Active NPI 1679540819 Individual Practitioner Male Practitioner

Dr. Pinakin Pathak , MD

Internal Medicine • Wharton, NJ

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Pinakin Pathak, MD is a certified Internal Medicine practicing in Wharton, NJ. With approximately 41 years of clinical experience since completing medical education in 1985, Dr. Pathak delivers high-quality medical care to the local community at 400 S MAIN ST.

Dr. Pathak is affiliated with The Medical Group Of New Jersey 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, subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least, advance care planning, first. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

400 S Main St
Suite 2r

Wharton, NJ 078852043

Telephone 9733661223

Associated Practice Facility / Clinic

🏢 Pratik Inc Facility NPI 1184787103

Medicare Profile & Education

Medical School

Other

Graduation Year

1985

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Wharton, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

41 Yrs Matches City Avg

City Avg: 41.0 Yrs

State Avg: 30.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Wharton, NJ (4957 Statewide)

Telehealth Adoption Rate

50.0% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

48.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pathak (41 Years) 41 Yrs

Wharton Specialty Average (41.0 Years) 41.0 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	813	197	$161.12	$94.89
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	315	45	$146.98	$75.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	154	92	$235.60	$133.82
99497 Advance care planning, first 30 minutes	125	124	$152.00	$83.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$247.76	$132.74
G0444 Annual depression screening, 5 to 15 minutes	95	95	$42.56	$19.71
G0008 Administration of influenza virus vaccine	93	90	$60.80	$35.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	88	38	$193.04	$109.72
90662 Influenza vaccine split virus, preservative free	84	81	$75.00	$73.44
G0442 Annual alcohol misuse screening, 5 to 15 minutes	74	74	$42.56	$19.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$361.76	$173.52
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	13	$98.80	$60.19
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	13	12	$135.69	$34.62
93000 Routine ekg using at least 12 leads including interpretation and report	13	12	$59.40	$15.07
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$360.24	$168.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	893	192	$143.58	$93.44
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	753	76	$141.77	$80.36
99497 Advance care planning, first 30 minutes	138	138	$143.33	$89.91
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	124	124	$227.97	$139.93
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	117	70	$208.00	$135.72
G0444 Annual depression screening, 5 to 15 minutes	116	116	$38.97	$20.73
G0008 Administration of influenza virus vaccine	106	106	$60.80	$33.97
90662 Influenza vaccine split virus, preservative free	87	87	$75.00	$71.89
G0442 Annual alcohol misuse screening, 5 to 15 minutes	42	42	$42.56	$20.83
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	23	$188.06	$114.79
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	31	$273.54	$143.77
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	29	27	$93.70	$60.91
87426 Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus	24	18	$135.69	$34.62
93000 Routine ekg using at least 12 leads including interpretation and report	20	19	$50.94	$16.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$76.00	$21.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,687	182	$147.44	$74.99
99213 Established patient office or other outpatient visit, typically 15 minutes	848	195	$160.35	$96.97
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	174	135	$280.40	$139.05
99497 Advance care planning, first 30 minutes	151	151	$151.66	$92.94
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	139	63	$193.04	$98.32
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	120	120	$246.74	$146.03
G0444 Annual depression screening, 5 to 15 minutes	119	119	$42.38	$21.13
G0008 Administration of influenza virus vaccine	107	104	$60.80	$33.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	101	71	$233.30	$142.72
90662 Influenza vaccine split virus, preservative free	92	89	$75.00	$68.43
99316 Nursing facility discharge management, more than 30 minutes	48	44	$221.92	$111.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	41	33	$98.80	$60.27
99315 Nursing facility discharge day management, 30 minutes or less	35	27	$155.04	$78.45
99443 Telephone medical discussion with physician, 21-30 minutes	25	16	$135.00	$130.79
99497 Advance care planning, first 30 minutes	24	23	$152.00	$83.76
99306 Initial nursing facility visit, typically 45 minutes per day	19	19	$354.16	$177.92
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$202.16	$102.94
93000 Routine ekg using at least 12 leads including interpretation and report	16	15	$60.80	$16.22
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	15	15	$76.00	$21.05
G0402 Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment	11	11	$360.24	$166.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,248	141	$147.44	$76.86
99213 Established patient office or other outpatient visit, typically 15 minutes	782	191	$160.91	$103.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	153	102	$235.60	$145.97
99497 Advance care planning, first 30 minutes	128	125	$152.00	$95.49
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	121	96	$281.20	$143.22
G0008 Administration of influenza virus vaccine	117	114	$60.80	$19.52
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	109	109	$247.76	$151.23
G0444 Annual depression screening, 5 to 15 minutes	109	109	$42.56	$21.88
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	59	58	$76.00	$20.50
90662 Influenza vaccine split virus, preservative free	57	57	$75.00	$65.26
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	40	28	$98.80	$64.81
99315 Nursing facility discharge day management, 30 minutes or less	31	29	$155.04	$80.88
99316 Nursing facility discharge management, more than 30 minutes	30	28	$221.92	$116.17
99443 Telephone medical discussion with physician, 21-30 minutes	24	17	$135.00	$136.11
93000 Routine ekg using at least 12 leads including interpretation and report	21	21	$59.93	$17.09
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	18	17	$152.00	$60.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	15	15	$193.04	$101.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,577	163	$147.35	$77.56
99213 Established patient office or other outpatient visit, typically 15 minutes	789	197	$161.01	$84.37
G0008 Administration of influenza virus vaccine	132	130	$60.80	$19.04
