Active NPI 1124098678 Individual Practitioner Male Practitioner

Dr. Machia Uthappa , MD

Internal Medicine • Edison, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Machia Uthappa, MD is a certified Internal Medicine practicing in Edison, NJ. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Uthappa delivers high-quality medical care to the local community at 1 ETHEL RD.

Dr. Uthappa is affiliated with Hackensack Meridian Health Medical Group - Primary Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, insertion of needle into vein for collection of blood sample, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Ethel Rd
Suite 107b

Edison, NJ 088172838

Telephone 7322872020

Fax 7322872071

Associated Practice Facility / Clinic

🏢 Allison L Faches Md Pa Facility NPI 1245206531

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Edison, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +9.7 yrs vs City Avg

City Avg: 30.3 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

80 Specialists

Practicing in Edison, NJ (4957 Statewide)

Telehealth Adoption Rate

27.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

16.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Uthappa (40 Years) 40 Yrs

Edison Specialty Average (30.3 Years) 30.3 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	791	350	$175.00	$147.12
99213 Established patient office or other outpatient visit, typically 15 minutes	336	210	$130.00	$103.19
36415 Insertion of needle into vein for collection of blood sample	305	172	$20.00	$8.65
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$185.00	$153.41
G0008 Administration of influenza virus vaccine	104	104	$30.00	$29.40
90653 Vaccine for influenza for injection into muscle	68	68	$90.00	$81.82
99497 Advance care planning, first 30 minutes	60	60	$100.00	$94.12
90656 Vaccine for influenza for administration into muscle, 0.5 ml dosage	37	37	$40.00	$21.90
81002 Urinalysis, manual test	23	23	$21.00	$3.41
93000 Routine ekg using at least 12 leads including interpretation and report	19	19	$71.00	$16.66
99496 Transitional care management services for problem of high complexity	12	12	$325.00	$326.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	787	353	$171.97	$142.42
36415 Insertion of needle into vein for collection of blood sample	384	211	$20.00	$8.40
99213 Established patient office or other outpatient visit, typically 15 minutes	364	232	$127.69	$98.28
G0008 Administration of influenza virus vaccine	123	123	$30.00	$29.40
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	99	99	$182.37	$144.60
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	95	95	$75.00	$73.47
99497 Advance care planning, first 30 minutes	62	62	$100.00	$90.91
93000 Routine ekg using at least 12 leads including interpretation and report	46	41	$71.00	$16.36
81002 Urinalysis, manual test	35	33	$21.00	$3.41
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$32.00	$21.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	23	23	$235.00	$178.66
69210 Removal of impacted ear wax	16	16	$75.00	$53.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$75.00	$63.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	624	283	$160.02	$143.08
99213 Established patient office or other outpatient visit, typically 15 minutes	329	215	$114.91	$100.06
36415 Insertion of needle into vein for collection of blood sample	301	173	$19.95	$2.95
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$165.00	$146.16
G0008 Administration of influenza virus vaccine	121	119	$30.00	$29.40
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	119	118	$75.00	$69.66
99497 Advance care planning, first 30 minutes	75	75	$100.00	$91.68
93000 Routine ekg using at least 12 leads including interpretation and report	31	29	$71.00	$15.77
81002 Urinalysis, manual test	25	22	$21.00	$3.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$216.00	$185.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	445	262	$113.77	$103.49
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	410	231	$159.12	$146.56
36415 Insertion of needle into vein for collection of blood sample	333	187	$19.93	$3.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	136	136	$164.45	$151.38
G0008 Administration of influenza virus vaccine	110	110	$30.00	$19.53
99497 Advance care planning, first 30 minutes	104	103	$99.62	$94.81
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	99	99	$75.00	$66.43
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$71.00	$17.11
81002 Urinalysis, manual test	29	23	$21.00	$3.48
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	19	$75.00	$64.69
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$145.00	$128.22

