KIMBERLY RETHY DO
NPI 1295150217
Otolaryngology in East Brunswick, NJ

Active since February 27, 2014PECOS EnrolledAccepts Medicare Assignment
91.28/100
CMS Quality Rating
557 CRANBURY RD STE 3, EAST BRUNSWICK, NJ 08816(732) 613-0600 Get Directions Write a Review

NPPES record last updated: July 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 8, 2019, Feb 8, 2019 (2 updates tracked since 2019).

About Kimberly Rethy Do NPPES

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

KIMBERLY RETHY DO (NPI 1295150217) is an individual otolaryngology provider in East Brunswick, New Jersey, licensed in New Jersey (25MB10578200) and active in the NPI registry since February 2014. She is enrolled in Medicare PECOS, is affiliated with Saint Peter's University Hospital, and maintains a secondary practice location in Philadelphia.

NPPES Registry Identity

NPI1295150217
Entity TypeIndividualFemale
Primary Taxonomy207Y00000X
Provider Legal NameKIMBERLY RETHYCredential: DO
Location Address557 CRANBURY RD STE 3East Brunswick, NJ 08816-5419
Mailing Address660 White Plains Rd Ste 400Tarrytown, NY 10591-5107 · (914) 984-2546
Sole ProprietorNo
Medical School CMSArizona College Of Osteopathic Medicine Mid Western UniversityGraduated 2014
Enumeration DateFebruary 27, 2014
Last NPPES UpdateJuly 8, 20192 updates tracked since enumeration
NPI 1295150217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
License Licensed in NJ · 25MB10578200
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
557 CRANBURY RD STE 3, East Brunswick, NJ 08816

Secondary Practice Location 1

Location 14190 City AvePhiladelphia, PA 19131-1626 · Phone (215) 871-6693

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

Kimberly Rethy Do 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 ID9830474378
PECOS Enrollment IDI20190730003964
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 8

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 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.
569 services386 patients
Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
300 services235 patients
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.
156 services156 patients
Removal of impacted cerumen (one or both ears) by physician on same date of service as audiologic function testing G0268
This procedure involves a doctor removing impacted earwax (cerumen) from one or both ears. This is often done on the same day as hearing function tests. The process helps to clear the ear canal, improving hearing and ensuring accurate test results.
112 services111 patients
Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
103 services90 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.
95 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Peter's University Hospital

Acute Care Hospitals · New Brunswick, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310070
Location254 Easton AveNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08816 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

91.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.16
Promoting Interoperability100
Improvement Activities40

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.

Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier13 claims13 services$21.64 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.

Allergy & Immunology
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Otolaryngology
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Otolaryngology (Pediatric Otolaryngology)
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816
Audiologist
557 CRANBURY RD STE 3
EAST BRUNSWICK, NJ 08816

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 Kimberly Rethy's NPI number?

The NPI number for Kimberly Rethy is 1295150217. It was assigned to this individual provider in the NPPES registry on February 27, 2014.

Where is Kimberly Rethy located?

Kimberly Rethy practices at 557 Cranbury Rd Ste 3, East Brunswick, NJ 08816. The listed phone number is (732) 613-0600.

What is Kimberly Rethy's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Kimberly Rethy enrolled in Medicare?

Yes. Kimberly Rethy 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 Kimberly Rethy affiliated with any hospitals?

According to CMS data, Kimberly Rethy is affiliated with Saint Peter's University Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Kimberly Rethy was last updated on July 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.