GERALD J FERENCZ MD
NPI 1275583379
Psychiatry & Neurology - Vascular Neurology in Toms River, NJ

Active since May 11, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
633 RTE 37 W, TOMS RIVER, NJ 08755(732) 240-4787(732) 240-3114 Get Directions Write a Review

NPPES record last updated: October 3, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gerald J Ferencz Md NPPES

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

GERALD J FERENCZ MD (NPI 1275583379) is an individual vascular neurology provider in Toms River, New Jersey, licensed in New Jersey (25MA03940600) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Drexel University College Of Medicine (1980).

NPPES Registry Identity

NPI1275583379
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameGERALD J FERENCZCredential: MD
Location Address633 RTE 37 WToms River, NJ 08755-8007
Mailing Address633 Rte 37 WToms River, NJ 08755-8007 · (732) 240-4787 · Fax (732) 240-3114
Fax(732) 240-3114
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 1980
Enumeration DateMay 11, 2006
Last NPPES UpdateOctober 3, 2023
NPPES CertifiedOctober 3, 2023
NPI 1275583379 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
License Licensed in NJ · 25MA03940600
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA03940600 (NJ)
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License 25MA03940600 (NJ)
633 RTE 37 W, Toms River, NJ 08755

Other Identifiers 1

Medicaid0512401NJ

Accepted Insurance

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

Gerald J Ferencz 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 ID1850289612
PECOS Enrollment IDI20110211000910
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.

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.
173 services132 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
97 services96 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
68 services63 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
38 services31 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
27 services27 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.
26 services24 patients

Hospital Affiliations CMS Care Compare

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 14

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers81 claims82 services$28.30 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers63 claims63 services$64.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers58 claims172 services$25.39 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers41 claims242 services$14.49 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers47 claims259 services$11.59 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers92 claims92 services$41.57 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 8

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

Specialist
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Specialist
633 RTE 37 W
TOMS RIVER, NJ 08755
Specialist
633 RTE 37 W
TOMS RIVER, NJ 08755
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
633 RTE 37 W
TOMS RIVER, NJ 08755
Nurse Practitioner (Family)
633 RTE 37 W
TOMS RIVER, NJ 08755

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 Gerald Ferencz's NPI number?

The NPI number for Gerald Ferencz is 1275583379. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Gerald Ferencz located?

Gerald Ferencz practices at 633 Rte 37 W, Toms River, NJ 08755. The listed phone number is (732) 240-4787.

What is Gerald Ferencz's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Gerald Ferencz enrolled in Medicare?

Yes. Gerald Ferencz 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.

What insurance does Gerald Ferencz accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Gerald Ferencz 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.

Is Gerald Ferencz affiliated with any hospitals?

According to CMS data, Gerald Ferencz is affiliated with Community Medical Center.

When was this NPI record last updated?

The NPPES record for Gerald Ferencz was last updated on October 3, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.