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CAROLYN T PEART M.D.
NPI 1356889422
Family Medicine in River Vale, NJ

Active since February 08, 2017PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
645 WESTWOOD AVE FL 2, RIVER VALE, NJ 07675(201) 666-1000 Get Directions Write a Review

NPPES record last updated: December 26, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 23, 2023, Jul 22, 2021, Feb 8, 2017 (3 updates tracked since 2017).

About Carolyn T Peart M.d. NPPES

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

CAROLYN T PEART M.D. (NPI 1356889422) is an individual family medicine provider in River Vale, New Jersey, licensed in New Jersey (25MA11070200) and active in the NPI registry since February 2017. She is enrolled in Medicare PECOS, is affiliated with Englewood Hospital And Medical Center, and maintains a secondary practice location in North Bergen.

NPPES Registry Identity

NPI1356889422
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCAROLYN T PEARTCredential: M.D.
Location Address645 WESTWOOD AVE FL 2River Vale, NJ 07675-6295
Mailing Address6045 Kennedy Blvd Ste BNorth Bergen, NJ 07047-3246 · (201) 854-4255
Phone(201) 666-1000
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateFebruary 8, 2017
Last NPPES UpdateDecember 26, 20233 updates tracked since enumeration
NPPES CertifiedDecember 26, 2023
✔ NPI 1356889422 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NJ · 25MA11070200
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.
645 WESTWOOD AVE FL 2, River Vale, NJ 07675
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Secondary Practice Location 1

Location 16045 Kennedy Blvd Ste BNorth Bergen, NJ 07047-3246 · Phone (201) 854-4255 · Fax (201) 453-0325

Other Identifiers 1

Medicaid0800473NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolyn T Peart M.d. 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 ID8729483276
PECOS Enrollment IDI20210820001425
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Carolyn Peart reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Englewood, PC
6.5 mi
Internal Medicine
350 ENGLE ST
Englewood, NJ 07631
  • Reassigned Medicare billing, New Jersey enrollment
  • 849 clinicians in this Medicare group
NPI 1952681918 (201) 608-2136
Hackensack Meridian Health Medical Group - Primary Care PC
46 mi
Family Medicine
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 689 clinicians in this Medicare group
NPI 1336203538 (732) 807-0800

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 3

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.
60 services49 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.
25 services22 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
20 services18 patients

Hospital Affiliations CMS Care Compare

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

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310045
Location350 Engle StEnglewood, NJ 07631 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07675 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
$98.09 typical visit price
range $63.84 – $190.92
Typical copayment $24.52 (range $15.96 – $47.73)
Most-billed visit code 99203
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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

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 Carolyn Peart's NPI number?

The NPI number for Carolyn Peart is 1356889422. It was assigned to this individual provider in the NPPES registry on February 8, 2017.

Where is Carolyn Peart located?

Carolyn Peart practices at 645 Westwood Ave Fl 2, River Vale, NJ 07675. The listed phone number is (201) 666-1000.

What is Carolyn Peart's specialty?

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

Is Carolyn Peart enrolled in Medicare?

Yes. Carolyn Peart 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.

Which organizations bill Medicare for Carolyn Peart's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carolyn Peart reassigns Medicare benefits to 2 organizations: Medical Associates Of Englewood, PC (Englewood, NJ) and Hackensack Meridian Health Medical Group - Primary Care PC (Red Bank, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carolyn Peart's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carolyn Peart accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carolyn Peart 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 Carolyn Peart affiliated with any hospitals?

According to CMS data, Carolyn Peart is affiliated with Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Carolyn Peart was last updated on December 26, 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.