DR. SAMUEL H ENGEL M.D. NPI 1083820518
Otolaryngology in Neptune, NJ

About DR. SAMUEL H ENGEL M.D.

Samuel Engel is a provider established in Neptune, New Jersey and his medical specialization is Otolaryngology with more than 21 years of experience. He graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2002. The NPI number of Samuel Engel is 1083820518 and was assigned on May 2007. The practitioner's primary taxonomy code is 207Y00000X with license number 25MA08380800 (NJ). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1083820518
Provider NameDR. SAMUEL H ENGEL M.D.
Location Address3700 ROUTE 33 SUITE 101 NEPTUNE, NJ 07753
Location Phone(732) 280-7855
Mailing Address3700 ROUTE 33 SUITE 101 NEPTUNE, NJ 07753
GenderMale
NPI Entity TypeIndividual
Medical School NameRUTGERS R W JOHNSON MEDICAL SCHOOL (CAM/NEW BRUNS/PISC)
Graduation Year2002
Is Sole Proprietor?No
Enumeration Date05-14-2007
Last Update Date03-23-2021

Samuel Engel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Samuel Engel is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

The provider participated in Medicare's Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 93.2, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance. The following quality measures were reported for this provider: preventive care and screening: body mass index (bmi) screening and follow-up plan.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.6 for a new patient copayment and $20.03 for an established patient copayment.



Primary Taxonomy

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Taxonomy Code207Y00000X
ClassificationOtolaryngology
TypeAllopathic & Osteopathic Physicians
License No.25MA08380800
License StateNJ
Taxonomy DescriptionAn 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.

Business Address

DR. SAMUEL H ENGEL M.D.
3700 ROUTE 33
SUITE 101
NEPTUNE, NJ
ZIP 07753
Phone: (732) 280-7855
Fax: (732) 280-7815

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Mailing Address

DR. SAMUEL H ENGEL M.D.
3700 ROUTE 33
SUITE 101
NEPTUNE, NJ
ZIP 07753
Phone: (732) 280-7855
Fax: (732) 280-7815


Location Map

PECOS Enrollment and Medicare Participation Status

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID1355413303
PECOS Enrollment IDI20080708000292
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07753 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$64.36 $193.06 $98.42
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.09 $48.26 $24.6
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$20.44 $158.01 $80.12
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.11 $39.5 $20.03

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in Medicare's Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

MIPS Measure Score Weight Score
Quality 40% 97.2
The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.
Promoting Interoperability (PI) 25% 82
The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.
Improvement Activities 15% 40
The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs.

The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.
Cost 20% N/A
The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.
MIPS Final Score - 93.2
The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

Quality Reporting

The following quality measures meet Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Number of Patients
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan 100% 147
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 65Removal of impact ear wax, one ear (HCPCS:69210)
  • 13Diagnostic examination of voice box using flexible endoscope (HCPCS:31575)

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyMD036475DCNo

Taxonomy Description: 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.

2207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology25MA08380800NJNo

Taxonomy Description: a pediatric otolaryngologist has special expertise in the management of infants and children with disorders that include congenital and acquired conditions involving the aerodigestive tract, nose and paranasal sinuses, the ear and other areas of the head and neck. The pediatric otolaryngologist has special skills in the diagnosis, treatment, and management of childhood disorders of voice, speech, language and hearing.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1083820518
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
20163162052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 6 + 3 + 1 + 6 + 2 + 0 + 5 + 2 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1083820518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1457355117 MARY T. MITSKAVICH M.D.
Individual
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1336106558MRS. SUZANNE MCCORRY
Individual
Audiologist3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1013086818 DEAN BARONE PA-C
Individual
Physician Assistant (Surgical)3700 ROUTE 33 2ND FLOOR SUITE B
NEPTUNE, NJ 07753
(732) 455-8225
1316219470COASTAL SURGERY CENTER, LLC
Organization
Clinic/Center (Ambulatory Surgical)3700 ROUTE 33 SUITE LL-01
NEPTUNE, NJ 07753
(732) 280-7855
1598769259 SEAN D. HOUSTON M.D.
Individual
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1619102662 MOHAMMAD USMAN NASIR KHAN MBBS
Individual
Surgery (Vascular Surgery)3700 ROUTE 33 SUITE C 2ND FLOOR
NEPTUNE, NJ 07753
(732) 212-6590
1437393063 HABIB KHAN M.D.
Individual
Surgery (Vascular Surgery)3700 ROUTE 33 2ND FLOOR-SUITE C
NEPTUNE, NJ 07753
(732) 212-6598
1801141023 NARINE AZOYAN NP
Individual
Nurse Practitioner3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1891058665DR. CAITLIN YESIS AU.D.
Individual
Audiologist3700 ROUTE 33 STE 101
NEPTUNE, NJ 07753
(732) 280-7855
1861592867COASTAL EAR NOSE AND THROAT, LLC
Organization
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1588683635 SETH J SILBERMAN MD
Individual
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1831331693DR. MATTHEW HIRSCH M.D.
Individual
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NY 07753
(732) 280-7855
1346407046 BRAD MICHAEL BUCHHOLTZ AU.D.
Individual
Audiologist-Hearing Aid Fitter3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1285195842 COURTNEY CASLER CIERI AUD
Individual
Audiologist3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1609283779 STEPHANIE SALERNO AUD
Individual
Audiologist3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1285054122 VICTORIA M BONES MD
Individual
Otolaryngology3700 ROUTE 33 SUITE 202
NEPTUNE, NJ 07753
(973) 769-3217
1700194958MRS. DIANA M. MCKENNEY PA
Individual
Physician Assistant3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1154943421 BROOKE MASON PA
Individual
Physician Assistant3700 ROUTE 33 STE101
NEPTUNE, NJ 07753
(732) 280-7855
1710929559MS. DANIELLE WALL AUD
Individual
Audiologist3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855
1649512070DR. QASIM HUSAIN M.D.
Individual
Otolaryngology3700 ROUTE 33 SUITE 101
NEPTUNE, NJ 07753
(732) 280-7855

Frequently Asked Questions

What is Dr. Samuel Engel M.D. NPI number?

The NPI number assigned to Dr. Samuel Engel M.D. is 1083820518, registered as an "individual" on May 14, 2007

Where is Dr. Samuel Engel M.D. located?

The provider is located at 3700 Route 33 Suite 101 Neptune, Nj 07753 and the phone number is (732) 280-7855

Which is Dr. Samuel Engel M.D. specialty?

The provider's speciality is Otolaryngology

How many years of experience does Dr. Samuel Engel M.D. have?

The provider has more than 21 years of experience. He graduated from Rutgers R W Johnson Medical School (cam/new Bruns/pisc) in 2002.

Is Dr. Samuel Engel M.D. registered in PECOS?

Yes, as of January 10, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What are Dr. Samuel Engel M.D. Quality Ratings?

The provider has an overall high rating in the following quality measures: quality clinical practices and patient outcomes and experiences , uses technology to exchange and make use of healthcare information.

How much is a visit to Dr. Samuel Engel M.D.?

Medicare beneficiaries should expect a typical cost of $98.42 with an average copayment of $24.6 for new patient appointments. Established patients should expect a typical charge of $80.12 and an average copayment of 20.03. Please review your insurance plan or contact the provider directly to determine your specific costs.

What are some of the services provided by Dr. Samuel Engel M.D.?

The most common procedures or services performed by this practitioner are: Removal of impact ear wax, one ear and Diagnostic examination of voice box using flexible endoscope.

How do I update my NPI information?

The NPI record of Dr. Samuel Engel M.D. was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]