DR. VIVIAN K BETHALA (MD) – Specialist, NPI 1235191800
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
757 GASTROENTEROLOGY in NJ
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Provider Addresses for DR. VIVIAN K BETHALA (MD)
Old Hook Road, Harrington Park, Bergen County, New Jersey, 07630, United States
SUITE 9
EMERSON, NJ 076301396
Phone: (201) 261-1005
Fax: (201) 261-4208
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $1,165.
Total Amount is formed as General ($1,165) + Research ($0) + Ownership ($0) = $1,165.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($381).
Total Amount
$1,165
General + Research + Ownership
Payments
36
Total payment records
General Amount
$1,165
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-03-06
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040306000105 | I | Gastroenterology | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 570 | 144 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 451 | 263 | $0 |
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 328 | 70 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 191 | 162 | $0 |
| 88313 | Special stained specimen slides to examine tissue including interpretation and report | 157 | 44 | $0 |
Insurance plans in this area (ZIP 07630)
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Provider's Procedures
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NJ | |
| Physical Medicine And Rehabilitation | NJ |
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