Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LANCE A MARKBREITER M.D.
NPI 1063463016
Orthopaedic Surgery in Tinton Falls, NJ

Active since May 15, 2006PECOS Enrolled
35 S GILBERT ST, TINTON FALLS, NJ 07701(732) 530-1515(732) 345-6497 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lance A Markbreiter M.d. NPPES

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

LANCE A MARKBREITER M.D. (NPI 1063463016) is an individual orthopaedic surgery provider in Tinton Falls, New Jersey, licensed in New Jersey (MA60645) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS and is a graduate of Yale University School Of Medicine (1988).

NPPES Registry Identity

NPI1063463016
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameLANCE A MARKBREITERCredential: M.D.
Location Address35 S GILBERT STTinton Falls, NJ 07701-4917
Mailing Address35 S Gilbert StTinton Falls, NJ 07701-4917 · (732) 530-1515 · Fax (732) 345-6497
Fax(732) 345-6497
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 1988
Enumeration DateMay 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1063463016 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in NJ · MA60645
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
35 S GILBERT ST, Tinton Falls, NJ 07701

Other Identifiers 1

Medicaid6170706NJ

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

Lance A Markbreiter 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 ID3274608724
PECOS Enrollment IDI20080818000454
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 5

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 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.
91 services38 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
46 services24 patients
Aspiration and/or injection of fluid from medium joint 20605
This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.
37 services20 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
37 services20 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.
22 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Home ventilator, any type, used with invasive interface, (e.g., tracheostomy tube) E0465
DME-Other DME · category DE005N
1 supplier11 claims11 services$906.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 16

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

Internal Medicine (Cardiovascular Disease)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Medicine & Rehabilitation (Pain Medicine)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Therapist
35 S GILBERT ST, SECOND FLOOR
TINTON FALLS, NJ 07701
Audiologist
35 S GILBERT ST
TINTON FALLS, NJ 07701
Orthopaedic Surgery
35 S GILBERT ST
TINTON FALLS, NJ 07701
Orthopaedic Surgery (Sports Medicine)
35 S GILBERT ST
TINTON FALLS, NJ 07701
Physical Medicine & Rehabilitation
35 S GILBERT ST
TINTON FALLS, NJ 07701
Internal Medicine
35 S GILBERT ST
TINTON FALLS, NJ 07701

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 Lance Markbreiter's NPI number?

The NPI number for Lance Markbreiter is 1063463016. It was assigned to this individual provider in the NPPES registry on May 15, 2006.

Where is Lance Markbreiter located?

Lance Markbreiter practices at 35 S Gilbert St, Tinton Falls, NJ 07701. The listed phone number is (732) 530-1515.

What is Lance Markbreiter's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Lance Markbreiter enrolled in Medicare?

Yes. Lance Markbreiter 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.

When was this NPI record last updated?

The NPPES record for Lance Markbreiter was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.