DR. DEBRA R TARANTINO M.D.
NPI 1952477986
Colon & Rectal Surgery in Millburn, NJ

Active since November 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
231 MILLBURN AVENUE, MILLBURN, NJ 07041(973) 467-2277(973) 467-1317 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Debra R Tarantino M.d. NPPES

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

DR. DEBRA R TARANTINO M.D. (NPI 1952477986) is an individual colon & rectal surgery provider in Millburn, New Jersey, licensed in New Jersey (25MA07109700) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with Cooperman Barnabas Medical Center, and is a graduate of State University Of New York At Buffalo School Of Medicine (1994).

NPPES Registry Identity

NPI1952477986
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. DEBRA R TARANTINOCredential: M.D.
Location Address231 MILLBURN AVENUEMillburn, NJ 07041-1718
Mailing Address231 Millburn AvenueMillburn, NJ 07041-1718 · (973) 467-2277 · Fax (973) 467-1317
Fax(973) 467-1317
Sole ProprietorNo
Medical School CMSState University Of New York At Buffalo School Of MedicineGraduated 1994
Enumeration DateNovember 28, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1952477986 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License Licensed in NJ · 25MA07109700
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
231 MILLBURN AVENUE, Millburn, NJ 07041

Other Identifiers 10

OtherP2172646NJ · Oxford Individual #
Medicare ID-Type UnspecifiedP00170186NJ · Railroad Medicare #
Medicare ID-Type Unspecified039113AUENJ · Medicare Individual #
OtherJ15550NJ · Healthnet Individual #
OtherD09142-SCE402NJ · Oxford Group #
Medicare UPINH19285NJ
Other0489140NJ · Aetna Group #
Other2621451NJ · Aetna Individual #
Other0X00NJ4000NJ · Healthnet Group #
Medicare ID-Type Unspecified165230NJ · Medicare Group #

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. Debra R Tarantino 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 ID3971786484
PECOS Enrollment IDI20110322000006
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 15

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.

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.
52 services52 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
41 services35 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
38 services36 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.
38 services30 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
35 services35 patients
New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
32 services32 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 07041 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

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

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
4 suppliers13 claims420 services$4.68 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
6 suppliers41 claims1,060 services$5.87 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
6 suppliers47 claims1,330 services$3.28 avg. paid by Medicare
Ostomy pouch, urinary, with extended wear barrier attached, with faucet-type tap with valve (1 piece), each A4428
DME-Orthotic Devices · category DF010N
1 supplier12 claims240 services$6.29 avg. paid by Medicare
Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
5 suppliers18 claims790 services$0.23 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Debra Tarantino's NPI number?

The NPI number for Debra Tarantino is 1952477986. It was assigned to this individual provider in the NPPES registry on November 28, 2006.

Where is Debra Tarantino located?

Debra Tarantino practices at 231 Millburn Avenue, Millburn, NJ 07041. The listed phone number is (973) 467-2277.

What is Debra Tarantino's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Debra Tarantino enrolled in Medicare?

Yes. Debra Tarantino 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 Debra Tarantino accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Debra Tarantino 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 Debra Tarantino affiliated with any hospitals?

According to CMS data, Debra Tarantino is affiliated with Cooperman Barnabas Medical Center.

When was this NPI record last updated?

The NPPES record for Debra Tarantino was last updated on July 9, 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.