Active NPI 1801957014 Individual Practitioner Male Practitioner

Dr. James D Franklin , MD

Internal Medicine • Nutley, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. James Franklin, MD is a certified Internal Medicine practicing in Nutley, NJ. With approximately 40 years of clinical experience since completing medical education in 1986, Dr. Franklin delivers high-quality medical care to the local community at 175 FRANKLIN AVE.

Dr. Franklin is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include established patient outpatient office visit, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

175 Franklin Ave
Ste 201

Nutley, NJ 071103819

Telephone 9736678535

Fax 9736678442

Associated Practice Facility / Clinic

🏢 James And Annette Franklin Md Facility NPI 1851438378

Medicare Profile & Education

Medical School

Other

Graduation Year

1986

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Nutley, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

40 Yrs +0.6 yrs vs City Avg

City Avg: 39.4 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

20 Specialists

Practicing in Nutley, NJ (4957 Statewide)

Telehealth Adoption Rate

30.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

83.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Franklin (40 Years) 40 Yrs

Nutley Specialty Average (39.4 Years) 39.4 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	270	141	$599.00	$99.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	159	106	$842.00	$138.53
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	128	128	$857.00	$140.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	89	67	$106.00	$17.84
G0008 Administration of influenza virus vaccine	46	46	$185.00	$33.96
90662 Influenza vaccine split virus, preservative free	41	41	$441.00	$77.35
93000 Routine ekg using at least 12 leads including interpretation and report	33	33	$100.12	$15.63
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	28	$1183.00	$195.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	285	148	$528.97	$97.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	170	114	$774.66	$136.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$751.32	$139.04
G0008 Administration of influenza virus vaccine	66	64	$154.20	$33.97
90662 Influenza vaccine split virus, preservative free	59	57	$408.07	$71.70
93000 Routine ekg using at least 12 leads including interpretation and report	39	38	$93.13	$15.88
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	16	$1103.28	$187.42

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	72	59	$400.00	$99.16
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	55	55	$575.00	$143.07
G0008 Administration of influenza virus vaccine	36	36	$103.00	$33.69
90662 Influenza vaccine split virus, preservative free	33	33	$244.00	$68.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	32	$562.00	$138.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	257	137	$150.00	$103.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	165	102	$175.00	$143.88
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$175.00	$148.67
36415 Insertion of needle into vein for collection of blood sample	63	52	$25.00	$3.00
93000 Routine ekg using at least 12 leads including interpretation and report	57	49	$90.00	$17.04
G0008 Administration of influenza virus vaccine	54	53	$40.00	$19.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	51	50	$50.00	$20.11
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	24	$219.83	$204.50
93922 Ultrasound study of arm and leg arteries	18	18	$200.00	$103.76
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	17	17	$800.00	$159.26
99495 Transitional care management services for problem of at least moderate complexity	14	12	$200.00	$189.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	274	150	$150.00	$83.56
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	125	91	$175.00	$120.00
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	121	121	$175.00	$127.54
G0008 Administration of influenza virus vaccine	60	60	$40.00	$18.41
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	49	49	$800.00	$162.81
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	45	45	$30.00	$18.32
99442 Telephone medical discussion with physician, 11-20 minutes	43	37	$40.00	$38.84
93000 Routine ekg using at least 12 leads including interpretation and report	38	37	$90.00	$19.53
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$200.00	$164.11
36415 Insertion of needle into vein for collection of blood sample	17	17	$25.00	$3.00
93880 Ultrasound of both sides of head and neck blood flow	16	15	$425.00	$193.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	16	16	$50.00	$18.36
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	12	12	$275.00	$185.88

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	292	159	$150.00	$80.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	283	157	$175.00	$118.33
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	153	153	$175.00	$125.96
93000 Routine ekg using at least 12 leads including interpretation and report	87	72	$90.00	$18.62
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	80	79	$800.00	$141.40
G0008 Administration of influenza virus vaccine	77	77	$40.00	$18.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	63	50	$200.00	$156.69
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	55	55	$30.00	$16.84
93880 Ultrasound of both sides of head and neck blood flow	34	34	$425.00	$185.03
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	31	11	$30.00	$18.76
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	31	11	$20.00	$1.79
G0009 Administration of pneumococcal vaccine	25	25	$30.00	$18.67
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	22	22	$50.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	21	21	$100.00	$98.00
99495 Transitional care management services for problem of at least moderate complexity	17	15	$200.00	$182.07
93925 Ultrasound of leg arteries or artery grafts	16	16	$450.00	$259.20
36415 Insertion of needle into vein for collection of blood sample	16	16	$25.00	$2.94
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	13	12	$150.00	$59.11
93922 Ultrasound study of arm and leg arteries	12	11	$200.00	$97.04

