DR. MATTHEW J PITERA M.D.
NPI 1225097702
Psychiatry & Neurology - Psychiatry in Toms River, NJ

Q: What is Matthew Pitera's NPI number?

The NPI number for Matthew Pitera is 1225097702. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Q: What is Matthew Pitera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Q: When was this NPI record last updated?

The NPPES record for Matthew Pitera was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since March 22, 2006PECOS Enrolled

2446 CHURCH RD, SUITE 2-D, TOMS RIVER, NJ 08753(732) 244-6626(732) 244-6623 Get Directions Write a Review

NPPES record last updated: December 13, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Matthew J Pitera M.d. NPPES

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

DR. MATTHEW J PITERA M.D. (NPI 1225097702) is an individual psychiatry provider in Toms River, New Jersey, licensed in New Jersey (25MA05960500) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1225097702

Entity TypeIndividualMale

Primary Taxonomy2084P0800X

Provider Legal NameDR. MATTHEW J PITERACredential: M.D.

Location Address2446 CHURCH RD, SUITE 2-DToms River, NJ 08753

Mailing Address2446 Church Rd, Suite 2-dToms River, NJ 08753 · (732) 244-6626 · Fax (732) 244-6623

Phone(732) 244-6626

Fax(732) 244-6623

Sole ProprietorYes

Medical School CMSOtherGraduated 1991

Enumeration DateMarch 22, 2006

Last NPPES UpdateDecember 13, 2016

✔ NPI 1225097702 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians

Taxonomy Code2084P0800X

License✔ Licensed in NJ · 25MA05960500

Definition

A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.

Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 25MA05960500 (NJ)

Also ListedPsychiatry & Neurology · Child & Adolescent PsychiatryTaxonomy 2084P0804X · License 25MA05960500 (NJ)

2446 CHURCH RD, Toms River, NJ 08753

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Other Identifiers 1

Medicare ID-Type Unspecified784454TB1NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Blue Cross and Blue Shield of Montana, Blue Cross Blue Shield of North Dakota and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Matthew J Pitera M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436111077

PECOS Enrollment IDI20041029000148, I20140729000726, I20141121001827, I20181212003240, I20260316000172

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

Medicare enrollment records show Matthew Pitera reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Matthew J. Pitera, M.D, P.A

2.8 mi

Psychiatry

222 OAK AVE, SUITE 2
Toms River, NJ 08753

Reassigned Medicare billing, New Jersey enrollment

NPI 1194892687 (732) 244-6626

Astera Health

1,138 mi

Rural Health

102 FARWELL ST S
Verndale, MN 56481

Reassigned Medicare billing, Minnesota enrollment
Also billed through NPI 1477545333 (Minnesota)
187 clinicians in this Medicare group

NPI 1407262405 (218) 445-5990

Peterson Medical Clinics, LLC

1,258 mi

Multi-Specialty

3674 S WASHINGTON ST
Grand Forks, ND 58201

Reassigned Medicare billing, Alaska, Minnesota, Montana, North Dakota and New Jersey enrollments
70 clinicians in this Medicare group

NPI 1699295774 (701) 205-3000

Cowlitz Indian Tribe

2,454 mi

Rehabilitation, Substance Use Disorder

7105 NE 40TH ST
Vancouver, WA 98661

Reassigned Medicare billing, Texas enrollment
Medicare enrollment name: Bristol Bay Area Health Corporation
360 clinicians in this Medicare group

NPI 1538412630 (360) 353-9431

Eastern Aleutian Tribes, Inc

2,573 mi

Clinic/Center

172 MAIN STREET
Sand Point, AK 99661

Reassigned Medicare billing, Texas enrollment
50 clinicians in this Medicare group

NPI 1346662608 (907) 383-3515

Norton Sound Health Corporation

3,812 mi

Critical Access

1000 GREG KRUSCHEK AVE
Nome, AK 99762

Reassigned Medicare billing, Alaska enrollment
193 clinicians in this Medicare group

NPI 1154358232 (907) 443-3311

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 3

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.

801 services172 patients

Psychotherapy with evaluation and management visit, 30 minutes 90833

Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.

468 services127 patients

Assessment of emotional or behavioral problems 96127

Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.

159 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

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.

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.

DR. FRANK PATRICK DICHIARA D.O.

Family Medicine

2446 CHURCH RD
TOMS RIVER, NJ 08753

Ocean County (732) 255-3636

SILVERTON MEDICAL CENTER, PC

Internal Medicine

2446 CHURCH RD, SUITE 1A
TOMS RIVER, NJ 08753

Ocean County (732) 255-5915

DR. THOMAS E LOZOWSKI D.O.

Family Medicine

2446 CHURCH RD
TOMS RIVER, NJ 08753

Ocean County (732) 255-3636

ROBBIN KAY PHD

Psychologist

2446 CHURCH RD, STE 3B
TOMS RIVER, NJ 08753

Ocean County (732) 575-1930

DENA M WURCH DPT

Physical Therapist

2446 CHURCH RD, SUITE 2A
TOMS RIVER, NJ 08753

Ocean County (732) 255-7888

JERSEY SPINE AND WELLNESS, LLC

Chiropractor

2446 CHURCH RD, SUITE 2E
TOMS RIVER, NJ 08753

Ocean County (732) 255-1910

DR. GLENN R PROVDO D.P.M.

Podiatrist

2446 CHURCH RD, SUITE 2C
TOMS RIVER, NJ 08753

Ocean County (732) 255-8637

MEILECH S SONENBLICK DDS

Dentist

2446 CHURCH RD
TOMS RIVER, NJ 08753

Ocean County (732) 840-4444

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 Matthew Pitera's NPI number?

The NPI number for Matthew Pitera is 1225097702. It was assigned to this individual provider in the NPPES registry on March 22, 2006.

Where is Matthew Pitera located?

Matthew Pitera practices at 2446 Church Rd Suite 2-D, Toms River, NJ 08753. The listed phone number is (732) 244-6626.

What is Matthew Pitera's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Matthew Pitera enrolled in Medicare?

Yes. Matthew Pitera is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Matthew Pitera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Matthew Pitera reassigns Medicare benefits to 6 organizations: Matthew J. Pitera, M.D, P.A (Toms River, NJ), Astera Health (Verndale, MN), Peterson Medical Clinics, LLC (Grand Forks, ND), Cowlitz Indian Tribe (Vancouver, WA), Eastern Aleutian Tribes, Inc (Sand Point, AK) and 1 more organization, listed in the Medicare section above. 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 Matthew Pitera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Matthew Pitera accept?

Health plans from Avera Health Plans, Blue Cross Blue Shield of North Dakota, Blue Cross and Blue Shield of Montana, HealthPartners and Medica and 4 other insurers list Matthew Pitera 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 Matthew Pitera was last updated on December 13, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.