SILVIO QUAGLIA M.D.
NPI 1790788313
Internal Medicine - Adolescent Medicine in Millburn, NJ

Active since May 27, 2005PECOS EnrolledAccepts Medicare Assignment
27.51/100
CMS Quality Rating
25 E WILLOW ST, MILLBURN, NJ 07041(973) 379-5055(973) 379-5324 Get Directions Write a Review

NPPES record last updated: May 5, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Silvio Quaglia M.d. NPPES

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

SILVIO QUAGLIA M.D. (NPI 1790788313) is an individual adolescent medicine provider in Millburn, New Jersey, licensed in New Jersey (MA56620) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1790788313
Entity TypeIndividualMale
Primary Taxonomy207RA0000X
Provider Legal NameSILVIO QUAGLIACredential: M.D.
Location Address25 E WILLOW STMillburn, NJ 07041-1416
Mailing Address25 E Willow StMillburn, NJ 07041-1416 · (973) 379-5055 · Fax (973) 379-5324
Fax(973) 379-5324
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateMay 27, 2005
Last NPPES UpdateMay 5, 2008
NPI 1790788313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RA0000X
License Licensed in NJ · MA56620
Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

25 E WILLOW ST, Millburn, NJ 07041

Other Identifiers 14

Other221976546Qualcare
OtherJ1756Horizon
Other110071856Railroad Medicare
OtherEP176Oxford
Other221976546Chn
Other72K50Empirehealth Choice
Medicaid4987608NJ
Other9948077008Cigna
Other275711United Healthcare
Medicare PIN675841BJTNJ
Other0509263000Amerihealth
Other0K4782Healthnet
Other4279015Aetna
Medicare UPINE88725

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

Silvio Quaglia 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 ID1153366786
PECOS Enrollment IDI20050624000027
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 19

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
1,050 services295 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
157 services157 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
150 services132 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
139 services135 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.
111 services99 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
102 services102 patients

Hospital Affiliations CMS Care Compare 3

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

Cooperman Barnabas Medical Center

Acute Care Hospitals · Livingston, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310076
Location94 Old Short Hills RoadLivingston, NJ 07039 · Essex County
Emergency services Birthing friendly

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.

27.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91.7

Reported Quality Measures

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…
100%322 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
13 suppliers33 claims90 services$6.73 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims23 services$1.12 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
2 suppliers11 claims390 services$6.65 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims364 services$4.28 avg. paid by Medicare
Enteral formula, nutritionally complete, for special metabolic needs, excludes inherited disease of metabolism, includes altered composition of proteins, fats, carbohydrates, vitamins and/or minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4154
Other-Enteral and Parenteral · category OB006N
1 supplier13 claims4,368 services$0.54 avg. paid by Medicare
Enteral formula, nutritionally incomplete/modular nutrients, includes specific nutrients, carbohydrates (e.g., glucose polymers), proteins/amino acids (e.g., glutamine, arginine), fat (e.g., medium chain triglycerides) or combination, administered through an enteral feeding tube, 100 calories = 1 unit B4155
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims364 services$0.59 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 15

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

Occupational Therapist
25 E WILLOW ST
MILLBURN, NJ 07041
Physical Therapist
25 E WILLOW ST
MILLBURN, NJ 07041
Internal Medicine
25 E WILLOW ST
MILLBURN, NJ 07041
Specialist
25 E WILLOW ST
MILLBURN, NJ 07041
Nurse Practitioner (Family)
25 E WILLOW ST
MILLBURN, NJ 07041
Radiology (Diagnostic Radiology)
25 E WILLOW ST
MILLBURN, NJ 07041
Chiropractor
25 E WILLOW ST
MILLBURN, NJ 07041
Specialist
25 E WILLOW ST, SUITE B
MILLBURN, NJ 07041

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 Silvio Quaglia's NPI number?

The NPI number for Silvio Quaglia is 1790788313. It was assigned to this individual provider in the NPPES registry on May 27, 2005.

Where is Silvio Quaglia located?

Silvio Quaglia practices at 25 E Willow St, Millburn, NJ 07041. The listed phone number is (973) 379-5055.

What is Silvio Quaglia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Adolescent Medicine, with taxonomy code 207RA0000X.

Is Silvio Quaglia enrolled in Medicare?

Yes. Silvio Quaglia 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 Silvio Quaglia accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Silvio Quaglia 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 Silvio Quaglia affiliated with any hospitals?

According to CMS data, Silvio Quaglia is affiliated with Morristown Medical Center, Overlook Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Silvio Quaglia was last updated on May 5, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.