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DR. PETER LAPIS M.D.
NPI 1164604153
Pathology - Anatomic Pathology & Clinical Pathology in Forked River, NJ

Active since November 30, 2007PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
540 LACEY RD STE 2B, FORKED RIVER, NJ 08731(732) 456-7777(848) 251-2189 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 4, 2021, Feb 6, 2020 (2 updates tracked since 2020).

About Dr. Peter Lapis M.d. NPPES

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

DR. PETER LAPIS M.D. (NPI 1164604153) is an individual anatomic pathology & clinical pathology provider in Forked River, New Jersey, licensed in Arizona (33486) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1980).

NPPES Registry Identity

NPI1164604153
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. PETER LAPISCredential: M.D.
Location Address540 LACEY RD STE 2BForked River, NJ 08731-1532
Mailing Address1580 Lakewood Rd Ste 16aToms River, NJ 08755-3287 · (732) 456-7777 · Fax (848) 251-2189
Phone(732) 456-7777
Fax(848) 251-2189
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 30, 2007
Last NPPES UpdateAugust 4, 20212 updates tracked since enumeration
NPPES CertifiedAugust 4, 2021
✔ NPI 1164604153 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in AZ · 33486
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
540 LACEY RD STE 2B, Forked River, NJ 08731
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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

Dr. Peter Lapis 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 ID7416122833
PECOS Enrollment IDI20111214000392
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 Reassignments

2

Medicare enrollment records show Peter Lapis reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nj Certified Dermatology PC
26 mi
Dermatology
26 HIGHWAY 35 N
Neptune, NJ 07753
  • Reassigned Medicare billing, New Jersey and Pennsylvania enrollments
  • Also billed through NPI 1326496241 (Pennsylvania)
  • 44 clinicians in this Medicare group
NPI 1003263807 (732) 456-7777
Clark Dermatology LLC
54 mi
Dermatology
1075 CENTRAL AVE
Clark, NJ 07066
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
NPI 1851562425 (732) 574-1399

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 7

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
9,736 services4,523 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
2,649 services1,752 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
2,025 services1,049 patients
Special stained specimen slides to examine tissue, each multiplex procedure 88344
Special stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
416 services348 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
283 services225 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
274 services210 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08731 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.

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.

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

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 Peter Lapis's NPI number?

The NPI number for Peter Lapis is 1164604153. It was assigned to this individual provider in the NPPES registry on November 30, 2007.

Where is Peter Lapis located?

Peter Lapis practices at 540 Lacey Rd Ste 2B, Forked River, NJ 08731. The listed phone number is (732) 456-7777.

What is Peter Lapis's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Peter Lapis enrolled in Medicare?

Yes. Peter Lapis 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 organizations bill Medicare for Peter Lapis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Peter Lapis reassigns Medicare benefits to 2 organizations: Nj Certified Dermatology PC (Neptune, NJ) and Clark Dermatology LLC (Clark, NJ). Each 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 Peter Lapis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Peter Lapis accept?

Health plans from Oscar Health list Peter Lapis 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.

When was this NPI record last updated?

The NPPES record for Peter Lapis was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.