DAVID CHARLES ATHERTON MD
NPI 1790277291
Psychiatry & Neurology - Neurology in Edison, NJ

Active since May 31, 2018PECOS EnrolledAccepts Medicare Assignment

NPPES record last updated: January 17, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David Charles Atherton Md NPPES

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

DAVID CHARLES ATHERTON MD (NPI 1790277291) is an individual neurology provider in Edison, New Jersey, licensed in New Jersey (25MA11685600) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Rutgers New Jersey Medical School (2018).

NPPES Registry Identity

NPI1790277291
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameDAVID CHARLES ATHERTONCredential: MD
Location Address65 JAMES STEdison, NJ 08820-3947
Mailing Address12 Melrose TerMiddletown, NJ 07748-2726 · (732) 615-8909
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 2018
Enumeration DateMay 31, 2018
Last NPPES UpdateJanuary 17, 2024
NPPES CertifiedJanuary 17, 2024
NPI 1790277291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in NJ · 25MA11685600
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
65 JAMES ST, Edison, NJ 08820

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

David Charles Atherton Md 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 ID8325428576
PECOS Enrollment IDI20240227000825
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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
31 services22 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
25 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare

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

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 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.

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.

Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Gerontology)
65 JAMES ST
EDISON, NJ 08820
Family Medicine
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner (Adult Health)
65 JAMES ST
EDISON, NJ 08820
Physical Therapist
65 JAMES ST
EDISON, NJ 08820
Emergency Medicine
65 JAMES ST
EDISON, NJ 08820
Physical Medicine & Rehabilitation (Brain Injury Medicine)
65 JAMES ST
EDISON, NJ 08820
Nurse Practitioner
65 JAMES ST
EDISON, NJ 08820

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 David Atherton's NPI number?

The NPI number for David Atherton is 1790277291. It was assigned to this individual provider in the NPPES registry on May 31, 2018.

Where is David Atherton located?

David Atherton practices at 65 James St, Edison, NJ 08820. The listed phone number is (732) 321-7010.

What is David Atherton's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is David Atherton enrolled in Medicare?

Yes. David Atherton 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.

Is David Atherton affiliated with any hospitals?

According to CMS data, David Atherton is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for David Atherton was last updated on January 17, 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.