DR. DONALD GENE RUBENSTEIN M.D.
NPI 1912966276
Internal Medicine - Clinical Cardiac Electrophysiology in West Orange, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
375 MOUNT PLEASANT AVE, WEST ORANGE, NJ 07052(973) 731-9442(973) 731-2918 Get Directions Write a Review

NPPES record last updated: September 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Donald Gene Rubenstein M.d. NPPES

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

DR. DONALD GENE RUBENSTEIN M.D. (NPI 1912966276) is an individual clinical cardiac electrophysiology provider in West Orange, New Jersey, licensed in New Jersey (MA52075) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Clara Maass Medical Center, and is a graduate of Louisiana State University School Of Medicine In New Orleans (1980).

NPPES Registry Identity

NPI1912966276
Entity TypeIndividualMale
Primary Taxonomy207RC0001X
Provider Legal NameDR. DONALD GENE RUBENSTEINCredential: M.D.
Location Address375 MOUNT PLEASANT AVEWest Orange, NJ 07052-2724
Mailing Address375 Mount Pleasant AveWest Orange, NJ 07052-2724 · (973) 731-9442 · Fax (973) 731-2918
Fax(973) 731-2918
Sole ProprietorNo
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 1980
Enumeration DateMarch 23, 2006
Last NPPES UpdateSeptember 22, 2014
NPI 1912966276 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Clinical Cardiac ElectrophysiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RC0001X
License Licensed in NJ · MA52075
Definition
A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MA52075 (NJ)
375 MOUNT PLEASANT AVE, West Orange, NJ 07052

Other Identifiers 3

Medicare UPINE15293NJ
Medicare ID-Type Unspecified103151NJ
Medicaid1326601NJ

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. Donald Gene Rubenstein 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 ID5193711885
PECOS Enrollment IDI20050908000293
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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,124 services935 patients
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.
1,056 services645 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.
747 services469 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.
708 services386 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
463 services67 patients
Blood test, clotting time 85610
A clotting time blood test helps determine how quickly your blood forms clots, a process crucial to stop bleeding. During the test, a small blood sample is taken from your arm. The sample is then analyzed in a lab to see how long it takes for a clot to form.
406 services51 patients

Hospital Affiliations CMS Care Compare 5

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

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean 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
$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.

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

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 (Gerontology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Surgery
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Dietitian, Registered
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE, SUITE 202
WEST ORANGE, NJ 07052
Internal Medicine (Clinical Cardiac Electrophysiology)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Nurse Practitioner (Pediatrics)
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Physical Therapist
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052
Obstetrics & Gynecology
375 MOUNT PLEASANT AVE
WEST ORANGE, NJ 07052

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 Donald Rubenstein's NPI number?

The NPI number for Donald Rubenstein is 1912966276. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Donald Rubenstein located?

Donald Rubenstein practices at 375 Mount Pleasant Ave, West Orange, NJ 07052. The listed phone number is (973) 731-9442.

What is Donald Rubenstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Clinical Cardiac Electrophysiology, with taxonomy code 207RC0001X.

Is Donald Rubenstein enrolled in Medicare?

Yes. Donald Rubenstein 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 Donald Rubenstein accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Donald Rubenstein 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 Donald Rubenstein affiliated with any hospitals?

According to CMS data, Donald Rubenstein is affiliated with Clara Maass Medical Center, Morristown Medical Center, Newton Medical Center, Community Medical Center and Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Rubenstein was last updated on September 22, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.