DONNA L KLITZMAN MD
NPI 1295824563
Internal Medicine - Pulmonary Disease in East Brunswick, NJ

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
593 CRANBURY ROAD, SUITE 1A, EAST BRUNSWICK, NJ 08816(732) 613-8880(732) 613-0077 Get Directions Write a Review

NPPES record last updated: July 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Donna L Klitzman Md NPPES

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

DONNA L KLITZMAN MD (NPI 1295824563) is an individual pulmonary disease provider in East Brunswick, New Jersey, licensed in New Jersey (MA066508) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Robert Wood Johnson University Hospital, and is a graduate of Boston University School Of Medicine (1983).

NPPES Registry Identity

NPI1295824563
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameDONNA L KLITZMANCredential: MD
Location Address593 CRANBURY ROAD, SUITE 1AEast Brunswick, NJ 08816
Mailing Address593 Cranbury Road, Suite 1aEast Brunswick, NJ 08816 · (732) 613-8880 · Fax (732) 613-0077
Fax(732) 613-0077
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 1983
Enumeration DateOctober 12, 2006
Last NPPES UpdateJuly 22, 2010
NPI 1295824563 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NJ · MA066508
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
593 CRANBURY ROAD, East Brunswick, NJ 08816

Other Identifiers 5

Medicaid7426500NJ
Other2221477NJ · Aetna Us Hc
OtherP875627NJ · Oxford
Medicare UPINF63917
Medicare ID-Type UnspecifiedK1001169NJ

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

Donna L Klitzman 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 ID1759574692
PECOS Enrollment IDI20101022001218
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 18

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.
843 services346 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
496 services167 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
245 services229 patients
Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen 87635
This is a lab test that detects the presence of COVID-19 in your body. It uses a technique to amplify the virus's genetic material, either DNA or RNA, making it easier to identify. A positive result indicates an active infection.
244 services227 patients
Test to determine lung volumes using gas dilution or washout 94727
This test measures lung volumes by either diluting or washing out a known amount of gas in your lungs. You'll breathe in a harmless gas, then exhale. The exhaled air is analyzed to assess your lung capacity and function.
241 services225 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
240 services224 patients

Hospital Affiliations CMS Care Compare 3

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

Robert Wood Johnson University Hospital

Acute Care Hospitals · New Brunswick, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310038
LocationOne Robert Wood Johnson PlaceNew Brunswick, NJ 08901 · Middlesex County
Emergency services Birthing friendly

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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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

Reported Quality Measures

Chronic Obstructive Pulmonary Disease (COPD): Spirometry Evaluation
Percentage of patients aged 18 years and older with a diagnosis of COPD who had spirometry results documented
100%183 patients5/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
98%392 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%416 patients5/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 30

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
8 suppliers102 claims102 services$28.92 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
2 suppliers16 claims32 services$1.20 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
8 suppliers68 claims68 services$66.39 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers65 claims178 services$26.85 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers58 claims324 services$13.89 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers26 claims152 services$10.33 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 13

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

Physician Assistant
593 CRANBURY ROAD, SUITE 1A
EAST BRUNSWICK, NJ 08816
Internal Medicine (Clinical Cardiac Electrophysiology)
593 CRANBURY ROAD, SUITE 2
EAST BRUNSWICK, NJ 08816
Internal Medicine (Cardiovascular Disease)
593 CRANBURY ROAD, SUITE 2
EAST BRUNSWICK, NJ 08816
Nurse Practitioner
593 CRANBURY ROAD
EAST BRUNSWICK, NJ 08816
Internal Medicine (Clinical Cardiac Electrophysiology)
593 CRANBURY ROAD, SUITE 2
EAST BRUNSWICK, NJ 08816
Internal Medicine (Cardiovascular Disease)
593 CRANBURY ROAD
EAST BRUNSWICK, NJ 08816
Internal Medicine (Pulmonary Disease)
593 CRANBURY ROAD, SUITE 1A
EAST BRUNSWICK, NJ 08816
Internal Medicine (Pulmonary Disease)
593 CRANBURY ROAD, SUITE 1A
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 Donna Klitzman's NPI number?

The NPI number for Donna Klitzman is 1295824563. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Donna Klitzman located?

Donna Klitzman practices at 593 Cranbury Road Suite 1A, East Brunswick, NJ 08816. The listed phone number is (732) 613-8880.

What is Donna Klitzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Donna Klitzman enrolled in Medicare?

Yes. Donna Klitzman 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 Donna Klitzman accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Donna Klitzman 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 Donna Klitzman affiliated with any hospitals?

According to CMS data, Donna Klitzman is affiliated with Robert Wood Johnson University Hospital, Saint Peter's University Hospital and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Donna Klitzman was last updated on July 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.