Diana Addis, MD
NPI 1235241597 · Surgical Oncology Physician · Sparta, NJ
Enrolled with Medicare as Practitioner - General Surgery · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Diana Addis, MD is a Surgical Oncology Physician provider in Sparta, NJ (NPI 1235241597).
Provider details
- NPI number
- 1235241597
- Entity type
- Individual
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA07065800 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
511 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 118 | $100 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 86 | $180 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 47 | $138 |
| Biopsy of Breast and Placement of Locating Device Using Ultrasound, First Growth19083 | 45 | $550 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 32 | $188 |
| Partial Removal of Breast |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-08-31
- Last updated
- 2010-07-29
Frequently asked questions
- What is Diana Addis's NPI number?
- Diana Addis's National Provider Identifier (NPI) is 1235241597, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Diana Addis's specialty?
- Diana Addis is listed in the NPPES registry with a primary specialty of Surgical Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Diana Addis located?
- Diana Addis's practice location on file with NPPES is 89 Sparta Ave, Sparta, NJ 07871-1777.
- What is Diana Addis's phone number?
- The practice phone number listed in the NPPES registry for Diana Addis is (908) 918-0001.
- Does Diana Addis accept Medicare?
- Diana Addis is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Diana Addis's NPI active?
- Yes — Diana Addis's NPI (1235241597) is active in the NPPES registry as of the last update on 2010-07-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.