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DR. DAVID MARK HODGES M.D.,
NPI 1881734168
Internal Medicine - Cardiovascular Disease in Englewood, NJ

Active since February 07, 2007PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
12 E PALISADE AVE, ENGLEWOOD, NJ 07631(201) 816-9266(201) 816-9242 Get Directions Write a Review

NPPES record last updated: February 19, 2008. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. David Mark Hodges M.d., NPPES

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

DR. DAVID MARK HODGES M.D., (NPI 1881734168) is an individual cardiovascular disease provider in Englewood, New Jersey, licensed in New Jersey (25MA06210000) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of New York University School Of Medicine (1984).

NPPES Registry Identity

NPI1881734168
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DAVID MARK HODGESCredential: M.D.,
Location Address12 E PALISADE AVEEnglewood, NJ 07631-2803
Mailing Address615 Standish RdTeaneck, NJ 07666-1817 · (201) 816-9266 · Fax (201) 816-9242
Phone(201) 816-9266
Fax(201) 816-9242
Sole ProprietorYes
Medical School CMSNew York University School Of MedicineGraduated 1984
Enumeration DateFebruary 7, 2007
Last NPPES UpdateFebruary 19, 2008
✔ NPI 1881734168 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA06210000
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
12 E PALISADE AVE, Englewood, NJ 07631
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Other Identifiers 3

Medicare PIN688339NJ
Medicare PIN067711NJ
Medicare UPINB98078NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. David Mark Hodges 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 ID2062444748
PECOS Enrollment IDI20050901000696
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.

Medicare Billing Reassignments

2

Medicare enrollment records show David Hodges reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Humc Cardiovascular Partners, PC
2.2 mi
Cardiovascular Disease
400 FRANK W. BURR BOULEVARD, SUITE 22
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Humc Cardiovascular Partners, P.C.
  • 79 clinicians in this Medicare group
NPI 1417188905 (201) 907-0442
Hackensack Meridian Health Medical Group - Specialty Care PC
39 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 4

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.

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.
123 services75 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.
109 services71 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.
81 services47 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
80 services55 patients

Hospital Affiliations CMS Care Compare 2

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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
$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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 David Hodges's NPI number?

The NPI number for David Hodges is 1881734168. It was assigned to this individual provider in the NPPES registry on February 7, 2007.

Where is David Hodges located?

David Hodges practices at 12 E Palisade Ave, Englewood, NJ 07631. The listed phone number is (201) 816-9266.

What is David Hodges's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Hodges enrolled in Medicare?

Yes. David Hodges 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.

Which organizations bill Medicare for David Hodges's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Hodges reassigns Medicare benefits to 2 organizations: Humc Cardiovascular Partners, PC (Teaneck, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for David Hodges's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does David Hodges accept?

Health plans from Ambetter Health and Oscar Health list David Hodges 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 David Hodges affiliated with any hospitals?

According to CMS data, David Hodges is affiliated with Hackensack University Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for David Hodges was last updated on February 19, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.