DR. WILLIAM R DILORENZO D.O.
NPI 1013199538
Internal Medicine - Cardiovascular Disease in Toms River, NJ

Active since November 27, 2007PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
367 LAKEHURST RD, TOMS RIVER, NJ 08755(732) 473-0158(732) 473-0033 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. William R Dilorenzo D.o. NPPES

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

DR. WILLIAM R DILORENZO D.O. (NPI 1013199538) is an individual cardiovascular disease provider in Toms River, New Jersey, licensed in New Jersey (25MB08389000) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Newark Beth Israel Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2002).

NPPES Registry Identity

NPI1013199538
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. WILLIAM R DILORENZOCredential: D.O.
Location Address367 LAKEHURST RDToms River, NJ 08755-7330
Mailing Address367 Lakehurst RdToms River, NJ 08755-7330 · (732) 473-0158 · Fax (732) 473-0033
Fax(732) 473-0033
Sole ProprietorNo
Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2002
Enumeration DateNovember 27, 2007
Last NPPES UpdateApril 11, 2024
NPPES CertifiedApril 11, 2024
NPI 1013199538 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MB08389000
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 25MB08389000 (NJ)
367 LAKEHURST RD, Toms River, NJ 08755

Accepted 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

Dr. William R Dilorenzo D.o. 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 ID1355417213
PECOS Enrollment IDI20080829000476
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 24

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
295 services147 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
215 services214 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018
An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.
215 services214 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
210 services188 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.
200 services180 patients
Nuclear medicine studies of heart muscle at rest and with stress and spect 78452
Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.
191 services191 patients

Hospital Affiliations CMS Care Compare 2

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

Newark Beth Israel Medical Center

Acute Care Hospitals · Newark, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310002
Location201 Lyons AveNewark, NJ 07112 · Essex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Interventional Cardiology)
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Occupational Therapist
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Physical Therapist
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Occupational Therapist
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Internal Medicine (Interventional Cardiology)
367 LAKEHURST RD
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
367 LAKEHURST RD
TOMS RIVER, NJ 08755

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 William Dilorenzo's NPI number?

The NPI number for William Dilorenzo is 1013199538. It was assigned to this individual provider in the NPPES registry on November 27, 2007.

Where is William Dilorenzo located?

William Dilorenzo practices at 367 Lakehurst Rd, Toms River, NJ 08755. The listed phone number is (732) 473-0158.

What is William Dilorenzo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is William Dilorenzo enrolled in Medicare?

Yes. William Dilorenzo 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 William Dilorenzo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list William Dilorenzo 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 William Dilorenzo affiliated with any hospitals?

According to CMS data, William Dilorenzo is affiliated with Newark Beth Israel Medical Center and Community Medical Center.

When was this NPI record last updated?

The NPPES record for William Dilorenzo was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.