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	317	184	$175.00	$114.85
99213 Established patient office or other outpatient visit, typically 15 minutes	290	162	$150.00	$77.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	162	162	$175.00	$123.57
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	108	108	$30.00	$16.99
G0008 Administration of influenza virus vaccine	105	105	$40.00	$23.23
93000 Routine ekg using at least 12 leads including interpretation and report	95	86	$90.00	$18.24
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	75	73	$800.00	$148.06
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	58	46	$200.00	$152.93
J3420 Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg	39	14	$20.00	$1.95
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	39	14	$30.00	$22.65
99495 Transitional care management services for problem of at least moderate complexity	34	24	$200.00	$172.77
93880 Ultrasound of both sides of head and neck blood flow	30	30	$425.00	$189.25
93922 Ultrasound study of arm and leg arteries	24	22	$200.00	$96.61
36415 Insertion of needle into vein for collection of blood sample	21	20	$30.71	$2.80
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	16	13	$25.00	$15.25
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	14	$150.00	$58.02
G0009 Administration of pneumococcal vaccine	13	13	$30.00	$23.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	311	165	$90.00	$78.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	278	171	$150.00	$114.68
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	154	154	$126.70	$123.36
90688 Vaccine for influenza for administration into muscle, 0.5 ml dosage	103	103	$40.00	$17.14
G0008 Administration of influenza virus vaccine	101	101	$30.00	$28.72
93306 Ultrasound of heart with color-depicted blood flow, rate, direction and valve function	87	87	$500.00	$185.65
93000 Routine ekg using at least 12 leads including interpretation and report	72	67	$50.00	$18.48
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	59	50	$175.00	$154.27
G0009 Administration of pneumococcal vaccine	54	53	$35.00	$28.47
90670 Pneumococcal vaccine for injection into muscle	52	52	$190.87	$173.25
99495 Transitional care management services for problem of at least moderate complexity	32	23	$200.00	$175.73
36415 Insertion of needle into vein for collection of blood sample	27	24	$10.00	$2.94
99406 Smoking and tobacco use intermediate counseling, greater than 3 minutes up to 10 minutes	27	13	$50.00	$15.26
93880 Ultrasound of both sides of head and neck blood flow	23	22	$450.00	$149.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	18	$60.00	$47.33
81003 Automated urinalysis test	17	14	$5.00	$3.02
93925 Ultrasound of leg arteries or artery grafts	17	17	$370.00	$251.12
93922 Ultrasound study of arm and leg arteries	16	16	$225.00	$100.21
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	14	14	$196.09	$176.91
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	14	14	$199.19	$182.54
82270 Stool analysis for blood to screen for colon tumors	13	13	$15.00	$4.37

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ MA56569

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

5556601 (NJ)

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

1 Hamilton Health Pl, Hamilton, NJ 086903542

Phone: 6096897031

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Annette Cozzarelli-Franklin , MD

Internal Medicine

NPI 1639230840

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 16, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location September 16, 2008

Registered at 175 FRANKLIN AVE, STE 201, NUTLEY, NJ 071103819 (Tel: 9736678535)

📍

Updated Business Mailing Address September 16, 2008

Registered at 175 FRANKLIN AVE, STE 201, NUTLEY, NJ 071103819 (Tel: 9736678535)

👤

Provider Name / Credentials Updated September 16, 2008

Recorded as JAMES FRANKLIN, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 16, 2008

Internal Medicine (License #MA56569 in NJ)

🟢

Initial NPI Registration & Enumeration December 12, 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. James Franklin. 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: 1801957014

Entity Type:

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

Enumeration Date: December 12, 2006

Last Update: September 16, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

175 Franklin Ave, Ste 201

Nutley, NJ 071103819

Phone: 9736678535

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.