Active NPI 1265745111 Individual Practitioner Male Practitioner

Dr. Jain Joseph , MD

Surgery - Plastic and Reconstructive Surgery • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Jain Joseph, MD is a certified Surgery - Plastic and Reconstructive Surgery practicing in Berkeley Heights, NJ. With approximately 16 years of clinical experience since graduating from Rutgers New Jersey Medical School in 2010, Dr. Joseph delivers high-quality medical care to the local community at 1 DIAMOND HILL RD FL 1.

Dr. Joseph is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd Fl 1

Berkeley Heights, NJ 07922

Telephone 9082778759

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

Rutgers New Jersey Medical School

Graduation Year

2010

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery - Plastic and Reconstructive Surgery in Berkeley Heights, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

16 Yrs -8.0 yrs vs City Avg

City Avg: 24.0 Yrs

State Avg: 26.4 Yrs

Regional Practice Density

2 Specialists

Practicing in Berkeley Heights, NJ (87 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Joseph (16 Years) 16 Yrs

Berkeley Heights Specialty Average (24.0 Years) 24.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	46	36	$188.00	$99.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$274.00	$121.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$412.00	$181.76
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	18	17	$1800.00	$507.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$116.00	$62.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$274.00	$125.98
99213 Established patient office or other outpatient visit, typically 15 minutes	53	43	$188.00	$101.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$412.00	$173.79
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	31	$1800.00	$520.16
36415 Insertion of needle into vein for collection of blood sample	20	16	$15.00	$8.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$274.00	$143.28
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	13	$32.00	$7.61
80053 Blood test, comprehensive group of blood chemicals	12	11	$40.00	$10.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	88	88	$274.00	$125.61
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	55	55	$412.00	$186.08
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	49	48	$1800.00	$487.79
99213 Established patient office or other outpatient visit, typically 15 minutes	49	40	$188.00	$102.07
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	14	$1200.00	$431.61
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	13	13	$4410.00	$578.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	78	78	$274.00	$124.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	59	59	$412.00	$189.73
99213 Established patient office or other outpatient visit, typically 15 minutes	53	46	$188.00	$98.92
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	38	37	$1800.00	$512.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	15	$274.00	$147.19
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	15	15	$1200.00	$445.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$1737.00	$349.88
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	11	11	$4410.00	$486.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	138	138	$274.00	$119.75
99213 Established patient office or other outpatient visit, typically 15 minutes	66	57	$188.00	$84.64
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	36	$1800.00	$513.76
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	26	25	$1200.00	$456.27
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	18	17	$8251.00	$1167.38
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	13	13	$8038.00	$1138.38
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$3000.00	$880.88
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	12	$4410.00	$557.07
14041 Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm	11	11	$7483.00	$1063.67

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	116	116	$249.82	$117.49
99213 Established patient office or other outpatient visit, typically 15 minutes	41	37	$175.71	$78.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	28	15	$98.64	$49.21
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	22	$1800.00	$483.17
14301 Repair of wound by transferring skin, 30.1-60.0 sq cm	14	13	$8251.00	$1208.06
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	14	14	$4410.00	$552.40
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	12	12	$3000.00	$868.21
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	11	11	$1737.00	$299.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$219.00	$116.22
99213 Established patient office or other outpatient visit, typically 15 minutes	20	11	$146.00	$80.73

Medical Specialties & State Licenses

Surgery - Plastic and Reconstructive Surgery Primary Specialty

NUCC Taxonomy Code: 2086S0122X

State License NJ 25MA10232100

A surgeon who specializes in plastic and reconstructive surgery.

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners

Rachel Noonan , PA-C

Physician Assistant - Surgical

NPI 1659089886

Physician Assistant (Certified)

Jennifer Rulka , PA

Physician Assistant

NPI 1912413113

Physician Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location July 11, 2018

Registered at 1 DIAMOND HILL RD FL 1, BERKELEY HEIGHTS, NJ 07922 (Tel: 9082778759)

📍

Updated Business Mailing Address July 11, 2018

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 2017476010)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 11, 2018

Surgery (License #25MA10232100 in NJ)

✅

NPI Profile Active July 21, 2010

NPI status registered as active in NPPES database

📍

Updated Practice Location July 21, 2010

Registered at 100 MADISON AVE, MORRISTOWN, NJ 079606136 (Tel: 9739715684)

📍

Updated Business Mailing Address July 21, 2010

Registered at 100 FRANKLIN ST, APT C303, MORRISTOWN, NJ 079605443 (Tel: 2017476010)

👤

Provider Name / Credentials Updated July 21, 2010

Recorded as JAIN JOSEPH, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 21, 2010

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration July 21, 2010

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265745111

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: July 21, 2010

Last Update: July 11, 2018

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 2017476010

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.