DR. GARY A TUMA M.D.
NPI 1083707541
Plastic Surgery in Pennington, NJ

Q: What is Gary Tuma's NPI number?

The NPI number for Gary Tuma is 1083707541. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Gary Tuma's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Gary Tuma was last updated on October 7, 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

95.77/100

CMS Quality Rating

2 CAPITAL WAY, SUITE 505, PENNINGTON, NJ 08534(609) 537-7000(609) 537-7070 Get Directions Write a Review

NPPES record last updated: October 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 7, 2024, Feb 1, 2017, Sep 28, 2016 (3 updates tracked since 2016).

On this page

About Dr. Gary A Tuma M.d. NPPES

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

DR. GARY A TUMA M.D. (NPI 1083707541) is an individual plastic surgery provider in Pennington, New Jersey, licensed in New Jersey (25MAO8823900) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains a secondary practice location in Newtown.

NPPES Registry Identity

NPI1083707541

Entity TypeIndividualMale

Primary Taxonomy208200000X

Provider Legal NameDR. GARY A TUMACredential: M.D.

Location Address2 CAPITAL WAY, SUITE 505Pennington, NJ 08534-2521

Mailing Address2 Capital Way, Suite 505Pennington, NJ 08534-2521 · (609) 537-7000 · Fax (609) 537-7070

Phone(609) 537-7000

Fax(609) 537-7070

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1996

Enumeration DateOctober 2, 2006

Last NPPES UpdateOctober 7, 20243 updates tracked since enumeration

NPPES CertifiedOctober 7, 2024

✔ NPI 1083707541 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in NJ · 25MAO8823900✔ Licensed in PA · MD066425L

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Also ListedSurgeryTaxonomy 208600000X · License 25MA08823900 (NJ), MD066425L (PA)

2 CAPITAL WAY, Pennington, NJ 08534

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Secondary Practice Location 1

Location 1796 Newtown Yardley Rd Ste 200Newtown, PA 18940-1748 · Phone (609) 537-7000

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. Gary A Tuma 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 ID1456388768

PECOS Enrollment IDI20050719000464, I20110505000331

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 Gary Tuma reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Capital Health Medical Group

7.2 mi

Internal Medicine

750 BRUNSWICK AVE
Trenton, NJ 08638

Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
581 clinicians in this Medicare group

NPI 1437516887 (609) 815-7829

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 2

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.

33 services25 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.

12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310044

LocationOne Capital WayPennington, NJ 08534 · Mercer County

Emergency services Birthing friendly

Capital Health Regional Medical Center

Acute Care Hospitals · Trenton, NJ

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310092

Location750 Brunswick AveTrenton, NJ 08638 · Mercer County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 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.

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.

95.77/100

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

Scored through an Alternative Payment Model

Quality

76.75

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Breast Cancer Screening

70%152 patients4/55-star benchmark: 93%

Colorectal Cancer Screening

52%324 patients3/55-star benchmark: 88%

Controlling High Blood Pressure

68%148 patients4/55-star benchmark: 91%

Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)

Lower rates are better for this measure.

58%71 patients2/55-star benchmark: 91%

Documentation of Current Medications in the Medical Record

94%879 patients4/55-star benchmark: 100%

e-Prescribing

97%277 patients4/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

92%118 patients4/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

61%587 patients3/55-star benchmark: 98%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

93%522 patients4/55-star benchmark: 97%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 78% · 575 patients

Patients screened: 81% · 575 patients

73%44 patients3/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

86%377 patients4/55-star benchmark: 100%

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.

Other Providers at the Same Location NPPES 20

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

VICTORIA E PENA-CARDINALI

Social Worker (Clinical)

2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534

Mercer County (609) 537-7300

CAPITAL HEALTH CENTER FOR LIVER DISEASE

Internal Medicine (Hepatology)

2 CAPITAL WAY, SUITE 380
PENNINGTON, NJ 08534

Mercer County (609) 537-5000

WE CARE MD PC

Non-Pharmacy Dispensing Site

2 CAPITAL WAY, SUITE 359
PENNINGTON, NJ 08534

Mercer County (609) 303-0590

LEE M BUONO MD

Neurological Surgery

2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534

Mercer County (609) 537-7300

PLASTIC SURGERY ASSOCIATES OF NJ

Plastic Surgery

2 CAPITAL WAY, SUITE 505
PENNINGTON, NJ 08534

Mercer County (609) 537-7000

MERCER BUCKS ENDOCRINOLOGY PC

Internal Medicine (Endocrinology, Diabetes & Metabolism)

2 CAPITAL WAY, SUITE 315
PENNINGTON, NJ 08534

Mercer County (732) 668-2000

JOOYEUN CHUNG M.D

Surgery

2 CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534

Mercer County (609) 537-6000

SHANNON LYNN RENITSKY APN

Nurse Practitioner (Family)

2 CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534

Mercer County (609) 537-6000

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 Gary Tuma's NPI number?

The NPI number for Gary Tuma is 1083707541. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Gary Tuma located?

Gary Tuma practices at 2 Capital Way Suite 505, Pennington, NJ 08534. The listed phone number is (609) 537-7000.

What is Gary Tuma's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Gary Tuma enrolled in Medicare?

Yes. Gary Tuma 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 Gary Tuma's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Gary Tuma reassigns Medicare benefits to Capital Health Medical Group (Trenton, 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 Gary Tuma's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Gary Tuma accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Gary Tuma 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 Gary Tuma affiliated with any hospitals?

According to CMS data, Gary Tuma is affiliated with Capital Health Medical Center - Hopewell and Capital Health Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Gary Tuma was last updated on October 7, 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.