DR. NINA J PAONESSA D.O., F.A.C.O.S
NPI 1174503197
Colon & Rectal Surgery in Brielle, NJ

Active since January 17, 2006PECOS EnrolledAccepts Medicare Assignment
90.55/100
CMS Quality Rating
603 HIGGINS AVE, BRIELLE, NJ 08730(732) 282-1500(732) 282-1501 Get Directions Write a Review

NPPES record last updated: May 9, 2019. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Nina J Paonessa D.o., F.a.c.o.s NPPES

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

DR. NINA J PAONESSA D.O., F.A.C.O.S (NPI 1174503197) is an individual colon & rectal surgery provider in Brielle, New Jersey, licensed in New Jersey (25MB08475900) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (1998).

NPPES Registry Identity

NPI1174503197
Entity TypeIndividualFemale
Primary Taxonomy208C00000X
Provider Legal NameDR. NINA J PAONESSACredential: D.O., F.A.C.O.S
Location Address603 HIGGINS AVEBrielle, NJ 08730-1476
Mailing Address2101 Route 34 South, Suite HWall, NJ 07719 · (732) 282-1500 · Fax (732) 282-1501
Fax(732) 282-1501
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1998
Enumeration DateJanuary 17, 2006
Last NPPES UpdateMay 9, 2019
NPI 1174503197 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 · 25MB08475900
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.

603 HIGGINS AVE, Brielle, NJ 08730

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. Nina J Paonessa D.o., F.a.c.o.s 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 ID5799733275
PECOS Enrollment IDI20081215000552
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 10

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.
176 services126 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.
168 services97 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.
93 services78 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.
92 services92 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
72 services66 patients
Injection of hemorrhoid 46500
An injection for hemorrhoids involves administering a substance into the swollen tissue to reduce its size. It's a simple, quick procedure, performed in a doctor's office, to help alleviate discomfort and inflammation.
63 services51 patients

Hospital Affiliations CMS Care Compare 3

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Southern Ocean Medical Center

Acute Care Hospitals · Manahawkin, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310113
Location1140 Rt 72 WManahawkin, NJ 08050 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08730 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.

90.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80.82
Improvement Activities40
Cost94.09

Reported Quality Measures

Appropriate Use of DXA Scans in Women Under 65 Years Who Do Not Meet the Risk Factor Profile for Osteoporotic Fracture
Lower rates are better for this measure.
0%185 patients
Breast Cancer Screening
100%343 patients5/55-star benchmark: 100%
Colorectal Cancer Screening
100%575 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,603 patients5/55-star benchmark: 100%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 410 patients
Patients totalRate: 1% · 410 patients
1%410 patients4/55-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

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

Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
3 suppliers12 claims440 services$2.57 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 2

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

Dentist (Oral and Maxillofacial Surgery)
603 HIGGINS AVE
BRIELLE, NJ 08730
Surgery
603 HIGGINS AVE
BRIELLE, NJ 08730

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 Nina Paonessa's NPI number?

The NPI number for Nina Paonessa is 1174503197. It was assigned to this individual provider in the NPPES registry on January 17, 2006.

Where is Nina Paonessa located?

Nina Paonessa practices at 603 Higgins Ave, Brielle, NJ 08730. The listed phone number is (732) 282-1500.

What is Nina Paonessa's specialty?

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

Is Nina Paonessa enrolled in Medicare?

Yes. Nina Paonessa 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 Nina Paonessa affiliated with any hospitals?

According to CMS data, Nina Paonessa is affiliated with Ocean Medical Center, Centrastate Medical Center and Southern Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Nina Paonessa was last updated on May 9, 2019. NPI Profile syncs with the weekly NPPES data releases published by CMS.