Provider profile

Jeffrey BaumanMD

Internal Medicine, Endocrinology, Diabetes & Metabolism

NPI 1447240718
1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922908-273-4300

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Medicare Advantage plans for Union County, NJ.

Checked Oct 26, 2026

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 23 Medicare Advantage plans for 2027

Carrier directories and Medicare.gov provider data list Jeffrey on these plans. Review each plan's covered offices before enrolling. One directory didn't answer this time; we'll try it again.

The 49 Medicare Advantage plans we show for Union County, NJ in 2027

  • 23 list Jeffrey
  • 25 not listed
  • 1 not checked yet

Aetna Medicare

10 plans list Jeffrey; not listed on 1 other plan.

10plans
  • Aetna Medicare Eagle Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922
    • 1345 Avenue of the Americas, New York, NY, 10105

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3152-045-000Medicare.gov
    $0a month
  • Aetna Medicare Eagle Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922
    • 1345 Avenue of the Americas, New York, NY, 10105

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5521-504-000Medicare.gov
    $0a month
  • Aetna Medicare Prime (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922
    • 1345 Avenue of the Americas, New York, NY, 10105

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH3152-080-000Medicare.gov
    $0a month
  • Aetna Medicare Prime (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922
    • 1345 Avenue of the Americas, New York, NY, 10105

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5521-392-000Medicare.gov
    $0a month

Humana

6 plans list Jeffrey; not listed on 1 other plan.

6plans
  • Humana Gold Plus H6622-100 (HMO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH6622-100-001Medicare.gov
    $0a month
  • Humana USAA Honor Giveback (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    PPONo drug coverage4 starsH5216-174-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H5216-319 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4 starsH5216-319-000Medicare.gov
    $0a month
  • HumanaChoice Giveback H7617-045 (PPO)

    Source: Humana provider directory.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH7617-045-000Medicare.gov
    $0a month

Wellcare

3 plans list Jeffrey.

3plans
  • Wellcare Assist (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Ste A, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-015-000Medicare.gov
    $0a month
  • Wellcare Low Premium (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Ste A, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3 starsH0913-002-000Medicare.gov
    $35a month
  • Wellcare Fidelis Dual Align (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Ste A, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH0913-013-000Medicare.gov
    $28.40a month

Wellpoint

3 plans list Jeffrey.

3plans
  • Wellpoint Extra Help (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH3240-026-000Medicare.gov
    $0a month
  • Wellpoint Kidney Care (HMO-POS C-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSFor people with certain chronic conditionsDrug coverage3 starsH3240-017-000Medicare.gov
    $0a month
  • Wellpoint Full Dual Advantage (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH3240-013-000Medicare.gov
    $30.70a month

Horizon Blue Cross Blue Shield of New Jersey

1 plan lists Jeffrey.

1plan
  • Horizon NJ TotalCare (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1 Diamond Hill Rd, Berkeley Heights, NJ, 07922

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage4 starsH8298-001-000Medicare.gov
    $36.30a month

1 more Horizon Blue Cross Blue Shield of New Jersey plan hasn't been checked yet.

Clover Health

Not listed on its 6 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 6 plans here. That isn't proof they're out of network.

UnitedHealthcare

Not listed on its 11 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Jeffrey takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

Compare Supplement plans

Practice location

1 Diamond Hill Rd, Summit Medical Group
Berkeley Heights, NJ 07922

NPI Registry
NPI issued
2005
Registry record updated
Mar 25, 2008

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Jeffrey Bauman?

In Union County, NJ, 23 Medicare Advantage plans for 2027 list Jeffrey in provider data from Medicare.gov or the carrier, including Aetna Medicare Eagle Giveback (HMO), Aetna Medicare Eagle Giveback (PPO) and Aetna Medicare Prime (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Does Jeffrey Bauman take Aetna Medicare Medicare Advantage plans?

Medicare.gov provider data lists Jeffrey on 10 Medicare Advantage plans for 2027 in Union County, NJ, including Aetna Medicare Eagle Giveback (HMO) and Aetna Medicare Eagle Giveback (PPO). 1 other plan did not return a listing in the search area. CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Aetna Medicare before you enroll.

Does Jeffrey Bauman take Humana Medicare Advantage plans?

Humana's own provider directory lists Jeffrey on 6 Medicare Advantage plans for 2027 in Union County, NJ, including Humana Gold Plus H6622-100 (HMO) and Humana USAA Honor Giveback (PPO). 1 other plan did not return a listing in the search area. Confirm with the office or Humana before you enroll.

Does Jeffrey Bauman take Wellcare Medicare Advantage plans?

Medicare.gov provider data lists Jeffrey on 3 Medicare Advantage plans for 2027 in Union County, NJ, including Wellcare Assist (HMO-POS) and Wellcare Low Premium (HMO-POS). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Confirm with the office or Wellcare before you enroll.

Where does Jeffrey Bauman practice?

1 Diamond Hill Rd, Summit Medical Group, Berkeley Heights, NJ 07922.

How do I confirm Jeffrey is in my plan's network?

Call the member services number on your plan card and give them the NPI 1447240718, or ask a Silverpath advisor to check for you. It's free.

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A Silverpath advisor can confirm Jeffrey's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

What patients see here today:

  • Provider searches did not return a listing for Jeffrey Bauman on 23 plans from Clover Health, Devoted and UnitedHealthcare in Union County, NJ. Other offices are not confirmed; this isn't proof the practice is out of network.

Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2008-03-25). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 26, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Jeffrey Bauman or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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