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DR. MICHAEL L ARVANITIS MD
NPI 1144243684
Colon & Rectal Surgery in Eatontown, NJ

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
46.47/100
CMS Quality Rating
10 INDUSTRIAL WAY E, SUITE104, EATONTOWN, NJ 07724(732) 389-1331(732) 542-8587 Get Directions Write a Review

NPPES record last updated: January 21, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Michael L Arvanitis Md NPPES

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

DR. MICHAEL L ARVANITIS MD (NPI 1144243684) is an individual colon & rectal surgery provider in Eatontown, New Jersey, licensed in New Jersey (MA51693) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Hahnemann University College Of Medicine (1982).

NPPES Registry Identity

NPI1144243684
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. MICHAEL L ARVANITISCredential: MD
Location Address10 INDUSTRIAL WAY E, SUITE104Eatontown, NJ 07724-3332
Mailing Address10 Industrial Way E, Suite104Eatontown, NJ 07724-3332 · (732) 389-1331 · Fax (732) 542-8587
Phone(732) 389-1331
Fax(732) 542-8587
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1982
Enumeration DateJuly 25, 2006
Last NPPES UpdateJanuary 21, 2013
✔ NPI 1144243684 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NJ · MA51693
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
10 INDUSTRIAL WAY E, Eatontown, NJ 07724
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Other Identifiers 3

Medicare UPINC57971NJ
Medicaid1652109NJ
Medicare ID-Type Unspecified581720MPHNJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware.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. Michael L Arvanitis 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 ID941245047
PECOS Enrollment IDI20050620000887
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 13

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.
181 services118 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.
108 services108 patients
Diagnostic exam of rectum and lower large bowel using an endoscope 45300
This procedure, known as a sigmoidoscopy, involves using a thin, flexible instrument called an endoscope to examine your lower large bowel and rectum. This helps in identifying any abnormalities or issues that could affect your digestive health.
72 services68 patients
Removal of external hemorrhoids by rubber banding 46221
Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.
43 services35 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
31 services17 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.
29 services25 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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.

46.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.23
Promoting Interoperability0
Improvement Activities40
Cost61.68

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%188 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
98%370 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%1,061 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
76%610 patients4/55-star benchmark: 99%
Perioperative Care: Selection of Prophylactic Antibiotic - First OR Second Generation Cephalosporin
Percentage of surgical patients aged 18 years and older undergoing procedures with the indications for a first OR second generation cephalosporin prophylactic antibiotic, who had an order for a first OR second generation cephalosporin for antimicrobial…
100%42 patients
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%44 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
57%184 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
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…
67%191 patients3/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
85%610 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
1%610 patients1/55-star benchmark: 59%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%102 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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Ostomy pouch, drainable, with barrier attached, with built-in convexity (1 piece), each A4389
DME-Orthotic Devices · category DF010N
1 supplier11 claims330 services$4.16 avg. paid by Medicare
Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each A4409
DME-Orthotic Devices · category DF010N
5 suppliers17 claims570 services$5.97 avg. paid by Medicare
Adhesive remover, wipes, any type, each A4456
DME-Medical/Surgical Supplies · category DA000N
4 suppliers14 claims1,275 services$0.23 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
4 suppliers15 claims610 services$2.61 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 18

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

BARRY J. EDISON D.O. P.C.
Ophthalmology
10 INDUSTRIAL WAY E, SUITE 102
EATONTOWN, NJ 07724
Monmouth County (732) 542-0300
KATHERINE CELARDO
Social Worker
10 INDUSTRIAL WAY E
EATONTOWN, NJ 07724
Monmouth County (908) 596-9918
JULES M GELTZEILER MD
Urology
10 INDUSTRIAL WAY E, SUITE 101
EATONTOWN, NJ 07724
Monmouth County (732) 963-9091
DR. ROY M DRESSNER D.O.
Colon & Rectal Surgery
10 INDUSTRIAL WAY E, SUITE 104
EATONTOWN, NJ 07724
Monmouth County (732) 389-1331
RAPHAEL FREDRIC SAMSON
Counselor (Mental Health)
10 INDUSTRIAL WAY E
EATONTOWN, NJ 07724
Monmouth County (732) 935-2220
DR. JONI FELDBAUM-SMITH O.D.
Optometrist
10 INDUSTRIAL WAY E, SUITE 102
EATONTOWN, NJ 07724
Monmouth County (732) 542-0300
VASCULAR ACCESS CENTER OF EATONTOWN LLC
Radiology (Vascular & Interventional Radiology)
10 INDUSTRIAL WAY E, SUITE 7
EATONTOWN, NJ 07724
Monmouth County (732) 380-0730
KRISTEN TRUNK LSW
Social Worker
10 INDUSTRIAL WAY E
EATONTOWN, NJ 07724
Monmouth County (732) 978-1648

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 Michael Arvanitis's NPI number?

The NPI number for Michael Arvanitis is 1144243684. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Michael Arvanitis located?

Michael Arvanitis practices at 10 Industrial Way E Suite104, Eatontown, NJ 07724. The listed phone number is (732) 389-1331.

What is Michael Arvanitis's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Michael Arvanitis enrolled in Medicare?

Yes. Michael Arvanitis 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 Michael Arvanitis accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Arvanitis 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 Michael Arvanitis affiliated with any hospitals?

According to CMS data, Michael Arvanitis is affiliated with Riverview Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Arvanitis was last updated on January 21, 2013. 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.