DR. THEODORE JAMES MAGLIONE III M.D.
NPI 1932444940
Internal Medicine - Clinical Cardiac Electrophysiology in New Brunswick, NJ

Q: What is Theodore Maglione's NPI number?

The NPI number for Theodore Maglione is 1932444940. It was assigned to this individual provider in the NPPES registry on December 2, 2012.

Q: What is Theodore Maglione's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Theodore Maglione was last updated on May 2, 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.

Active since December 02, 2012PECOS EnrolledAccepts Medicare Assignment

75/100

CMS Quality Rating

1 ROBERT WOOD JOHNSON PL, DEPT. OF MEDICINE, NEW BRUNSWICK, NJ 08901(732) 235-6561 Get Directions Write a Review

NPPES record last updated: May 2, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2024, Aug 28, 2019, May 3, 2019 (3 updates tracked since 2019).

On this page

About Dr. Theodore James Maglione Iii M.d. NPPES

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

DR. THEODORE JAMES MAGLIONE III M.D. (NPI 1932444940) is an individual clinical cardiac electrophysiology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA09677900) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Loyola University Of Chicago, Stritch School Of Medicine (2010).

NPPES Registry Identity

NPI1932444940

Entity TypeIndividualMale

Primary Taxonomy207RC0001X

Provider Legal NameDR. THEODORE JAMES MAGLIONE IIICredential: M.D.

Location Address1 ROBERT WOOD JOHNSON PL, DEPT. OF MEDICINENew Brunswick, NJ 08901-1928

Mailing Address1 Robert Wood Johnson Pl, Dept. Of MedicineNew Brunswick, NJ 08901-1928 · (732) 235-6561

Phone(732) 235-6561

Sole ProprietorNo

Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2010

Enumeration DateDecember 2, 2012

Last NPPES UpdateMay 2, 20243 updates tracked since enumeration

NPPES CertifiedMay 2, 2024

✔ NPI 1932444940 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 · 25MA09677900

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 MedicineTaxonomy 207R00000X · License 25MA09677900 (NJ)

1 ROBERT WOOD JOHNSON PL, New Brunswick, NJ 08901

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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

Dr. Theodore James Maglione Iii 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 ID1153684899

PECOS Enrollment IDI20180411002109

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 16

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.

4,210 services2,651 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days 93296

This procedure involves remotely monitoring your pacemaker or implantable defibrillator system. Over a 90-day period, we check the device's performance and your heart's activity. This helps ensure the device is functioning properly and providing the best possible support for your heart health.

161 services71 patients

Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days 93294

This procedure evaluates your pacemaker system remotely for up to 90 days. It checks whether single, dual, multiple lead, or leadless pacemakers are working properly. It's a safe, convenient way to ensure your heart device is functioning optimally.

113 services46 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.

80 services65 patients

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.

69 services38 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.

56 services54 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.

51 services45 patients

Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days 93295

This procedure involves remotely monitoring your implantable defibrillator system, which can have single, dual, or multiple leads. Over a period of up to 90 days, the system's performance is evaluated to ensure it's working properly and providing the necessary heart rhythm support.

50 services27 patients

Programming of dual lead pacemaker system 93280

Programming of a dual lead pacemaker system is a procedure to adjust your heart's pacemaker settings. This process involves a small device, called a programmer, that communicates with your pacemaker to ensure it's working optimally for your heart's needs.

44 services33 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.

41 services33 patients

Evaluation of cardiac rhythm monitor system, remote up to 30 days 93298

This procedure involves remotely monitoring your heart rhythm for up to 30 days. A small device will record your heart's activity, which can be accessed by your healthcare team. This aids in diagnosing any irregularities or issues with your heart function.

35 services11 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.

35 services28 patients

Evaluation of implantable heart and blood vessel monitoring system 93290

An evaluation of an implantable heart and blood vessel monitoring system involves checking the device that's placed inside your body to monitor your heart and blood vessels' health. It helps doctors track your heart rate, rhythm, and blood flow, aiding in prompt, accurate treatment.

27 services20 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.

23 services21 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.

15 services15 patients

Comprehensive electrophysiologic evaluation with catheter destruction of abnormality causing atrial fibrillation (uncoordinated contraction of upper chambers of heart) by pulmonary vein isolation 93656

This is a procedure to treat atrial fibrillation, a condition causing irregular heartbeats. It involves a detailed heart evaluation using electrophysiology. A catheter is then used to destroy the problematic area causing the issue. Specifically, isolation of the pulmonary vein is done to regulate the heartbeat.

12 services11 patients

Hospital Affiliations CMS Care Compare 5

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310010

LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310038

LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex 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

Robert Wood Johnson University Hospital - Somerset

Acute Care Hospitals · Somerville, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310048

Location110 Rehill AveSomerville, NJ 08876 · Somerset County

Emergency services Birthing friendly

Robert Wood Johnson University Hospital At Hamilton

Acute Care Hospitals · Hamilton, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310110

LocationOne Hamilton Health PlaceHamilton, NJ 08690 · Mercer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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.

75/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

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.

LOKESH LAHOTI

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 823-3000

BILLIE S FYFE KIRSCHNER MD

Pathology (Anatomic Pathology)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8651

LISANNE HAUCK

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

DANIEL NOTTERMAN

Pediatrics (Pediatric Critical Care Medicine)

1 ROBERT WOOD JOHNSON PL, ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - NEW BRUNSWICK
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7900

SHAUL COHEN MD

Anesthesiology

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 937-8841

AMANDA BORHAM M.D.

Internal Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 235-7794

DEVON AMANDA ORZANO APN

Nurse Practitioner (Acute Care)

1 ROBERT WOOD JOHNSON PL, 2 CORE - RM. 257
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

GAMAL MOHAMED MD

Emergency Medicine

1 ROBERT WOOD JOHNSON PL
NEW BRUNSWICK, NJ 08901

Middlesex County (732) 828-3000

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 Theodore Maglione's NPI number?

The NPI number for Theodore Maglione is 1932444940. It was assigned to this individual provider in the NPPES registry on December 2, 2012.

Where is Theodore Maglione located?

Theodore Maglione practices at 1 Robert Wood Johnson Pl Dept. Of Medicine, New Brunswick, NJ 08901. The listed phone number is (732) 235-6561.

What is Theodore Maglione's specialty?

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

Is Theodore Maglione enrolled in Medicare?

Yes. Theodore Maglione 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 Theodore Maglione accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Theodore Maglione 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 Theodore Maglione affiliated with any hospitals?

According to CMS data, Theodore Maglione is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital, Community Medical Center, Robert Wood Johnson University Hospital - Somerset and Robert Wood Johnson University Hospital At Hamilton.

When was this NPI record last updated?

The NPPES record for Theodore Maglione was last updated on May 2, 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.