1. Home
  2. Directory
  3. New Jersey
  4. Bordentown
  5. Internal Medicine
  6. NPI Profile

CYNTHIA N EDIRISURIYA M.D.
NPI 1003203464
Internal Medicine - Gastroenterology in Bordentown, NJ

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment
95.77/100
CMS Quality Rating
100 K JOHNSON BLVD. N., 2ND FLOOR, BORDENTOWN, NJ 08505(609) 528-8884(609) 528-8886 Get Directions Write a Review

NPPES record last updated: July 15, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Cynthia N Edirisuriya M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA N EDIRISURIYA M.D. (NPI 1003203464) is an individual gastroenterology provider in Bordentown, New Jersey, licensed in New Jersey (25MA10372900) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1003203464
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameCYNTHIA N EDIRISURIYACredential: M.D.
Location Address100 K JOHNSON BLVD. N., 2ND FLOORBordentown, NJ 08505-2275
Mailing Address100 K Johnson Blvd. N., 2nd FloorBordentown, NJ 08505-2275 · (609) 528-8884 · Fax (609) 528-8886
Phone(609) 528-8884
Fax(609) 528-8886
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2015
Enumeration DateApril 22, 2015
Last NPPES UpdateJuly 15, 2021
NPPES CertifiedJuly 15, 2021
✔ NPI 1003203464 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA10372900
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
100 K JOHNSON BLVD. N., Bordentown, NJ 08505
Open in Google Maps ↗

Secondary Practice Location 1

Location 1833 Chestnut St, Suite 220Philadelphia, PA 19107-4414 · Phone (215) 955-2516

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cynthia N Edirisuriya M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5294055711
PECOS Enrollment IDI20210812001497, I20210826000532
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 8

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
56 services46 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
32 services32 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
30 services19 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
26 services26 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
23 services23 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
21 services21 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310092
Location750 Brunswick AveTrenton, NJ 08638 · Mercer County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.77/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality76.75
Promoting Interoperability100
Improvement Activities40

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Edirisuriya's NPI number?

The NPI number for Cynthia Edirisuriya is 1003203464. It was assigned to this individual provider in the NPPES registry on April 22, 2015.

Where is Cynthia Edirisuriya located?

Cynthia Edirisuriya practices at 100 K Johnson Blvd. N. 2nd Floor, Bordentown, NJ 08505. The listed phone number is (609) 528-8884.

What is Cynthia Edirisuriya's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Cynthia Edirisuriya enrolled in Medicare?

Yes. Cynthia Edirisuriya is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Cynthia Edirisuriya accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cynthia Edirisuriya as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Cynthia Edirisuriya affiliated with any hospitals?

According to CMS data, Cynthia Edirisuriya is affiliated with Capital Health Medical Center - Hopewell, Capital Health Regional Medical Center and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Cynthia Edirisuriya was last updated on July 15, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.