DR. ANTHONY JORDAN PAPADOPOULOS MD
NPI 1801852678
Dermatology in Sparta, NJ

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
82.5/100
CMS Quality Rating
1 CENTRE STREET, SPARTA, NJ 07871(973) 729-3945(973) 729-7441 Get Directions Write a Review

NPPES record last updated: May 23, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Anthony Jordan Papadopoulos Md NPPES

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

DR. ANTHONY JORDAN PAPADOPOULOS MD (NPI 1801852678) is an individual dermatology provider in Sparta, New Jersey, licensed in New Jersey (25MA07958900) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1801852678
Entity TypeIndividualMale
Primary Taxonomy207N00000X
Provider Legal NameDR. ANTHONY JORDAN PAPADOPOULOSCredential: MD
Location Address1 CENTRE STREETSparta, NJ 07871
Mailing Address1 Centre StreetSparta, NJ 07871 · (973) 729-3945 · Fax (973) 729-7441
Fax(973) 729-7441
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateApril 21, 2006
Last NPPES UpdateMay 23, 2018
NPI 1801852678 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in NJ · 25MA07958900
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedDermatology · MOHS-Micrographic SurgeryTaxonomy 207ND0101X · License 25MA07958900 (NJ)
1 CENTRE STREET, Sparta, NJ 07871

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

Dr. Anthony Jordan Papadopoulos 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 ID4981631686
PECOS Enrollment IDI20060619000203
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 27

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.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
3,848 services524 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.
921 services777 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
783 services630 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
761 services674 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
477 services407 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.
281 services280 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07871 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

82.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality65
Improvement Activities40

Reported Quality Measures

Documentation of Current Medications in the Medical Record
100%122 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.

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 Anthony Papadopoulos's NPI number?

The NPI number for Anthony Papadopoulos is 1801852678. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Anthony Papadopoulos located?

Anthony Papadopoulos practices at 1 Centre Street, Sparta, NJ 07871. The listed phone number is (973) 729-3945.

What is Anthony Papadopoulos's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Anthony Papadopoulos enrolled in Medicare?

Yes. Anthony Papadopoulos 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 Anthony Papadopoulos accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Anthony Papadopoulos 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 Anthony Papadopoulos affiliated with any hospitals?

According to CMS data, Anthony Papadopoulos is affiliated with Morristown Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Papadopoulos was last updated on May 23, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.