DR. VIPIN GARG M.D.
NPI 1881662062
Internal Medicine - Pulmonary Disease in Elizabeth, NJ

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
82.89/100
CMS Quality Rating
240 WILLIAMSON ST, SUITE NUMBER 300, ELIZABETH, NJ 07202(908) 994-8880(908) 360-0490 Get Directions Write a Review

NPPES record last updated: October 1, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Vipin Garg M.d. NPPES

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

DR. VIPIN GARG M.D. (NPI 1881662062) is an individual pulmonary disease provider in Elizabeth, New Jersey, licensed in New Jersey (MA70132) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1881662062
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. VIPIN GARGCredential: M.D.
Location Address240 WILLIAMSON ST, SUITE NUMBER 300Elizabeth, NJ 07202-3674
Mailing Address240 Williamson St, Suite Number 300Elizabeth, NJ 07202-3674 · (908) 994-8880 · Fax (908) 360-0490
Fax(908) 360-0490
Sole ProprietorYes
Medical School CMSOtherGraduated 1994
Enumeration DateMarch 14, 2006
Last NPPES UpdateOctober 1, 2015
NPI 1881662062 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NJ · MA70132
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA07013200 (NJ)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MA70132 (NJ)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 220328 (NY), MA70132 (NJ)
240 WILLIAMSON ST, Elizabeth, NJ 07202

Other Identifiers 4

Medicare PIN069307NJ
Medicaid9122303NJ
Medicare PIN862231NY
Medicare UPINH28278

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. Vipin Garg 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 ID9234027392
PECOS Enrollment IDI20120227000149
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 35

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
1,832 services106 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.
1,657 services141 patients
Test for allergy using allergenic extract 95004
An allergy test with allergenic extract is a diagnostic method to identify substances causing allergic reactions. Small amounts of common allergens are introduced to your body, usually through skin pricks or blood tests. Your body's response helps determine your allergies.
961 services13 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.
832 services307 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.
749 services267 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
445 services57 patients

Hospital Affiliations CMS Care Compare 5

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Rahway

Acute Care Hospitals · Rahway, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310024
Location865 Stone StRahway, NJ 07065 · Union County
Emergency services

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · 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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07202 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.

82.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.88
Promoting Interoperability91
Improvement Activities40
Cost36.26

Reported Quality Measures

Appropriate Treatment for Upper Respiratory Infection (URI)
92%3,057 patients4/55-star benchmark: 100%
Controlling High Blood Pressure
65%2,518 patients3/55-star benchmark: 91%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
98%46 patients4/55-star benchmark: 99%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
56%1,857 patients2/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%23,240 patients4/55-star benchmark: 100%
e-Prescribing
99%3,191 patients4/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 85% · 4,353 patients
Patients screened: 85% · 4,353 patients
98%492 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
99%2,241 patients4/55-star benchmark: 100%
Support Electronic Referral Loops By Receiving and Reconciling Health Information
100%21 patients5/55-star benchmark: 98%
Support Electronic Referral Loops By Sending Health Information
0%216 patients1/55-star benchmark: 97%
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 27

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
7 suppliers121 claims121 services$29.29 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
1 supplier13 claims405 services$0.92 avg. paid by Medicare
Hydrogel dressing, wound filler, gel, per fluid ounce A6248
DME-Medical/Surgical Supplies · category DA023N
1 supplier11 claims42 services$15.68 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers99 claims99 services$66.53 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
7 suppliers89 claims240 services$25.94 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers45 claims247 services$13.18 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 (Adult Health)
240 WILLIAMSON ST, SUITE 403
ELIZABETH, NJ 07202
Physician Assistant (Medical)
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 204
ELIZABETH, NJ 07202
Internal Medicine (Cardiovascular Disease)
240 WILLIAMSON ST, SUITE 300
ELIZABETH, NJ 07202
Obstetrics & Gynecology (Maternal & Fetal Medicine)
240 WILLIAMSON ST, SUITE 405
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 303
ELIZABETH, NJ 07202
Obstetrics & Gynecology
240 WILLIAMSON ST, SUITE 304
ELIZABETH, NJ 07202
Internal Medicine
240 WILLIAMSON ST, SUITE 506
ELIZABETH, NJ 07202

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 Vipin Garg's NPI number?

The NPI number for Vipin Garg is 1881662062. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Vipin Garg located?

Vipin Garg practices at 240 Williamson St Suite Number 300, Elizabeth, NJ 07202. The listed phone number is (908) 994-8880.

What is Vipin Garg's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Vipin Garg enrolled in Medicare?

Yes. Vipin Garg 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 Vipin Garg affiliated with any hospitals?

According to CMS data, Vipin Garg is affiliated with Newark Beth Israel Medical Center, Robert Wood Johnson University Hospital At Rahway, Trinitas Regional Medical Center, Cooperman Barnabas Medical Center and Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Vipin Garg was last updated on October 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.