DR. ROBERT R. SEHGEL D.O.
NPI 1619230307
Internal Medicine in Hamilton, NJ

Active since June 19, 2012PECOS EnrolledAccepts Medicare Assignment
49.54/100
CMS Quality Rating
641 US HIGHWAY 130, HAMILTON, NJ 08691(609) 568-9383(609) 568-9384 Get Directions Write a Review

NPPES record last updated: January 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 2, 2023, Mar 29, 2018, Feb 14, 2017 (3 updates tracked since 2017).

About Dr. Robert R. Sehgel D.o. NPPES

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

DR. ROBERT R. SEHGEL D.O. (NPI 1619230307) is an individual internal medicine provider in Hamilton, New Jersey, licensed in New Jersey (25MB09647300) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Touro Un Col Of Osteopathic Medicine, New York (2012).

NPPES Registry Identity

NPI1619230307
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ROBERT R. SEHGELCredential: D.O.
Location Address641 US HIGHWAY 130Hamilton, NJ 08691-2101
Mailing Address5000 Cox RdGlen Allen, VA 23060-9263 · (804) 968-5700
Fax(609) 568-9384
Sole ProprietorNo
Medical School CMSTouro Un Col Of Osteopathic Medicine, New YorkGraduated 2012
Enumeration DateJune 19, 2012
Last NPPES UpdateJanuary 9, 20243 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2024
NPI 1619230307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in NJ · 25MB09647300 Licensed in PA · OS022983 Licensed in MD · H0098527
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.
641 US HIGHWAY 130, Hamilton, NJ 08691

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

Dr. Robert R. Sehgel D.o. 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 ID2264746866
PECOS Enrollment IDI20150727001175, I20230913000370, I20231004003877, I20231009000390, I20231018003356
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 25

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.
622 services584 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.
216 services209 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.
201 services201 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
160 services85 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
142 services133 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
126 services122 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08691 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

49.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.06
Promoting Interoperability0
Improvement Activities20
Cost66.08

Other Providers at the Same Location NPPES 16

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

Family Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691
Pediatrics
641 US HIGHWAY 130
HAMILTON, NJ 08691
Family Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691
Family Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691
Emergency Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691
Family Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691
Nurse Practitioner (Family)
641 US HIGHWAY 130
HAMILTON, NJ 08691
Family Medicine
641 US HIGHWAY 130
HAMILTON, NJ 08691

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 Robert Sehgel's NPI number?

The NPI number for Robert Sehgel is 1619230307. It was assigned to this individual provider in the NPPES registry on June 19, 2012.

Where is Robert Sehgel located?

Robert Sehgel practices at 641 Us Highway 130, Hamilton, NJ 08691. The listed phone number is (609) 568-9383.

What is Robert Sehgel's specialty?

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

Is Robert Sehgel enrolled in Medicare?

Yes. Robert Sehgel 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 Robert Sehgel accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Robert Sehgel 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.

When was this NPI record last updated?

The NPPES record for Robert Sehgel was last updated on January 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.