare group

NPI 1467725184 (484) 526-7555

St. Luke's Physician Group Inc.

1.7 mi

Infectious Disease

100 N 3RD ST, 2ND FLOOR
Easton, PA 18042

Reassigned Medicare billing, Pennsylvania enrollment
Medicare enrollment name: St Lukes Physician Group Inc
2,851 clinicians in this Medicare group

NPI 1588043376 (484) 503-8010

Gslpg, Inc

48 mi

Specialist

100 PARAMOUNT BLVD
Orwigsburg, PA 17961

Reassigned Medicare billing, Pennsylvania enrollment
953 clinicians in this Medicare group

NPI 1366006702 (272) 639-1000

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 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.

450 services268 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.

170 services61 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.

79 services79 patients

Test to measure expiratory airflow and volume 94010

This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.

59 services59 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.

54 services51 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

52 services49 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Warren Hospital

Acute Care Hospitals · Phillipsburg, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310060

Location185 Roseberry StPhillipsburg, NJ 08865 · Warren County

Emergency services

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390049

Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08865 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.

95.64/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.57

Promoting Interoperability

100

Improvement Activities

Referred Medical Equipment & Supplies CMS DME claims 30

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

9 suppliers192 claims192 services$31.00 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003

DME-Other DME · category DE000N

3 suppliers41 claims80 services$1.22 avg. paid by Medicare

Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005

DME-Other DME · category DE000N

4 suppliers31 claims31 services$11.09 avg. paid by Medicare

Aerosol mask, used with dme nebulizer A7015

DME-Other DME · category DE000N

2 suppliers11 claims11 services$1.12 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

8 suppliers143 claims143 services$70.17 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

8 suppliers136 claims394 services$27.28 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers50 claims297 services$15.03 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

6 suppliers54 claims310 services$12.32 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

8 suppliers111 claims112 services$44.39 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

10 suppliers141 claims141 services$14.60 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

8 suppliers45 claims45 services$10.61 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

12 suppliers238 claims1,361 services$1.71 avg. paid by Medicare

Filter, non disposable, used with positive airway pressure device A7039

DME-Other DME · category DE001N

6 suppliers62 claims62 services$4.99 avg. paid by Medicare

Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046

DME-Other DME · category DE001N

11 suppliers104 claims104 services$10.42 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers186 claims191 services$14.19 avg. paid by Medicare

Respiratory assist device, bi-level pressure capability, without backup rate feature, used with noninvasive interface, e.g., nasal or facial mask (intermittent assist device with continuous positive airway pressure device) E0470

DME-Other DME · category DE001N

2 suppliers50 claims50 services$64.42 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier11 claims11 services$105.80 avg. paid by Medicare

Humidifier, heated, used with positive airway pressure device E0562

DME-Other DME · category DE001N

1 supplier74 claims80 services$10.35 avg. paid by Medicare

Nebulizer, with compressor E0570

DME-Other DME · category DE000N

3 suppliers226 claims244 services$4.36 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers160 claims166 services$25.65 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

5 suppliers653 claims661 services$59.21 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

4 suppliers315 claims320 services$28.89 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); initial 30-day supply as a beneficiary G0333

DME-Other DME · category DE000N

6 suppliers11 claims11 services$42.11 avg. paid by Medicare

Arformoterol, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 15 micrograms J7605

DME-Drugs Administered Through DME · category DG006N

1 supplier22 claims990 services$4.24 avg. paid by Medicare

Formoterol fumarate, inhalation solution, fda approved final product, non-compounded, administered through dme, unit dose form, 20 micrograms J7606

DME-Drugs Administered Through DME · category DG006N

3 suppliers18 claims1,080 services$6.01 avg. paid by Medicare

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613

DME-Drugs Administered Through DME · category DG006N

13 suppliers69 claims17,562 services$0.03 avg. paid by Medicare

Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620

DME-Drugs Administered Through DME · category DG006N

17 suppliers132 claims13,176 services$0.10 avg. paid by Medicare

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626

DME-Drugs Administered Through DME · category DG000N

7 suppliers72 claims3,754 services$0.80 avg. paid by Medicare

Revefenacin inhalation solution, fda-approved final product, non-compounded, administered through dme, 1 microgram J7677

DME-Drugs Administered Through DME · category DG006N

2 suppliers38 claims199,500 services$0.15 avg. paid by Medicare

Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513

DME-Other DME · category DE000N

25 suppliers263 claims263 services$25.46 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 5

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

ST. LUKE'S WARREN PHYSICIAN GROUP, PC

Internal Medicine (Sleep Medicine)

123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (908) 847-8853

ST. LUKE'S WARREN PHYSICIAN GROUP, PC

Internal Medicine (Pulmonary Disease)

123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (908) 213-3433

ST. LUKE'S WARREN PHYSICIAN GROUP, PC

Internal Medicine (Infectious Disease)

123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (484) 526-6200

ST. LUKE'S WARREN PHYSICIAN GROUP, PC

Pediatrics (Pediatric Pulmonology)

123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (484) 503-0235

POOJA RAJU M.D.

Internal Medicine (Pulmonary Disease)

123B ROSEBERRY ST
PHILLIPSBURG, NJ 08865

Warren County (908) 213-3433

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 Michael Nekoranik's NPI number?

The NPI number for Michael Nekoranik is 1578654786. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Michael Nekoranik located?

Michael Nekoranik practices at 123B Roseberry St, Phillipsburg, NJ 08865. The listed phone number is (908) 213-3433.

What is Michael Nekoranik's specialty?

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

Is Michael Nekoranik enrolled in Medicare?

Yes. Michael Nekoranik 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 organizations bill Medicare for Michael Nekoranik's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Nekoranik reassigns Medicare benefits to 3 organizations: St. Luke's Warren Physician Group, PC (Phillipsburg, NJ), St. Luke's Physician Group Inc. (Easton, PA) and Gslpg, Inc (Orwigsburg, PA). Each 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 Michael Nekoranik's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Nekoranik accept?

Health plans from Oscar Health list Michael Nekoranik 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 Michael Nekoranik affiliated with any hospitals?

According to CMS data, Michael Nekoranik is affiliated with St Luke's Warren Hospital and St Luke's Hospital Bethlehem.

When was this NPI record last updated?

The NPPES record for Michael Nekoranik was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.