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DR. CAROL ANDREA LAURETTE PENN D.O.
NPI 1265711576
Family Medicine in Red Bank, NJ

Active since August 04, 2011Opted out of Medicare · through Nov 14, 2026
72 HARRISON AVE, RED BANK, NJ 07701(732) 363-6655 Get Directions Write a Review

NPPES record last updated: April 8, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol Andrea Laurette Penn D.o. NPPES

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

DR. CAROL ANDREA LAURETTE PENN D.O. (NPI 1265711576) is an individual family medicine provider in Red Bank, New Jersey, licensed in New Jersey (25MB09343300) and active in the NPI registry since August 2011. She has opted out of Medicare through November 14, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1265711576
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CAROL ANDREA LAURETTE PENNCredential: D.O.
Location Address72 HARRISON AVERed Bank, NJ 07701-2375
Mailing Address101 2nd StLakewood, NJ 08701-3324
Phone(732) 363-6655
Sole ProprietorYes
Enumeration DateAugust 4, 2011
Last NPPES UpdateApril 8, 2016
✔ NPI 1265711576 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MB09343300✔ Licensed in PA · OT014041
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
72 HARRISON AVE, Red Bank, NJ 07701
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Dr. Carol Andrea Laurette Penn D.o. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from November 14, 2022 through November 14, 2026.

Opt-Out Effective DateNovember 14, 2022
Opt-Out In Effect ThroughNovember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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
$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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
53%376 patients3/55-star benchmark: 92%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
40%618 patients2/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
10%229 patients1/55-star benchmark: 100%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
24%805 patients2/55-star benchmark: 88%
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.

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 Carol Penn's NPI number?

The NPI number for Carol Penn is 1265711576. It was assigned to this individual provider in the NPPES registry on August 4, 2011.

Where is Carol Penn located?

Carol Penn practices at 72 Harrison Ave, Red Bank, NJ 07701. The listed phone number is (732) 363-6655.

What is Carol Penn's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Carol Penn enrolled in Medicare?

No. Carol Penn has opted out of Medicare through November 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Carol Penn was last updated on April 8, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.