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DONALD ANTHONY CUGINI MD
NPI 1225028640
Surgery in Red Bank, NJ

Active since October 26, 2005PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
65 MECHANIC ST, STE. 102, RED BANK, NJ 07701(732) 530-0151(732) 741-3730 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donald Anthony Cugini Md NPPES

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

DONALD ANTHONY CUGINI MD (NPI 1225028640) is an individual surgery provider in Red Bank, New Jersey, licensed in New Jersey (MA52921) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Rutgers New Jersey Medical School (1987).

NPPES Registry Identity

NPI1225028640
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDONALD ANTHONY CUGINICredential: MD
Location Address65 MECHANIC ST, STE. 102Red Bank, NJ 07701-1869
Mailing Address65 Mechanic St, Ste. 102Red Bank, NJ 07701-1869 · (732) 530-0151 · Fax (732) 741-3730
Phone(732) 530-0151
Fax(732) 741-3730
Sole ProprietorYes
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1987
Enumeration DateOctober 26, 2005
Last NPPES UpdateJuly 9, 2007
✔ NPI 1225028640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in NJ · MA52921
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
65 MECHANIC ST, Red Bank, NJ 07701
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified077693AJ7NJ · Individual Provider #
Medicaid5399301NJ
Medicare UPINF35799NJ

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

Donald Anthony Cugini 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 ID4587721105
PECOS Enrollment IDI20120420000448
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 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.

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.
106 services106 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.
55 services50 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
30 services30 patients
Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm 11606
This procedure involves surgically removing a cancerous skin growth larger than 4.0 cm on your body, arms, or legs. It's a crucial step in preventing the spread of cancer. Local anesthesia is typically used, and recovery time varies. It's a common and safe procedure.
15 services15 patients
Removal of gallbladder using an endoscope 47562
This procedure, known as endoscopic gallbladder removal, involves a surgeon using a special tool called an endoscope to remove your gallbladder through small incisions. It's typically done to treat gallstones and related complications. It's a less invasive method, often leading to quicker recovery.
15 services15 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07701 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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
1 supplier14 claims130 services$3.45 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 9

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

ANGELICA MONTSERRAT MARTINEZ-ANALCO LSW
Social Worker (Clinical)
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (866) 352-2817
CARL LOUIS MICHEL RPA-C
Physician Assistant (Surgical)
65 MECHANIC ST, SUITE 105
RED BANK, NJ 07701
Monmouth County (732) 450-2610
AMY KOONTZ MCKEOWN NP
Nurse Practitioner (Adult Health)
65 MECHANIC ST, STE 105
RED BANK, NJ 07701
Monmouth County (732) 455-8640
CHRISTINE BENSON
Counselor (Mental Health)
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (973) 945-5158
SAMANTHA M COLON APN
Nurse Practitioner (Psychiatric/Mental Health)
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (732) 515-5430
FOOT HEALTH CENTERS, P.A.
Podiatrist
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (732) 747-5525
DR. KATHRYN WILKINSON PT, DPT
Physical Therapist
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (732) 747-0075
MR. ALFRED P CAMPBELL PA
Physician Assistant (Surgical)
65 MECHANIC ST
RED BANK, NJ 07701
Monmouth County (732) 268-7130

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 Donald Cugini's NPI number?

The NPI number for Donald Cugini is 1225028640. It was assigned to this individual provider in the NPPES registry on October 26, 2005.

Where is Donald Cugini located?

Donald Cugini practices at 65 Mechanic St Ste. 102, Red Bank, NJ 07701. The listed phone number is (732) 530-0151.

What is Donald Cugini's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Donald Cugini enrolled in Medicare?

Yes. Donald Cugini 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 Donald Cugini affiliated with any hospitals?

According to CMS data, Donald Cugini is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Donald Cugini was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.