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TIANSHU ZHANG M.D.
NPI 1790851541
Psychiatry & Neurology - Neurology in Metuchen, NJ

Active since November 24, 2006PECOS EnrolledAccepts Medicare Assignment
99.6/100
CMS Quality Rating
227 BRIDGE ST, METUCHEN, NJ 08840(732) 632-8858(732) 632-8861 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tianshu Zhang M.d. NPPES

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

TIANSHU ZHANG M.D. (NPI 1790851541) is an individual neurology provider in Metuchen, New Jersey, licensed in New Jersey (25MA06740500) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Hunterdon Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1790851541
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameTIANSHU ZHANGCredential: M.D.
Location Address227 BRIDGE STMetuchen, NJ 08840-2291
Mailing Address227 Bridge StMetuchen, NJ 08840-2291 · (732) 632-8858 · Fax (732) 632-8861
Phone(732) 632-8858
Fax(732) 632-8861
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 24, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1790851541 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 · 25MA06740500
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.
227 BRIDGE ST, Metuchen, NJ 08840
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Other Identifiers 3

Medicaid8649502NJ
Medicare UPING86894
Medicare ID-Type Unspecified017865

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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

Tianshu Zhang 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 ID8426108887
PECOS Enrollment IDI20090608000064
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 13

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 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.
350 services142 patients
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.
318 services144 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
289 services146 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
212 services101 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
90 services90 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services65 patients

Hospital Affiliations CMS Care Compare 5

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

Hunterdon Medical Center

Acute Care Hospitals · Flemington, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310005
Location2100 Wescott DriveFlemington, NJ 08822 · Hunterdon County
Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310048
Location110 Rehill AveSomerville, NJ 08876 · Somerset County
Emergency services Birthing friendly

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 08840 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.

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.

99.6/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.1
Improvement Activities40

Reported Quality Measures

Controlling High Blood Pressure
64%58 patients3/55-star benchmark: 91%
Dementia: Cognitive Assessment
73%55 patients
Documentation of Current Medications in the Medical Record
100%2,354 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
100%752 patients5/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
50%628 patients
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 3% · 427 patients
Patients totalRate: 2% · 427 patients
0%426 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.

Other Providers at the Same Location NPPES

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

MID-JERSEY NEUROLOGY ASSOCIATES, PA
Psychiatry & Neurology (Neurology)
227 BRIDGE ST
METUCHEN, NJ 08840
Middlesex County (732) 632-8858

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 Tianshu Zhang's NPI number?

The NPI number for Tianshu Zhang is 1790851541. It was assigned to this individual provider in the NPPES registry on November 24, 2006.

Where is Tianshu Zhang located?

Tianshu Zhang practices at 227 Bridge St, Metuchen, NJ 08840. The listed phone number is (732) 632-8858.

What is Tianshu Zhang's specialty?

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

Is Tianshu Zhang enrolled in Medicare?

Yes. Tianshu Zhang 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 Tianshu Zhang accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Tianshu Zhang 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 Tianshu Zhang affiliated with any hospitals?

According to CMS data, Tianshu Zhang is affiliated with Hunterdon Medical Center, Robert Wood Johnson University Hospital, Raritan Bay Medical Center, Robert Wood Johnson University Hospital - Somerset and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Tianshu Zhang was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.