DR. JOHN G SORIANO MD
NPI 1861472292
Internal Medicine - Gastroenterology in Denville, NJ

Active since January 20, 2006PECOS EnrolledAccepts Medicare Assignment
61.33/100
CMS Quality Rating
16 POCONO RD, STE 201, DENVILLE, NJ 07834(973) 627-4430(973) 586-2336 Get Directions Write a Review

NPPES record last updated: January 16, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. John G Soriano Md NPPES

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

DR. JOHN G SORIANO MD (NPI 1861472292) is an individual gastroenterology provider in Denville, New Jersey, licensed in New Jersey (25MA04455900) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of University Central Del Caribe Escuela De Medicina (1981).

NPPES Registry Identity

NPI1861472292
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. JOHN G SORIANOCredential: MD
Location Address16 POCONO RD, STE 201Denville, NJ 07834-2901
Mailing Address404 Lippincott DrMarlton, NJ 08053-4112 · (856) 782-3300 · Fax (856) 504-8029
Fax(973) 586-2336
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1981
Enumeration DateJanuary 20, 2006
Last NPPES UpdateJanuary 16, 2024
NPPES CertifiedJanuary 16, 2024
NPI 1861472292 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in NJ · 25MA04455900
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedSpecialistTaxonomy 174400000X · License MA044559 (NJ)
16 POCONO RD, Denville, NJ 07834

Other Identifiers 1

Medicaid1791907NJ

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. John G Soriano 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 ID7810091089
PECOS Enrollment IDI20100817000009
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 10

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 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.
439 services192 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.
209 services189 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.
147 services139 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
140 services136 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
118 services118 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
92 services91 patients

Hospital Affiliations CMS Care Compare 4

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

Chilton Medical Center

Acute Care Hospitals · Pompton Plains, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310017
Location97 West ParkwayPompton Plains, NJ 07444 · Morris County
Emergency services Birthing friendly

Saint Clare's Hospital/ Denville Campus

Acute Care Hospitals · Denville, NJ
3/5 CMS rating
OwnershipProprietary
CMS Certification Number310050
Location25 Pocono RoadDenville, NJ 07834 · Morris County
Emergency services Birthing friendly

Hackettstown Medical Center

Acute Care Hospitals · Hackettstown, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310115
Location651 Willow Grove StHackettstown, NJ 07840 · Warren County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07834 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.

61.33/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality54.51
Improvement Activities40

Reported Quality Measures

Advance Care Plan
8%799 patients1/55-star benchmark: 100%
Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%1,414 patients
Breast Cancer Screening
17%374 patients1/55-star benchmark: 93%
Cervical Cancer Screening
13%341 patients1/55-star benchmark: 98%
Chlamydia Screening for Women
0%20 patients
Colorectal Cancer Screening
81%692 patients4/55-star benchmark: 88%
Controlling High Blood Pressure
48%247 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Antiplatelet Therapy
47%60 patients2/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
2%94 patients1/55-star benchmark: 100%
Diabetes: Eye Exam
9%97 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
77%97 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
74%1,559 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
16%503 patients1/55-star benchmark: 100%
HIV Screening
1%664 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
13%845 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
15%1,045 patients1/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%700 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 63% · 341 patients
60%341 patients
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients screened: 22% · 60 patients
22%60 patients
Screening for Osteoporosis for Women Aged 65-85 Years of Age
4%286 patients1/55-star benchmark: 98%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
79%539 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 516 patients
Patients totalRate: 15% · 526 patients
15%526 patients3/55-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 4

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

Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce A4394
DME-Orthotic Devices · category DF010N
1 supplier12 claims94 services$2.07 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible, or accordion), extended wear, with built-in convexity, 4 x 4 inches or smaller, each A4407
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$8.38 avg. paid by Medicare
Ostomy pouch, closed; for use on barrier with non-locking flange, with filter (2 piece), each A4419
DME-Orthotic Devices · category DF010N
1 supplier12 claims720 services$1.53 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
1 supplier12 claims600 services$0.19 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 20

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

Nurse Practitioner (Family)
16 POCONO RD
DENVILLE, NJ 07834
Internal Medicine
16 POCONO RD, SUITE 313
DENVILLE, NJ 07834
Pediatrics
16 POCONO RD, SUITE 214
DENVILLE, NJ 07834
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Internal Medicine (Pulmonary Disease)
16 POCONO RD, 217
DENVILLE, NJ 07834
Dentist
16 POCONO RD, SUITE 116
DENVILLE, NJ 07834
Urology
16 POCONO RD, SUITE 302
DENVILLE, NJ 07834
Obstetrics & Gynecology
16 POCONO RD
DENVILLE, NJ 07834

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 John Soriano's NPI number?

The NPI number for John Soriano is 1861472292. It was assigned to this individual provider in the NPPES registry on January 20, 2006.

Where is John Soriano located?

John Soriano practices at 16 Pocono Rd Ste 201, Denville, NJ 07834. The listed phone number is (973) 627-4430.

What is John Soriano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is John Soriano enrolled in Medicare?

Yes. John Soriano 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 John Soriano affiliated with any hospitals?

According to CMS data, John Soriano is affiliated with Morristown Medical Center, Chilton Medical Center, Saint Clare's Hospital/ Denville Campus and Hackettstown Medical Center.

When was this NPI record last updated?

The NPPES record for John Soriano was last updated on January 16, 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.