DARREN R CARPIZO MD
NPI 1134377229
Surgery - Surgical Oncology in New Brunswick, NJ

Active since September 03, 2008PECOS EnrolledAccepts Medicare Assignment
90.58/100
CMS Quality Rating
195 LITTLE ALBANY ST, ROOM 3040, NEW BRUNSWICK, NJ 08901(732) 235-8524(732) 235-8091 Get Directions Write a Review

NPPES record last updated: July 3, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Darren R Carpizo Md NPPES

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

DARREN R CARPIZO MD (NPI 1134377229) is an individual surgical oncology provider in New Brunswick, New Jersey, licensed in New Jersey (25MA08410600) and active in the NPI registry since September 2008. He is enrolled in Medicare PECOS, is affiliated with Strong Memorial Hospital, and is a graduate of University Of Illinois College Of Med (chi/peor/rock/chm-urb) (1997).

NPPES Registry Identity

NPI1134377229
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDARREN R CARPIZOCredential: MD
Location Address195 LITTLE ALBANY ST, ROOM 3040New Brunswick, NJ 08901-1914
Mailing Address66 W Gilbert St, 2nd FloorTinton Falls, NJ 07701-4947 · (732) 212-0051 · Fax (732) 212-0713
Fax(732) 235-8091
Sole ProprietorYes
Medical School CMSUniversity Of Illinois College Of Med (chi/peor/rock/chm-urb)Graduated 1997
Enumeration DateSeptember 3, 2008
Last NPPES UpdateJuly 3, 2023
NPI 1134377229 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
Licenses Licensed in NJ · 25MA08410600 Licensed in NY · 239671
Definition
A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.
195 LITTLE ALBANY ST, New Brunswick, NJ 08901

Other Identifiers 1

Medicaid0181927NJ

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

Darren R Carpizo Md 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 ID6800944836
PECOS Enrollment IDI20200226002827
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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
12 services12 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Strong Memorial Hospital

Acute Care Hospitals · Rochester, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330285
Location601 Elmwood AveRochester, NY 14642 · Monroe County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08901 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
$190.92 typical visit price
range $63.84 – $190.92
Typical copayment $47.73 (range $15.96 – $47.73)
Most-billed visit code 99205
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

90.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.79
Promoting Interoperability100
Improvement Activities40
Cost56.5

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.

Internal Medicine (Medical Oncology)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Pediatrics (Pediatric Hematology-Oncology)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Physician Assistant
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Radiology (Radiation Oncology)
195 LITTLE ALBANY ST, THE CANCER INSTITUTE OF NEW JERSEY ROOM 2006
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Adult Health)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Adult Health)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Nurse Practitioner (Pediatrics)
195 LITTLE ALBANY ST
NEW BRUNSWICK, NJ 08901
Nurse Practitioner
195 LITTLE ALBANY ST, THE CANCER INSTITUTE OF NEW JERSEY
NEW BRUNSWICK, NJ 08901

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 Darren Carpizo's NPI number?

The NPI number for Darren Carpizo is 1134377229. It was assigned to this individual provider in the NPPES registry on September 3, 2008.

Where is Darren Carpizo located?

Darren Carpizo practices at 195 Little Albany St Room 3040, New Brunswick, NJ 08901. The listed phone number is (732) 235-8524.

What is Darren Carpizo's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.

Is Darren Carpizo enrolled in Medicare?

Yes. Darren Carpizo 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.

Is Darren Carpizo affiliated with any hospitals?

According to CMS data, Darren Carpizo is affiliated with Strong Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Darren Carpizo was last updated on July 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.