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JOHN PELLIGRA M.D.
NPI 1023057726
Obstetrics & Gynecology - Gynecology in Sea Girt, NJ

Active since June 06, 2006PECOS Enrolled
93.71/100
CMS Quality Rating
2164 HIGHWAY 35, BLDG D-A, SEA GIRT, NJ 08750(732) 974-0320(732) 974-1283 Get Directions Write a Review

NPPES record last updated: September 20, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About John Pelligra M.d. NPPES

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

JOHN PELLIGRA M.D. (NPI 1023057726) is an individual gynecology provider in Sea Girt, New Jersey, licensed in New Jersey (25MA04651400) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023057726
Entity TypeIndividualMale
Primary Taxonomy207VG0400X
Provider Legal NameJOHN PELLIGRACredential: M.D.
Location Address2164 HIGHWAY 35, BLDG D-ASea Girt, NJ 08750-1013
Mailing AddressPo Box 8000, Dept 596Buffalo, NY 14267-0002 · (866) 295-0041 · Fax (708) 342-2517
Phone(732) 974-0320
Fax(732) 974-1283
Sole ProprietorNo
Enumeration DateJune 6, 2006
Last NPPES UpdateSeptember 20, 2012
✔ NPI 1023057726 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NJ · 25MA04651400
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
2164 HIGHWAY 35, Sea Girt, NJ 08750
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Other Identifiers 3

Medicare UPINC55045NJ
Medicaid1133209NJ
Medicare PIN450164NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Pelligra M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignments

2

Medicare enrollment records show John Pelligra reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
37 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Barnabas Health Medical Group, PC
45 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
72 services72 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
53 services41 patients
Telephone medical discussion with physician, 5-10 minutes 99441
A telephone medical discussion with a physician is a brief, 5-10 minute call where you can discuss your health concerns. It's a convenient way to receive medical advice without needing to visit a clinic. It's important to prepare questions in advance to make the most of this time.
50 services40 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08750 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 13

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

DR. FRANCIS G RIENZO MD
Internal Medicine
2164 HIGHWAY 35
SEA GIRT, NJ 08750
Monmouth County (732) 974-1877
JASON AUMACK P.A.
Physician Assistant (Surgical)
2164 HIGHWAY 35, BLDG A
SEA GIRT, NJ 08750
Monmouth County (732) 974-0404
MS. LAURA E DEPKO LCSW
Social Worker (Clinical)
2164 HIGHWAY 35, BLDG C SUITE 8
SEA GIRT, NJ 08750
Monmouth County (732) 977-5050
ACUPUNCTURE @ FIT LLC
Acupuncturist
2164 HIGHWAY 35, BLDG C, SUITE 14
SEA GIRT, NJ 08750
Monmouth County (732) 974-3250
CAROLINE GLICKSMAN M.D.F.A.C.S.
Plastic Surgery
2164 HIGHWAY 35
SEA GIRT, NJ 08750
Monmouth County (732) 974-2424
MRS. DAWN L KOKES L.C.S.W
Social Worker (Clinical)
2164 HIGHWAY 35
SEA GIRT, NJ 08750
Monmouth County (732) 503-0484
DR. TOBY B HUSSERL M.D.
Orthopaedic Surgery (Sports Medicine)
2164 HIGHWAY 35, BLDG A
SEA GIRT, NJ 08750
Monmouth County (732) 974-0404
ADVANCED ORHTOPEDIC & SPORTSMEDICINE
Physical Therapist
2164 HIGHWAY 35, BUILDING C
SEA GIRT, NJ 08750
Monmouth County (732) 974-1313

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 John Pelligra's NPI number?

The NPI number for John Pelligra is 1023057726. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Where is John Pelligra located?

John Pelligra practices at 2164 Highway 35 Bldg D-A, Sea Girt, NJ 08750. The listed phone number is (732) 974-0320.

What is John Pelligra's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is John Pelligra enrolled in Medicare?

Yes. John Pelligra is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for John Pelligra's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Pelligra reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Barnabas Health Medical Group, PC (West Orange, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Pelligra's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Pelligra was last updated on September 20, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.