Active NPI 1356530539 Individual Practitioner Male Practitioner

Dr. Sergio L. Baerga , MD

Surgery • Elizabeth, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Sergio Baerga, MD is a certified Surgery practicing in Elizabeth, NJ. With approximately 24 years of clinical experience since graduating from Ponce School Of Medicine in 2002, Dr. Baerga delivers high-quality medical care to the local community at 225 WILLIAMSON ST FL 4.

Dr. Baerga is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, follow-up hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Williamson St Fl 4

Elizabeth, NJ 072023625

Telephone 9089945000

Associated Practice Facility / Clinic

🏢 Trinitas Regional Medical Center Facility NPI 1134129802

Medicare Profile & Education

Medical School

Ponce School Of Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Elizabeth, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs -1.3 yrs vs City Avg

City Avg: 25.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Elizabeth, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

82.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Baerga (24 Years) 24 Yrs

Elizabeth Specialty Average (25.3 Years) 25.3 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$1037.08	$182.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	20	11	$180.00	$99.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	48	18	$90.00	$41.52
99221 Initial hospital inpatient care per day, typically 30 minutes	22	22	$240.00	$107.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	13	$170.00	$78.07
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$400.00	$179.88
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$330.00	$147.74
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$240.00	$109.60
99213 Established patient office or other outpatient visit, typically 15 minutes	12	11	$180.00	$100.79

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	57	22	$170.00	$78.89
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$330.00	$150.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	24	$330.00	$146.85
99231 Follow-up hospital inpatient care per day, typically 15 minutes	20	14	$90.00	$42.18
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$400.00	$180.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	21	$90.00	$42.14
99221 Initial hospital inpatient care per day, typically 30 minutes	24	23	$240.00	$108.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	21	21	$400.00	$180.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	34	$92.07	$57.79
99221 Initial hospital inpatient care per day, typically 30 minutes	38	38	$242.39	$149.40
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	12	$173.91	$106.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	15	15	$275.33	$155.40

Medical Specialties & State Licenses

CMS Verified: 2025-03-26

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA09666400

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License NY 246562

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

225 Williamson St, Elizabeth, NJ 072023625

Phone: 9089945000

Secondary Practice Locations

3400 Bainbridge Ave. 4th Floor, Montefiore Medical Center - Department Of Surgery

Bronx, NY 104672401

Phone: 7189208872

Practice Associates & Co-Workers

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

40 Associated Practitioners

Dr. Subutay Bozkurt , MD

Student in an Organized Health Care Education/Training Program

NPI 1003489725

Doctor of Medicine (M.D.)

Dr. Ceearra Williams , DPM

Student in an Organized Health Care Education/Training Program

NPI 1043048457

Doctor of Podiatric Medicine

Dr. Abiha Iqbal , MD

Student in an Organized Health Care Education/Training Program

NPI 1053140376

Doctor of Medicine (M.D.)

Dr. Joseph Haig , MD

Emergency Medicine

NPI 1063677029

Doctor of Medicine (M.D.)

Trisha Badishian , LCSW

Social Worker - Clinical

NPI 1073718474

Licensed Clinical Social Worker

Audrey Moloughney , LSW

Counselor - Professional

NPI 1073718524

Licensed Social Worker

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location March 26, 2025

Registered at 225 WILLIAMSON ST FL 4, ELIZABETH, NJ 072023625 (Tel: 9089945000)

📍

Updated Business Mailing Address March 26, 2025

Registered at 379 CAMPUS DR FL 41, SOMERSET, NJ 088731161 (Tel: 7329378939)

✅

NPI Profile Active May 10, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location May 10, 2011

Registered at 3400 BAINBRIDGE AVE. 4TH FLOOR, MONTEFIORE MEDICAL CENTER - DEPARTMENT OF SURGERY, BRONX, NY 104672401 (Tel: 7189208872)

📍

Updated Business Mailing Address May 10, 2011

Registered at 3400 BAINBRIDGE AVE. 4TH FLOOR, MONTEFIORE MEDICAL CENTER - DEPARTMENT OF SURGERY, BRONX, NY 104672401 (Tel: 7189208872)

👤

Provider Name / Credentials Updated May 10, 2011

Recorded as SERGIO BAERGA, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 10, 2011

Surgery (License #246562 in NY)

🟢

Initial NPI Registration & Enumeration October 23, 2007

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. Sergio Baerga. 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: 1356530539

Entity Type:

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

Enumeration Date: October 23, 2007

Last Update: March 26, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

379 Campus Dr Fl 41

Somerset, NJ 088731161

Phone: 7329378939

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.