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DR. ANTHONY CULTRARA M.D.
NPI 1083619860
Otolaryngology in Mount Laurel, NJ

Active since June 17, 2005PECOS EnrolledAccepts Medicare Assignment
96.25/100
CMS Quality Rating
204 ARK RD STE 102, MOUNT LAUREL, NJ 08054(856) 576-5743(856) 519-5435 Get Directions Write a Review

NPPES record last updated: February 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Feb 21, 2025, Nov 7, 2024, May 17, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Anthony Cultrara M.d. NPPES

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

DR. ANTHONY CULTRARA M.D. (NPI 1083619860) is an individual otolaryngology provider in Mount Laurel, New Jersey, licensed in New Jersey (25MA07615000) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Virtua Our Lady Of Lourdes Hospital, and maintains a secondary practice location in Sewell.

NPPES Registry Identity

NPI1083619860
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ANTHONY CULTRARACredential: M.D.
Location Address204 ARK RD STE 102Mount Laurel, NJ 08054-3100
Mailing Address660 White Plains Rd Fl 4Tarrytown, NY 10591-5187 · (914) 333-5801
Phone(856) 576-5743
Fax(856) 519-5435
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1998
Enumeration DateJune 17, 2005
Last NPPES UpdateFebruary 21, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 21, 2025
✔ NPI 1083619860 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License✔ Licensed in NJ · 25MA07615000
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
204 ARK RD STE 102, Mount Laurel, NJ 08054
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Secondary Practice Location 1

Location 1239 Hurffville Crosskeys Rd Ste 365Sewell, NJ 08080-4009 · Phone (856) 576-5745 · Fax (856) 519-5410

Other Identifiers 4

Other0072857000NJ · Amerihealth
Medicaid2682508NJ
Other3321541NJ · Aetna
Other134233377NJ · Horizon

Accepted Insurance

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

Dr. Anthony Cultrara 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 ID4688564800
PECOS Enrollment IDI20040526000101
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 Anthony Cultrara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ent And Allergy Associates LLP
93 mi
Otolaryngology
660 WHITE PLAINS RD STE 400
Tarrytown, NY 10591
  • Reassigned Medicare billing, New Jersey enrollment
  • 153 clinicians in this Medicare group
NPI 1376598326 (914) 333-5800

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 11

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.
703 services458 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.
318 services261 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.
241 services241 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
194 services175 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
109 services104 patients
Exam to assess movement of vocal cord flaps using an endoscope 31579
This procedure involves using a thin, flexible tube called an endoscope to view your vocal cords. The endoscope is gently inserted through your nose or mouth to observe the movement of your vocal cords. This helps identify any abnormalities or issues.
102 services90 patients

Hospital Affiliations CMS Care Compare 3

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

Virtua Our Lady Of Lourdes Hospital

Acute Care Hospitals · Camden, NJ
1/5 CMS rating
OwnershipGovernment - State
CMS Certification Number310029
Location1600 Haddon AvenueCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

Virtua Mount Holly Hospital

Acute Care Hospitals · Mount Holly, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310057
Location175 Madison AveMount Holly, NJ 08060 · Burlington County
Emergency services Birthing friendly

Virtua Willingboro Hospital

Acute Care Hospitals · Willingboro, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310061
Location218A Sunset RoadWillingboro, NJ 08046 · Burlington County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08054 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.

96.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.18
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Acute Otitis Externa (AOE): Systemic Antimicrobial Therapy - Avoidance of Inappropriate Use
Percentage of patients aged 2 years and older with a diagnosis of AOE who were not prescribed systemic antimicrobial therapy
96%188 patients
Acute Otitis Externa (AOE): Topical Therapy
Percentage of patients aged 2 years and older with a diagnosis of AOE who were prescribed topical preparations
97%224 patients4/55-star benchmark: 100%
Adult Sinusitis: Antibiotic Prescribed for Acute Viral Sinusitis (Overuse)
Percentage of patients, aged 18 years and older, with a diagnosis of acute viral sinusitis who were prescribed an antibiotic within 10 days after onset of symptoms
Lower rates are better for this measure.
84%38 patients1/55-star benchmark: 100%
Adult Sinusitis: Appropriate Choice of Antibiotic: Amoxicillin With or Without Clavulanate Prescribed for Patients with Acute Bacterial Sinusitis (Appropriate Use)
Percentage of patients aged 18 years and older with a diagnosis of acute bacterial sinusitis that were prescribed amoxicillin, with or without clavulanate, as a first line antibiotic at the time of diagnosis
100%28 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
96%3,789 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
100%49 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
33%765 patients2/55-star benchmark: 99%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
46%759 patients3/55-star benchmark: 90%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
2 suppliers11 claims11 services$28.69 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
2 suppliers12 claims72 services$1.57 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers23 claims23 services$23.03 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 2

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

SAURIN SANGHVI MD
Otolaryngology
204 ARK RD STE 102
MOUNT LAUREL, NJ 08054
Burlington County (856) 657-6574
MICHAEL HALL
Otolaryngology (Otolaryngology/Facial Plastic Surgery)
204 ARK RD STE 102
MOUNT LAUREL, NJ 08054
Burlington County (856) 602-4000

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 Anthony Cultrara's NPI number?

The NPI number for Anthony Cultrara is 1083619860. It was assigned to this individual provider in the NPPES registry on June 17, 2005.

Where is Anthony Cultrara located?

Anthony Cultrara practices at 204 Ark Rd Ste 102, Mount Laurel, NJ 08054. The listed phone number is (856) 576-5743.

What is Anthony Cultrara's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Anthony Cultrara enrolled in Medicare?

Yes. Anthony Cultrara 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 Anthony Cultrara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Cultrara reassigns Medicare benefits to Ent And Allergy Associates LLP (Tarrytown, NY). 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 Anthony Cultrara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Anthony Cultrara accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Anthony Cultrara 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 Anthony Cultrara affiliated with any hospitals?

According to CMS data, Anthony Cultrara is affiliated with Virtua Our Lady Of Lourdes Hospital, Virtua Mount Holly Hospital and Virtua Willingboro Hospital.

When was this NPI record last updated?

The NPPES record for Anthony Cultrara was last updated on February 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.