KEVIN THOMAS GIOIA MD
NPI 1053578831
Urology in Rumson, NJ

Q: What is Kevin Gioia's NPI number?

The NPI number for Kevin Gioia is 1053578831. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Q: What is Kevin Gioia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Gioia was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since May 20, 2008PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

108 AVENUE OF TWO RIVERS, RUMSON, NJ 07760(732) 263-7903(732) 263-7905 Get Directions Write a Review

NPPES record last updated: June 17, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 17, 2019, Jul 19, 2017, Feb 10, 2016 (3 updates tracked since 2016).

On this page

About Kevin Thomas Gioia Md NPPES

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

KEVIN THOMAS GIOIA MD (NPI 1053578831) is an individual urology provider in Rumson, New Jersey, licensed in Washington (MD60453256) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains a secondary practice location in Brick.

NPPES Registry Identity

NPI1053578831

Entity TypeIndividualMale

Primary Taxonomy208800000X

Provider Legal NameKEVIN THOMAS GIOIACredential: MD

Location Address108 AVENUE OF TWO RIVERSRumson, NJ 07760-1802

Mailing Address108 Avenue Of Two RiversRumson, NJ 07760-1802 · (732) 263-7903 · Fax (732) 263-7905

Phone(732) 263-7903

Fax(732) 263-7905

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 20, 2008

Last NPPES UpdateJune 17, 20193 updates tracked since enumeration

✔ NPI 1053578831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians

Taxonomy Code208800000X

Licenses✔ Licensed in WA · MD60453256✔ Licensed in NJ · 25MA09916800

Definition

A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Also ListedUrology · Urogynecology and Reconstructive Pelvic SurgeryTaxonomy 2088F0040X · License 25MA09916800 (NJ)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

108 AVENUE OF TWO RIVERS, Rumson, NJ 07760

Open in Google Maps ↗

Secondary Practice Location 1

Location 1446 Jack Martin BlvdBrick, NJ 08724-7733 · Phone (732) 840-4300

Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin Thomas Gioia Md 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 ID8325260664

PECOS Enrollment IDI20160809001274

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 Reassignment

Medicare enrollment records show Kevin Gioia reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC

5.8 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

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 18

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.

Injection, onabotulinumtoxina, 1 unit J0585

Onabotulinumtoxina, also known as Botox, is a medication injected into muscles. It's used to treat various conditions by blocking nerve activity in the muscles, causing a temporary reduction in muscle activity. The units refer to the dosage.

5,950 services34 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

161 services111 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.

124 services100 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.

97 services97 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

67 services59 patients

Insertion of device into abdomen with pressure and urine flow rate study 51797

This procedure involves placing a small device into your abdomen to monitor pressure and urine flow rates. It helps in understanding how well your body is processing and eliminating liquid waste. It's a safe procedure, typically performed under local anesthesia.

66 services65 patients

Complex measurement of pressure of urine flow in bladder with voiding pressure studies 51728

This procedure measures the pressure in your bladder as it fills and empties. It helps to understand how well your bladder is functioning. Sensors record pressure levels during these processes, providing valuable data for your doctor.

65 services64 patients

Electronic assessment of bladder emptying 51741

Electronic assessment of bladder emptying is a non-invasive test that measures how well your bladder functions. It uses ultrasound technology to create images of your bladder before and after you use the restroom, helping to identify any issues with bladder emptying.

65 services64 patients

Non-needle measurement and recording of electrical activity of muscles at bladder and bowel openings 51784

This procedure involves the use of non-invasive devices to record the electrical activity of muscles at specific body openings. It's helpful in understanding muscle function and can assist in diagnosing certain conditions.

65 services64 patients

Repair of herniated rectum into vaginal wall 57250

This procedure involves correcting a physical condition where part of the rectum bulges into the vaginal area. It's done by repositioning the rectum and strengthening the tissue between the two areas to prevent recurrence.

57 services57 patients

Surgical repair of vaginal defect using an endoscope 57425

This procedure involves the use of a special instrument, an endoscope, to help fix an issue within your body. It's a minimally invasive method, meaning less discomfort and quicker recovery compared to traditional surgery.

56 services56 patients

Repair of vaginal defect using an endoscope 57423

This procedure involves the use of a special instrument called an endoscope to correct an issue within the pelvic region. It's a minimally invasive method, meaning it requires small incisions, reducing recovery time and discomfort.

55 services55 patients

Exam with injections of chemical for destruction of bladder using an endoscope 52287

This procedure involves the use of a thin, flexible tube with a light (endoscope) for internal examination. A chemical is then injected to help eliminate specific issues in the bladder. It's a standard and safe process.

50 services33 patients

Creation of sling around urethra in female to control leakage 57288

This procedure involves creating a supportive loop around a tube in your lower body that carries liquid waste. This helps manage any unwanted leakage, providing you with better control and comfort.

36 services36 patients

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.

34 services33 patients

Partial removal of uterus, tubes, and/or ovaries with retention of cervix using an endoscope, 250.0 g or less 58542

This is a minimally invasive procedure where a small device (endoscope) is used to remove part of the uterus and/or related structures, while leaving the cervix intact. The procedure is performed on a uterus weighing 250.0 g or less.

32 services32 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310034

LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County

Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number310052

Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County

Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310113

Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07760 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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Other Providers at the Same Location NPPES 2

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

JOHN D ROYALL, M.D., PA

Internal Medicine

108 AVENUE OF TWO RIVERS
RUMSON, NJ 07760

Monmouth County (732) 747-0591

MONMOUTH SLEEP & PULMONARY ASSOCIATES, LLC

Specialist

108 AVENUE OF TWO RIVERS
RUMSON, NJ 07760

Monmouth County (732) 747-3666

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 Kevin Gioia's NPI number?

The NPI number for Kevin Gioia is 1053578831. It was assigned to this individual provider in the NPPES registry on May 20, 2008.

Where is Kevin Gioia located?

Kevin Gioia practices at 108 Avenue Of Two Rivers, Rumson, NJ 07760. The listed phone number is (732) 263-7903.

What is Kevin Gioia's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Kevin Gioia enrolled in Medicare?

Yes. Kevin Gioia 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.

Which organization bills Medicare for Kevin Gioia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Gioia reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Kevin Gioia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kevin Gioia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Oscar Health and Providence Health Plan list Kevin Gioia 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 Kevin Gioia affiliated with any hospitals?

According to CMS data, Kevin Gioia is affiliated with Riverview Medical Center, Ocean Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Gioia was last updated on June 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.