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THAD R DENEHY M.D.
NPI 1912904756
Obstetrics & Gynecology - Gynecologic Oncology in West Orange, NJ

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
101 OLD SHORT HILLS RD, STE 400, WEST ORANGE, NJ 07052(973) 243-9300(973) 325-8254 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Thad R Denehy M.d. NPPES

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

THAD R DENEHY M.D. (NPI 1912904756) is an individual gynecologic oncology provider in West Orange, New Jersey, licensed in New Jersey (25MA04766500) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Wake Forest University School Of Medicine (1984).

NPPES Registry Identity

NPI1912904756
Entity TypeIndividualMale
Primary Taxonomy207VX0201X
Provider Legal NameTHAD R DENEHYCredential: M.D.
Location Address101 OLD SHORT HILLS RD, STE 400West Orange, NJ 07052-1000
Mailing Address101 Old Short Hills Rd, Ste 400West Orange, NJ 07052-1000 · (973) 243-9300 · Fax (973) 325-8254
Phone(973) 243-9300
Fax(973) 325-8254
Sole ProprietorNo
Medical School CMSWake Forest University School Of MedicineGraduated 1984
Enumeration DateJuly 7, 2005
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
✔ NPI 1912904756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · Gynecologic OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207VX0201X
License✔ Licensed in NJ · 25MA04766500
Definition
An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications.
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 25MA04766500 (NJ)
101 OLD SHORT HILLS RD, West Orange, NJ 07052
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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

Thad R Denehy 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 ID4183669286
PECOS Enrollment IDI20050620000810
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 12

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.
81 services63 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.
67 services21 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
47 services47 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.
46 services46 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.
27 services25 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
24 services19 patients

Hospital Affiliations CMS Care Compare 3

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

Clara Maass Medical Center

Acute Care Hospitals · Belleville, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310009
LocationOne Clara Maass DriveBelleville, NJ 07109 · Essex County
Emergency services Birthing friendly

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07052 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
1%455 patients1/55-star benchmark: 96%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
53%330 patients3/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%1,792 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
37%355 patients2/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%573 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
6%489 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
59%960 patients3/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
18%384 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
77%489 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
0%314 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.

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.

MRS. JUDITH L SEAVY AUDIOLOGIST
Audiologist-Hearing Aid Fitter
101 OLD SHORT HILLS RD, SUITE 520
WEST ORANGE, NJ 07052
Essex County (973) 731-5400
MRS. SANGITA ROSSANO P.A. - C
Physician Assistant
101 OLD SHORT HILLS RD, SUITE 405
WEST ORANGE, NJ 07052
Essex County (973) 736-9300
INNOVISION EYE CENTER
Ophthalmology
101 OLD SHORT HILLS RD, SUITE 105
WEST ORANGE, NJ 07052
Essex County (973) 324-1300
PATRICIA ANN SHORROCK RN,APN,C
Nurse Practitioner (Primary Care)
101 OLD SHORT HILLS RD, SUITE 211
WEST ORANGE, NJ 07052
Essex County (973) 736-4430
DR. SCOTT ALAN SPIRO M.D.
Plastic Surgery
101 OLD SHORT HILLS RD, SUITE 510
WEST ORANGE, NJ 07052
Essex County (973) 736-5907
INTERNAL MEDICINE FACULTY PRACTICE ASSOCIATES AT ST BARNABAS MED CTR
Internal Medicine
101 OLD SHORT HILLS RD, SUITE 210
WEST ORANGE, NJ 07052
Essex County (973) 322-6256
DR. A PETER SALAS MD, FACS, FACM
Surgery (Plastic and Reconstructive Surgery)
101 OLD SHORT HILLS RD, SUITE 501
WEST ORANGE, NJ 07052
Essex County (973) 731-2000
JED G. BECK O.D.
Optometrist
101 OLD SHORT HILLS RD, SUITE 430
WEST ORANGE, NJ 07052
Essex County (973) 325-3300

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 Thad Denehy's NPI number?

The NPI number for Thad Denehy is 1912904756. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Thad Denehy located?

Thad Denehy practices at 101 Old Short Hills Rd Ste 400, West Orange, NJ 07052. The listed phone number is (973) 243-9300.

What is Thad Denehy's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecologic Oncology, with taxonomy code 207VX0201X.

Is Thad Denehy enrolled in Medicare?

Yes. Thad Denehy 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 Thad Denehy accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Thad Denehy 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 Thad Denehy affiliated with any hospitals?

According to CMS data, Thad Denehy is affiliated with Clara Maass Medical Center, Morristown Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Thad Denehy was last updated on April 11, 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.