DR. JOAN M BATHON M.D.
NPI 1699730143
Internal Medicine - Rheumatology in New York, NY

Active since April 19, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
630 W 168TH ST, 10-445, NEW YORK, NY 10032(212) 305-6213(212) 304-6070 Get Directions Write a Review

NPPES record last updated: March 15, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Joan M Bathon M.d. NPPES

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

DR. JOAN M BATHON M.D. (NPI 1699730143) is an individual rheumatology provider in New York, New York, licensed in Maryland (D25083) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (1978).

NPPES Registry Identity

NPI1699730143
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOAN M BATHONCredential: M.D.
Location Address630 W 168TH ST, 10-445New York, NY 10032-3725
Mailing Address630 West 168th Street, 10-4485New York, NY 10032 · (212) 305-6213 · Fax (212) 304-6070
Fax(212) 304-6070
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1978
Enumeration DateApril 19, 2006
Last NPPES UpdateMarch 15, 2011
NPI 1699730143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License Licensed in MD · D25083
Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

630 W 168TH ST, New York, NY 10032

Other Identifiers 3

Medicare UPINC35178MD
Medicaid429801200MD
Medicare ID-Type UnspecifiedKR62MF78MD

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. Joan M Bathon 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 ID4183756844
PECOS Enrollment IDI20110408000306
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
60 services29 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
21 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
630 W 168TH ST
NEW YORK, NY 10032
Internal Medicine (Infectious Disease)
630 W 168TH ST, BOX 82
NEW YORK, NY 10032
Pediatrics (Pediatric Endocrinology)
630 W 168TH ST, PH5E, ROOM 522
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Radiology (Diagnostic Radiology)
630 W 168TH ST, MC28
NEW YORK, NY 10032
Internal Medicine (Pulmonary Disease)
630 W 168TH ST, VC 5
NEW YORK, NY 10032
Pathology (Anatomic Pathology & Clinical Pathology)
630 W 168TH ST
NEW YORK, NY 10032

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1699730143, enumerated as an "individual" on April 19, 2006.

The provider is located at 630 W 168TH ST 10-445 NEW YORK, NY 10032 and the phone number is (212) 305-6213.

Internal Medicine with taxonomy code 207RR0500X and a focus in Rheumatology.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.