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ROBERT L CARRACINO M.D.
NPI 1093798571
Internal Medicine in West Long Branch, NJ

Active since November 29, 2005PECOS EnrolledAccepts Medicare Assignment
241 MONMOUTH RD, WEST LONG BRANCH, NJ 07764(732) 263-7910(732) 263-7937 Get Directions Write a Review

NPPES record last updated: July 12, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Robert L Carracino M.d. NPPES

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

ROBERT L CARRACINO M.D. (NPI 1093798571) is an individual internal medicine provider in West Long Branch, New Jersey, licensed in New Jersey (MA60758) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1093798571
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT L CARRACINOCredential: M.D.
Location Address241 MONMOUTH RDWest Long Branch, NJ 07764-1177
Mailing Address241 Monmouth RdWest Long Branch, NJ 07764-1177 · (732) 263-7910 · Fax (732) 263-7937
Phone(732) 263-7910
Fax(732) 263-7937
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateNovember 29, 2005
Last NPPES UpdateJuly 12, 2010
✔ NPI 1093798571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · MA60758
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
241 MONMOUTH RD, West Long Branch, NJ 07764
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Other Identifiers 2

Medicare PIN504553RYXNJ
Medicare UPINF98287NJ

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

Robert L Carracino 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 ID8921295999
PECOS Enrollment IDI20101206000087
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 Robert Carracino reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rwjbh Primary Care Services
36 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000

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 9

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 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.
542 services323 patients
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.
387 services256 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
383 services383 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
143 services142 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
108 services103 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
102 services97 patients

Hospital Affiliations CMS Care Compare 5

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07764 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
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
Most-billed visit code 99214
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 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers48 claims131 services$5.74 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers16 claims20 services$0.86 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$43.93 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers12 claims12 services$13.19 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
5 suppliers11 claims11 services$9.90 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
6 suppliers16 claims81 services$1.55 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 11

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

JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS, LLC
Ophthalmology
241 MONMOUTH RD, SUITE 102
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 738-4627
LAINE ELIZABETH HICKEY MSPT, ATC
Physical Therapist
241 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 263-7950
SAUL BETESH MD
Ophthalmology
241 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 571-3973
WLB MEDICAL ASSOCIATES, P.C.
Internal Medicine
241 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 263-7910
DR. CHRISTOPHER G PIERSON MD
Internal Medicine (Cardiovascular Disease)
241 MONMOUTH RD, STE 202
W LONG BRANCH, NJ 07764
Monmouth County (732) 923-9603
DR. HENRY ERNEST SPRANCE MD, PHD
Obstetrics & Gynecology (Gynecologic Oncology)
241 MONMOUTH RD, SUITE 101
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 263-7922
MARGARET M BARTLEY APN
Clinical Nurse Specialist (Medical-Surgical)
241 MONMOUTH RD
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 263-7959
EYE AND FACE LLC
Ophthalmology
241 MONMOUTH RD, SUITE 103
WEST LONG BRANCH, NJ 07764
Monmouth County (732) 571-3937

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 Robert Carracino's NPI number?

The NPI number for Robert Carracino is 1093798571. It was assigned to this individual provider in the NPPES registry on November 29, 2005.

Where is Robert Carracino located?

Robert Carracino practices at 241 Monmouth Rd, West Long Branch, NJ 07764. The listed phone number is (732) 263-7910.

What is Robert Carracino's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Carracino enrolled in Medicare?

Yes. Robert Carracino 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 Robert Carracino's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Carracino reassigns Medicare benefits to Rwjbh Primary Care Services (West Orange, 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 Robert Carracino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Robert Carracino accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Robert Carracino 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 Robert Carracino affiliated with any hospitals?

According to CMS data, Robert Carracino is affiliated with Riverview Medical Center, Community Medical Center, Jersey Shore University Medical Center, Monmouth Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Robert Carracino was last updated on July 12, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.