Arthur Badillo, MD
NPI 1770635484 · Internal Medicine Physician · Newark, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Arthur Badillo, MD is a Internal Medicine Physician provider in Newark, NJ (NPI 1770635484).
Provider details
- NPI number
- 1770635484
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- MA050122 (NJ)
Specialties & taxonomies
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
270 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 | 162 | $100 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 85 | $141 |
| Annual Wellness Visit, Includes a Personalized Prevention Plan of Service (pps), Subsequent VisitG0439 | 23 | $142 |
Typical Medicare-allowed amounts for these services range $100–$142 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 132 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 1,411 | 478 |
| Metformin Hcl | 858 | 269 |
| Amlodipine Besylate | 543 | 180 |
| Metoprolol Tartrate | 510 | 185 |
| Losartan Potassium | 424 | 140 |
| Enalapril Maleate | 280 | 88 |
| Alendronate Sodium | 246 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$266 across 17 records (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
- 2007-01-16
- Last updated
- 2012-03-01
Frequently asked questions
- What is Arthur Badillo's NPI number?
- Arthur Badillo's National Provider Identifier (NPI) is 1770635484, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Arthur Badillo's specialty?
- Arthur Badillo is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Arthur Badillo located?
- Arthur Badillo's practice location on file with NPPES is 643 645 Mt Prospect Ave 1st Floor, Newark, NJ 07104-3109.
- What is Arthur Badillo's phone number?
- The practice phone number listed in the NPPES registry for Arthur Badillo is (973) 484-5607.
- Does Arthur Badillo accept Medicare?
- Arthur Badillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Arthur Badillo's NPI active?
- Yes — Arthur Badillo's NPI (1770635484) is active in the NPPES registry as of the last update on 2012-03-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.