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

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: July 26, 2026.

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

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
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

Secondary Practice Location 1

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

Accepted Insurance

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

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.

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
Quality76.75
Promoting Interoperability100
Improvement Activities40

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.

Social Worker (Clinical)
2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534
Internal Medicine (Hepatology)
2 CAPITAL WAY, SUITE 380
PENNINGTON, NJ 08534
Non-Pharmacy Dispensing Site
2 CAPITAL WAY, SUITE 359
PENNINGTON, NJ 08534
Neurological Surgery
2 CAPITAL WAY, SUITE 456
PENNINGTON, NJ 08534
Plastic Surgery
2 CAPITAL WAY, SUITE 505
PENNINGTON, NJ 08534
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2 CAPITAL WAY, SUITE 315
PENNINGTON, NJ 08534
Surgery
2 CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534
Nurse Practitioner (Family)
2 CAPITAL WAY, SUITE 356
PENNINGTON, NJ 08534

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.

What insurance does Gary Tuma accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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 with the weekly NPPES data releases published by CMS.