Dr. Simon Vichnevetsky , MD
Emergency Medicine • Berkeley Heights, NJ
1 Diamond Hill Rd, Summit Medical Group
Berkeley Heights, NJ 079222104
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
-
Dr. Simon Vichnevetsky is listed in NPPES under Emergency Medicine.
-
NPI assigned on February 6, 2006; this date does not establish years in practice.
-
Published CMS data list 822 Original Medicare Part B services in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Published rows only; this is not a quality measure.
-
Published Part B service records, 2021:
- 99214 — Established patient outpatient office visit: 115 service units.
- 36415 — Insertion of needle into vein for collection of blood sample: 81 service units.
- 85025 — Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count: 67 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2020 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2021). CPT notice
See all 21 records in the table · Guide: How to read Medicare Part B data
-
Published CMS data list 40 Medicare Part D prescriptions, including refills, in 2021.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Published rows only; this is not a quality measure.
-
Published Part D records, 2021:
- Tramadol Hcl — 15 prescription fills, including refills.
- Cephalexin — 13 prescription fills, including refills.
- Ondansetron Odt (Ondansetron) — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
-
Medicare Part B services went from 757 in 2017 to 822 in 2021.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2017–2021.
Practice Location & Contact Primary Location
1 Diamond Hill Rd
Summit Medical Group
Berkeley Heights, NJ 079222104
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
What Public CMS Data Show
Emergency Medicine: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $40,653 in 2021
The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
Paid by Medicare
About $34,809 in 2021
The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.
30-day fills
40 standardized 30-day fills in 2021
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$276 in 2021
The total cost of these prescriptions in 2021, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2021.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2019–2025.
NPI first issued
2006
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Compared with the same specialty in Berkeley Heights and New Jersey
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Dr. Vichnevetsky are from 2021.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Vichnevetsky are from 2021.
27 active clinicians are listed under Emergency Medicine with a practice address in Berkeley Heights, NJ (1,755 in New Jersey).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Berkeley Heights
3.7% of these 27 clinicians have the CMS telehealth indicator.
85.2% of these 27 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
-
Medicare Part B services
Medicare Part B services varied from year to year: 757 in 2017 and 822 in 2021.
- 2017: 757
- 2018: 1,502
- 2019: 1,380
- 2020: 846
- 2021: 822
-
Medicare-allowed amount
Medicare-allowed amount increased 15% from $35,263 in 2017 to $40,653 in 2021.
- 2017: $35,263
- 2018: $60,238
- 2019: $55,348
- 2020: $35,145
- 2021: $40,653
-
Paid by Medicare
Paid by Medicare increased 30% from $26,847 in 2017 to $34,809 in 2021.
- 2017: $26,847
- 2018: $49,155
- 2019: $42,961
- 2020: $28,167
- 2021: $34,809
-
Medicare Part D prescriptions
Medicare Part D prescriptions decreased 69% from 128 in 2017 to 40 in 2021.
- 2017: 128
- 2018: 172
- 2019: 217
- 2020: 53
- 2021: 40
-
30-day fills
30-day fills decreased 69% from 128 in 2017 to 40 in 2021.
- 2017: 128
- 2018: 174
- 2019: 217
- 2020: 53
- 2021: 40
-
Part D drug cost
Part D drug cost decreased 87% from $2,067 in 2017 to $276 in 2021.
- 2017: $2,067
- 2018: $2,652
- 2019: $2,726
- 2020: $844
- 2021: $276
Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | 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
|
115 | 111 | $274.00 | $144.81 |
|
36415
Insertion of needle into vein for collection of blood sample
|
81 | 68 | $15.00 | $3.00 |
|
85025
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
|
67 | 65 | $32.00 | $7.77 |
|
87426
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus
|
65 | 63 | $100.00 | $43.84 |
|
80053
Blood test, comprehensive group of blood chemicals
|
62 | 60 | $40.00 | $10.56 |
|
0011A
Adm sarscov2 100mcg/0.5ml1st
|
59 | 59 | $75.00 | $45.85 |
|
99204
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
|
52 | 52 | $412.00 | $184.59 |
|
81001
Manual urinalysis test with examination using microscope, automated
|
47 | 46 | $13.00 | $3.17 |
|
81002
Urinalysis, manual test
|
38 | 38 | $11.00 | $3.48 |
|
84484
Troponin (protein) analysis, quantitative
|
34 | 31 | $36.00 | $12.47 |
|
87088
Bacterial urine culture
|
32 | 31 | $34.00 | $8.09 |
|
83735
Magnesium level
|
26 | 26 | $28.00 | $6.70 |
|
99213
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
|
23 | 23 | $188.00 | $103.23 |
|
96374
Injection of drug or substance into vein
|
18 | 18 | $169.00 | $49.09 |
|
87086
Bacterial colony count, urine
|
17 | 16 | $33.00 | $8.07 |
|
87186
Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution
|
17 | 14 | $13.00 | $8.65 |
|
87077
Bacterial culture for aerobic isolates
|
16 | 14 | $33.00 | $8.08 |
|
99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
15 | 15 | $274.00 | $126.76 |
|
85379
Coagulation function measurement, d-dimer; quantitative
|
14 | 14 | $26.00 | $10.18 |
|
83880
Natriuretic peptide (heart and blood vessel protein) level
|
12 | 12 | $139.00 | $39.26 |
|
87070
Bacterial culture, any other source except urine, blood or stool, aerobic
|
12 | 12 | $36.00 | $8.62 |
Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2021.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Tramadol Hcl | Tramadol Hcl | 15 | 86 | $57.22 | 15 |
| Cephalexin | Cephalexin | 13 | 103 | $109.16 | 13 |
| Ondansetron Odt | Ondansetron | 12 | 62 | $109.45 | 12 |
Source: CMS Part D by Provider and Drug, 2021; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Pathology - Anatomic Pathology & Clinical Pathology
Doctor of Medicine (M.D.)
Registered Nurse - Registered Nurse First Assistant
Certified Registered Nurse Anesthetist
Otolaryngology
Doctor of Medicine (M.D.)
Internal Medicine - Rheumatology
Doctor of Medicine (M.D.)
Physician Assistant - Surgical
Physician Assistant (Certified)
Physician Assistant
Physician Assistant (Certified)
Career & Practice History
NPI enumerated February 06, 2006.
No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.
NPI Administrative Meta
Other Emergency Medicine Providers in Berkeley Heights
- Dr. Philip Walden, MD
- Dr. Eliezer Mordan, MD
- Dr. Antonios Drivas, MD
- Dr. Anthony Carrozza, MD
- Dr. Rajesh Geria, MD
- Dr. Manjushree Matadial, DO
Mailing Address
1 Diamond Hill Rd, Summit Medical Group
Berkeley Heights, NJ 079222104
Phone: 9082734300