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	129	96	$280.13	$144.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	120	80	$235.60	$123.43
99497 Advance care planning, first 30 minutes	118	117	$152.00	$96.12
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	110	110	$247.76	$132.73
G0444 Annual depression screening, 5 to 15 minutes	109	109	$42.56	$21.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	85	84	$76.00	$19.55
99443 Telephone medical discussion with physician, 21-30 minutes	76	51	$135.00	$124.07
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	63	41	$193.04	$101.79
90662 Influenza vaccine split virus, preservative free	46	46	$75.00	$60.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	39	36	$98.80	$50.21
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	22	22	$152.00	$61.08
99315 Nursing facility discharge day management, 30 minutes or less	21	21	$155.04	$82.13
93000 Routine ekg using at least 12 leads including interpretation and report	19	17	$60.80	$19.69
99316 Nursing facility discharge management, more than 30 minutes	18	18	$216.04	$117.87
99318 Nursing facility annual assessment, typically 30 minutes	18	18	$202.16	$107.00
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	14	14	$228.00	$118.21
G0009 Administration of pneumococcal vaccine	11	11	$76.00	$18.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,770	172	$112.62	$75.67
99213 Established patient office or other outpatient visit, typically 15 minutes	827	204	$125.51	$82.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	176	54	$115.36	$78.10
G0008 Administration of influenza virus vaccine	135	134	$63.13	$18.53
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	133	105	$219.00	$142.27
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	132	132	$79.58	$18.37
99497 Advance care planning, first 30 minutes	130	128	$114.31	$93.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	117	81	$80.24	$51.06
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	113	113	$186.54	$130.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	107	77	$191.74	$121.27
G0444 Annual depression screening, 5 to 15 minutes	88	88	$30.73	$20.59
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	60	42	$147.91	$100.56
99316 Nursing facility discharge management, more than 30 minutes	38	36	$165.98	$115.57
99318 Nursing facility annual assessment, typically 30 minutes	31	31	$159.77	$104.84
99239 Hospital discharge day management, more than 30 minutes	28	23	$171.14	$117.39
99315 Nursing facility discharge day management, 30 minutes or less	23	20	$125.06	$80.48
93000 Routine ekg using at least 12 leads including interpretation and report	22	19	$46.62	$18.73
99306 Initial nursing facility visit, typically 45 minutes per day	18	18	$253.19	$182.09
99238 Hospital discharge day management, 30 minutes or less	16	12	$109.37	$79.89
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	13	$129.71	$59.74
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$258.63	$182.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,733	203	$96.91	$75.53
99213 Established patient office or other outpatient visit, typically 15 minutes	981	246	$105.97	$80.77
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	259	82	$100.00	$78.43
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	182	147	$184.29	$141.15
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	171	118	$64.91	$49.11
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	166	164	$50.00	$18.54
G0008 Administration of influenza virus vaccine	166	164	$40.00	$23.09
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	129	129	$163.00	$129.59
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	98	63	$155.00	$119.16
99497 Advance care planning, first 30 minutes	94	92	$100.00	$91.38
99238 Hospital discharge day management, 30 minutes or less	53	43	$100.55	$79.39
G0444 Annual depression screening, 5 to 15 minutes	52	52	$28.00	$20.27
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	46	40	$100.00	$59.86
99315 Nursing facility discharge day management, 30 minutes or less	40	38	$102.00	$79.12
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	37	32	$127.00	$99.75
93000 Routine ekg using at least 12 leads including interpretation and report	35	30	$40.00	$18.55
99316 Nursing facility discharge management, more than 30 minutes	35	33	$146.00	$114.98
99318 Nursing facility annual assessment, typically 30 minutes	27	27	$133.00	$104.33
99495 Transitional care management services for problem of at least moderate complexity	25	20	$200.00	$182.44
99239 Hospital discharge day management, more than 30 minutes	18	17	$149.00	$117.11
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	17	17	$132.35	$95.60
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$233.00	$180.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	1,544	199	$84.41	$74.80
99213 Established patient office or other outpatient visit, typically 15 minutes	935	250	$93.29	$80.69
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	419	107	$90.83	$77.56
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	213	65	$56.92	$48.38
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	208	145	$156.49	$140.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	193	134	$56.49	$48.83
G0008 Administration of influenza virus vaccine	160	160	$40.00	$29.01
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	146	146	$145.02	$127.89
99497 Advance care planning, first 30 minutes	123	122	$100.00	$88.11
Q2036 Influenza virus vaccine, split virus, when administered to individuals 3 years of age and older, for intramuscular use (flulaval)	114	114	$40.00	$8.41
99238 Hospital discharge day management, 30 minutes or less	79	65	$87.78	$78.24
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	71	47	$131.68	$118.29
99315 Nursing facility discharge day management, 30 minutes or less	47	44	$88.29	$78.90
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	47	$50.00	$18.65
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	38	38	$50.00	$49.00
99316 Nursing facility discharge management, more than 30 minutes	30	29	$122.66	$113.90
G0009 Administration of pneumococcal vaccine	26	26	$50.00	$29.01
93000 Routine ekg using at least 12 leads including interpretation and report	25	22	$28.46	$19.13
99239 Hospital discharge day management, more than 30 minutes	21	19	$131.90	$115.53
99318 Nursing facility annual assessment, typically 30 minutes	21	21	$124.77	$103.97
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	20	20	$207.76	$187.73
99495 Transitional care management services for problem of at least moderate complexity	20	19	$198.40	$181.07
G0179 Physician re-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 to affirm the initial imp	13	11	$54.42	$46.21
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	13	12	$116.81	$99.17

