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NIKOLE K BOBADILLA M.D.
NPI 1790045110
Obstetrics & Gynecology in West Orange, NJ

Active since May 18, 2012PECOS EnrolledAccepts Medicare Assignment
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 731-7707(973) 669-0277 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 1, 2021, Jun 29, 2016 (2 updates tracked since 2016).

About Nikole K Bobadilla M.d. NPPES

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

NIKOLE K BOBADILLA M.D. (NPI 1790045110) is an individual obstetrics & gynecology provider in West Orange, New Jersey, licensed in New Jersey (25MA11180400) and active in the NPI registry since May 2012. She is enrolled in Medicare PECOS, maintains a secondary practice location in Winston Salem, and is a graduate of Medical College Of Georgia School Of Medicine (2012).

NPPES Registry Identity

NPI1790045110
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameNIKOLE K BOBADILLACredential: M.D.
Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2750
Mailing Address1 Diamond Hill RdBerkeley Heights, NJ 07922-2104 · (908) 273-4300
Phone(973) 731-7707
Fax(973) 669-0277
Sole ProprietorYes
Medical School CMSMedical College Of Georgia School Of MedicineGraduated 2012
Enumeration DateMay 18, 2012
Last NPPES UpdateOctober 1, 20212 updates tracked since enumeration
NPPES CertifiedOctober 1, 2021
✔ NPI 1790045110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in NJ · 25MA11180400✔ Licensed in NC · 2016-00718
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
375 MOUNT PLEASANT AVE, West Orange, NJ 07052
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Other Names 1

Former Name (1)Nikole Katherina Metcalf Md

Secondary Practice Location 1

Location 11806 S Hawthorne RdWinston Salem, NC 27103-4014 · Phone (336) 768-3632

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

Nikole K Bobadilla 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 ID547555310
PECOS Enrollment IDI20211011002409
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
41 services41 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
26 services26 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.
15 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
83%149 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
97%696 patients
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.
96%1,288 patients4/55-star benchmark: 99%
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.
100%193 patients5/55-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.
41%1,683 patients2/55-star benchmark: 97%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
36%731 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 649 patients
Patients tobacco: 19% · 26 patients
94%647 patients4/55-star benchmark: 98%
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…
100%1,683 patients5/55-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…
79%1,683 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
80%1,683 patients
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.

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.

YESICA CANO APN
Nurse Practitioner (Gerontology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
DR. JOAO A LOPES M.D.
Surgery
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-7707
ADILA ASIM FAKHAR RD
Dietitian, Registered
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
MR. STEPHEN CRANE MD
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052
Essex County (973) 731-7707
DR. DAVID P DOBESH MD
Internal Medicine (Clinical Cardiac Electrophysiology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-9442
ELIZABETH ANN JEHLE CPNP-PC
Nurse Practitioner (Pediatrics)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 322-6900
PATRICIA ANN CORTINA PT
Physical Therapist
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (908) 322-6363
DR. DANIEL SANSOBRINO MD
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Essex County (973) 731-7707

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 Nikole Bobadilla's NPI number?

The NPI number for Nikole Bobadilla is 1790045110. It was assigned to this individual provider in the NPPES registry on May 18, 2012. The provider is also known as Nikole Katherina Metcalf MD.

Where is Nikole Bobadilla located?

Nikole Bobadilla practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 731-7707.

What is Nikole Bobadilla's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Nikole Bobadilla enrolled in Medicare?

Yes. Nikole Bobadilla 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 Nikole Bobadilla was last updated on October 1, 2021. 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.