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	408	232	$94.00	$80.10
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	395	224	$141.00	$122.64
36415 Insertion of needle into vein for collection of blood sample	283	165	$19.94	$2.98
G0008 Administration of influenza virus vaccine	119	116	$30.00	$19.04
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	115	115	$150.00	$132.47
90662 Influenza vaccine split virus, preservative free	113	110	$75.00	$60.82
99497 Advance care planning, first 30 minutes	86	86	$90.00	$91.05
93000 Routine ekg using at least 12 leads including interpretation and report	36	34	$71.00	$19.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	20	17	$61.00	$44.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$125.00	$118.51
G0009 Administration of pneumococcal vaccine	17	17	$30.00	$18.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$145.00	$122.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	545	272	$141.00	$120.29
99213 Established patient office or other outpatient visit, typically 15 minutes	467	272	$94.00	$82.68
36415 Insertion of needle into vein for collection of blood sample	300	171	$20.00	$2.93
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$150.00	$129.79
99497 Advance care planning, first 30 minutes	109	109	$90.00	$89.16
G0008 Administration of influenza virus vaccine	99	99	$30.00	$18.67
90662 Influenza vaccine split virus, preservative free	88	88	$75.00	$54.89
93000 Routine ekg using at least 12 leads including interpretation and report	36	35	$71.00	$19.27
81002 Urinalysis, manual test	18	17	$21.00	$3.41
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	17	17	$200.00	$184.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$61.00	$50.87
99496 Transitional care management services for problem of high complexity	13	11	$275.00	$258.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$145.00	$120.70
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	11	11	$32.00	$18.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	555	290	$141.00	$115.45
99213 Established patient office or other outpatient visit, typically 15 minutes	465	274	$94.00	$78.36
36415 Insertion of needle into vein for collection of blood sample	349	181	$20.00	$2.94
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	135	135	$150.60	$124.94
99497 Advance care planning, first 30 minutes	130	129	$90.00	$87.60
G0008 Administration of influenza virus vaccine	124	123	$30.00	$23.23
90662 Influenza vaccine split virus, preservative free	96	95	$75.00	$52.30
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	30	30	$32.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	27	27	$71.00	$18.51
81002 Urinalysis, manual test	20	19	$21.00	$3.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$145.00	$115.77
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	13	13	$117.31	$103.25
G0009 Administration of pneumococcal vaccine	12	12	$30.00	$23.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$61.00	$47.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	554	273	$140.88	$117.90
99213 Established patient office or other outpatient visit, typically 15 minutes	494	284	$94.00	$80.31
36415 Insertion of needle into vein for collection of blood sample	341	190	$20.00	$2.94
G0008 Administration of influenza virus vaccine	157	154	$30.01	$29.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	119	119	$150.00	$128.27
99497 Advance care planning, first 30 minutes	117	116	$90.00	$88.10
90662 Influenza vaccine split virus, preservative free	117	117	$50.00	$48.00
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	40	38	$32.00	$18.65
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$71.00	$19.11
81002 Urinalysis, manual test	26	25	$21.00	$3.43
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$145.00	$119.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	23	20	$61.00	$48.86
G0180 Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and	14	12	$100.00	$59.79

Medical Specialties & State Licenses

CMS Verified: 2025-03-19

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA061302

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7894406 (NJ)

Commercial Insurance / Payer ID Group Npi Number

1184722431 (NJ)

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Primary Care Pc

985 Cedar Bridge Ave, Brick, NJ 087234167

Phone: 7324775600

Hackensack Meridian Health Medical Group - Primary Care Pc

300 Perrine Rd, Old Bridge, NJ 088573628

Phone: 7327539890

Secondary Practice Locations

65 James St

Edison, NJ 088203947

Phone: 7322872020

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Allison Faches , MD

Family Medicine

NPI 1336397785

Doctor of Medicine (M.D.)

Dr. Harry Collins , MD

Family Medicine - Adult Medicine

NPI 1922078377

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address March 19, 2025

Registered at 331 NEWMAN SPRINGS ROAD, BLDG. 2, SUITE 220, RED BANK, NJ 07701 (Tel: 7328070877)

✅

NPI Profile Active January 31, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location January 31, 2013

Registered at 1 ETHEL RD, SUITE 107B, EDISON, NJ 088172838 (Tel: 7322872020)

📍

Updated Business Mailing Address January 31, 2013

Registered at 1 ETHEL RD, SUITE 107B, EDISON, NJ 088172838 (Tel: 7322872020)

👤

Provider Name / Credentials Updated January 31, 2013

Recorded as MACHIA UTHAPPA, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 31, 2013

Internal Medicine (License #MA061302 in NJ)

🟢

Initial NPI Registration & Enumeration January 26, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Machia Uthappa. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1124098678

Entity Type:

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

Enumeration Date: January 26, 2006

Last Update: March 19, 2025

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

331 Newman Springs Road, Bldg. 2, Suite 220

Red Bank, NJ 07701

Phone: 7328070877

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.