DR. GERALD CIOCE M.D.
NPI 1093817512
Internal Medicine - Interventional Cardiology in Newton, NJ

Active since September 04, 2006PECOS EnrolledAccepts Medicare Assignment
77.39/100
CMS Quality Rating
222 HIGH ST, SUITE 205, NEWTON, NJ 07860(973) 579-2100(973) 579-6638 Get Directions Write a Review

NPPES record last updated: November 27, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Gerald Cioce M.d. NPPES

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

DR. GERALD CIOCE M.D. (NPI 1093817512) is an individual interventional cardiology provider in Newton, New Jersey, licensed in New Jersey (25MA08401200) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Rowan University School Of Osteopathic Medicine (2001).

NPPES Registry Identity

NPI1093817512
Entity TypeIndividualMale
Primary Taxonomy207RI0011X
Provider Legal NameDR. GERALD CIOCECredential: M.D.
Location Address222 HIGH ST, SUITE 205Newton, NJ 07860-9604
Mailing Address222 High St, Suite 205Newton, NJ 07860-9604 · (973) 579-2100 · Fax (973) 579-6638
Fax(973) 579-6638
Sole ProprietorNo
Medical School CMSRowan University School Of Osteopathic MedicineGraduated 2001
Enumeration DateSeptember 4, 2006
Last NPPES UpdateNovember 27, 2012
NPI 1093817512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Interventional CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code207RI0011X
License Licensed in NJ · 25MA08401200
Definition
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Also ListedInternal MedicineTaxonomy 207R00000X · License 219884 (MA)
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 25MA08401200 (NJ)
222 HIGH ST, Newton, NJ 07860

Other Identifiers 3

OtherP00661181Railroad Medicare
Medicare PIN130624CNWNJ
Medicaid0174394NJ

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. Gerald Cioce 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 ID3476503012
PECOS Enrollment IDI20080905000272
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 38

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,240 services874 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.
1,106 services506 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.
1,065 services448 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
590 services236 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
487 services41 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
453 services49 patients

Hospital Affiliations CMS Care Compare 2

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

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Newton Medical Center

Acute Care Hospitals · Newton, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310028
Location175 High StNewton, NJ 07860 · Sussex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07860 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

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.

77.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality91.37
Promoting Interoperability100
Improvement Activities40
Cost33.28

Reported Quality Measures

Advance Care Plan
100%778 patients5/55-star benchmark: 100%
Controlling High Blood Pressure
87%656 patients4/55-star benchmark: 98%
Coronary Artery Disease (CAD): Antiplatelet Therapy
96%656 patients4/55-star benchmark: 100%
Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)
61%109 patients3/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
100%2,660 patients5/55-star benchmark: 100%
e-Prescribing
100%1,275 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,066 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
40%459 patients2/55-star benchmark: 100%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 94% · 823 patients
Patients screened: 100% · 823 patients
15%55 patients1/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Patients combinedPopulations: 100% · 823 patients
Patients screened: 100% · 823 patients
100%96 patients
Provide Patients Electronic Access to Their Health Information
98%560 patients4/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
78%796 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 795 patients
Patients totalRate: 0% · 795 patients
0%795 patients5/55-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.

Physical Therapist
222 HIGH ST, NORMAN SILBERT BUILDING, SUITE 203
NEWTON, NJ 07860
Podiatrist (Foot Surgery)
222 HIGH ST, STE 201
NEWTON, NJ 07860
Nurse Practitioner
222 HIGH ST, SUITE 205
NEWTON, NJ 07860
Internal Medicine
222 HIGH ST, SUITE 102
NEWTON, NJ 07860
Internal Medicine (Cardiovascular Disease)
222 HIGH ST, SUITE 205
NEWTON, NJ 07860
Internal Medicine (Pulmonary Disease)
222 HIGH ST, SUITE 102
NEWTON, NJ 07860
Clinic/Center (Medical Specialty)
222 HIGH ST, SUITE 201
NEWTON, NJ 07860
Internal Medicine (Nephrology)
222 HIGH ST, SUITE 206
NEWTON, NJ 07860

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 Gerald Cioce's NPI number?

The NPI number for Gerald Cioce is 1093817512. It was assigned to this individual provider in the NPPES registry on September 4, 2006.

Where is Gerald Cioce located?

Gerald Cioce practices at 222 High St Suite 205, Newton, NJ 07860. The listed phone number is (973) 579-2100.

What is Gerald Cioce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Interventional Cardiology, with taxonomy code 207RI0011X.

Is Gerald Cioce enrolled in Medicare?

Yes. Gerald Cioce 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 Gerald Cioce accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gerald Cioce 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 Gerald Cioce affiliated with any hospitals?

According to CMS data, Gerald Cioce is affiliated with Morristown Medical Center and Newton Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Cioce was last updated on November 27, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.