KELLY ANN DIFABIO DO
NPI 1265870091
Emergency Medicine in Wall Township, NJ

Active since June 14, 2013PECOS Enrolled
75/100
CMS Quality Rating
1825 RTE 35, WALL TOWNSHIP, NJ 07719(732) 280-2600 Get Directions Write a Review

NPPES record last updated: January 19, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Kelly Ann Difabio Do NPPES

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

KELLY ANN DIFABIO DO (NPI 1265870091) is an individual emergency medicine provider in Wall Township, New Jersey, licensed in New Jersey (25MB10085300) and active in the NPI registry since June 2013. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1265870091
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameKELLY ANN DIFABIOCredential: DO
Location Address1825 RTE 35Wall Township, NJ 07719-3541
Mailing Address83 Vanard DrBrick, NJ 08723-7441 · (610) 203-5910
Sole ProprietorNo
Enumeration DateJune 14, 2013
Last NPPES UpdateJanuary 19, 2018
NPI 1265870091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in NJ · 25MB10085300
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1825 RTE 35, Wall Township, NJ 07719

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Kelly Ann Difabio Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 14

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
739 services711 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
532 services501 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
447 services433 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
190 services189 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
136 services135 patients
X-ray of hip, 2-3 views 73502
An X-ray of the hip with 2-3 views is a non-invasive imaging test. It uses a small amount of radiation to produce pictures of the hip joint. These images help in diagnosing conditions like fractures, arthritis, or other abnormalities. The process is quick and painless.
37 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07719 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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Other Providers at the Same Location NPPES 8

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

Physician Assistant (Medical)
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Internal Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Physician Assistant (Medical)
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Clinic/Center (Urgent Care)
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Emergency Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Physician Assistant
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Emergency Medicine
1825 RTE 35
WALL TOWNSHIP, NJ 07719
Physician Assistant (Medical)
1825 RTE 35
WALL TOWNSHIP, NJ 07719

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 Kelly Difabio's NPI number?

The NPI number for Kelly Difabio is 1265870091. It was assigned to this individual provider in the NPPES registry on June 14, 2013.

Where is Kelly Difabio located?

Kelly Difabio practices at 1825 Rte 35, Wall Township, NJ 07719. The listed phone number is (732) 280-2600.

What is Kelly Difabio's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Kelly Difabio enrolled in Medicare?

Yes. Kelly Difabio is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kelly Difabio was last updated on January 19, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.