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MS. RIPKA SETHI M.D.
NPI 1942220306
Internal Medicine in Livingston, NJ

Active since July 20, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
94 OLD SHORT HILLS RD, LIVINGSTON, NJ 07039(973) 322-5000 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ms. Ripka Sethi M.d. NPPES

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

MS. RIPKA SETHI M.D. (NPI 1942220306) is an individual internal medicine provider in Livingston, New Jersey, licensed in New Jersey (25MA07966200) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1942220306
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMS. RIPKA SETHICredential: M.D.
Location Address94 OLD SHORT HILLS RDLivingston, NJ 07039-5672
Mailing Address651 W Mount Pleasant AveLivingston, NJ 07039-1600 · (973) 740-9396 · Fax (973) 251-1165
Phone(973) 322-5000
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJuly 20, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1942220306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA07966200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
94 OLD SHORT HILLS RD, Livingston, NJ 07039
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Other Identifiers 2

Medicare UPIN097529NJ
Medicare UPINI48342NJ

Accepted Insurance

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

Ms. Ripka Sethi 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 ID5597788315
PECOS Enrollment IDI20060107000026
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

3

Medicare enrollment records show Ripka Sethi reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
8.6 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Heritage Wound Care LLC
13 mi
Vascular Surgery
600 PAVONIA AVE STE 5-03
Jersey City, NJ 07306
  • Reassigned Medicare billing, New Jersey enrollment
  • 19 clinicians in this Medicare group
NPI 1801447784 (201) 771-7331
Rwjbh Emergency Medicine Associates, LLC
19 mi
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
NPI 1912510041 (732) 867-9618

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.

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
133 services129 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.
84 services83 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.
83 services55 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.
52 services49 patients

Hospital Affiliations CMS Care Compare

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

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 07039 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

Reported Quality Measures

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…
95%350 patients4/55-star benchmark: 100%
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 4

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers26 claims26 services$12.27 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers26 claims26 services$57.50 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
4 suppliers17 claims22 services$15.57 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
3 suppliers12 claims17 services$6.86 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.

CASSIDY MARTIN DNP
Nurse Practitioner (Gerontology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2793
HARRY S VANWAGENEN PA-C
Psychiatry & Neurology (Neurology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5000
CHISOM ENEKEBE
Pharmacist
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (862) 438-2289
ASSOCIATES IN TRANSPLANT AND GENERAL SURGERY
Specialist
94 OLD SHORT HILLS RD, EAST WING, SUITE 305
LIVINGSTON, NJ 07039
Essex County (973) 322-9801
TERESITA C REDONDO MD
Pathology (Anatomic Pathology & Clinical Pathology)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5763
DR. GREGORY JOSEPH ROKOSZ D.O.
Emergency Medicine
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-5733
BILAL KHAN
Internal Medicine (Critical Care Medicine)
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (646) 591-5953
MRS. KATHERINE DANIELLE SZUCS APN
Nurse Practitioner
94 OLD SHORT HILLS RD
LIVINGSTON, NJ 07039
Essex County (973) 322-2249

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 Ripka Sethi's NPI number?

The NPI number for Ripka Sethi is 1942220306. It was assigned to this individual provider in the NPPES registry on July 20, 2006.

Where is Ripka Sethi located?

Ripka Sethi practices at 94 Old Short Hills Rd, Livingston, NJ 07039. The listed phone number is (973) 322-5000.

What is Ripka Sethi's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Ripka Sethi enrolled in Medicare?

Yes. Ripka Sethi 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 Ripka Sethi's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ripka Sethi reassigns Medicare benefits to 3 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ), Heritage Wound Care LLC (Jersey City, NJ) and Rwjbh Emergency Medicine Associates, LLC (Somerset, 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 Ripka Sethi's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ripka Sethi accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Ripka Sethi 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 Ripka Sethi affiliated with any hospitals?

According to CMS data, Ripka Sethi is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Ripka Sethi was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.