Medical Specialties & State Licenses

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License NJ 25MA06418500

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

7050305 (NJ)

Hospital & Practice Group Affiliations

The Medical Group Of New Jersey

400 S Main St, Wharton, NJ 078852043

Phone: 9733661223

Practice Associates & Co-Workers

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

4 Associated Practitioners

Dr. Tejal Pathak , DDS

Dentist - General Practice

NPI 1346261344

Doctor of Dental Surgery

Dr. Steve Lim , MD

Physical Medicine & Rehabilitation

NPI 1548366487

Doctor of Medicine (M.D.)

Dr. Robert Vrablik , MD

Physical Medicine & Rehabilitation

NPI 1699871517

Doctor of Medicine (M.D.)

Dr. Jodi Thomas , MD

Physical Medicine & Rehabilitation

NPI 1912003765

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 January 29, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 29, 2009

Registered at 400 S MAIN ST, SUITE 2R, WHARTON, NJ 078852043 (Tel: 9733661223)

📍

Updated Business Mailing Address January 29, 2009

Registered at 400 S MAIN ST, SUITE 2R, WHARTON, NJ 078852043 (Tel: 9733661223)

👤

Provider Name / Credentials Updated January 29, 2009

Recorded as PINAKIN PATHAK, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 29, 2009

Internal Medicine (License #25MA06418500 in NJ)

🟢

Initial NPI Registration & Enumeration March 07, 2006

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: 1679540819

Entity Type:

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

Enumeration Date: March 07, 2006

Last Update: January 29, 2009

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

400 S Main St, Suite 2r

Wharton, NJ 078852043

Phone: 9733661223

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.