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SUSAN GATTON A.P.N.
NPI 1447581368
Nurse Practitioner - Adult Health in Neptune, NJ

Active since January 15, 2010PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
1945 CORLIES AVE, NEPTUNE, NJ 07753(732) 775-5500 Get Directions Write a Review

NPPES record last updated: November 27, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 27, 2017, Nov 7, 2016 (2 updates tracked since 2016).

About Susan Gatton A.p.n. NPPES

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

SUSAN GATTON A.P.N. (NPI 1447581368) is an individual adult health provider in Neptune, New Jersey, licensed in New Jersey (26NJ00272200) and active in the NPI registry since January 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1447581368
Entity TypeIndividualFemale
Primary Taxonomy363LA2200X
Provider Legal NameSUSAN GATTONCredential: A.P.N.
Location Address1945 CORLIES AVENeptune, NJ 07753-4859
Mailing Address1610 Route 88Brick, NJ 08724-3018 · (732) 268-8470 · Fax (732) 268-8459
Phone(732) 775-5500
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJanuary 15, 2010
Last NPPES UpdateNovember 27, 20172 updates tracked since enumeration
✔ NPI 1447581368 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License✔ Licensed in NJ · 26NJ00272200
1945 CORLIES AVE, Neptune, NJ 07753
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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

Susan Gatton A.p.n. 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 ID648439679
PECOS Enrollment IDI20120312000580
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 4

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 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.
255 services96 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.
118 services60 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.
27 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
25 services25 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07753 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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. MEGHAN IONA RATTIGAN D.O.
Obstetrics & Gynecology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (732) 776-3790
ZACHARY S EVANS MD
Student in an Organized Health Care Education/Training Program
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Monmouth County (732) 775-5500
TZIPPY REICHMAN APN
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (929) 481-4081
ASHLEY COVILLE FNP-C
Nurse Practitioner (Family)
1945 CORLIES AVE
NEPTUNE CITY, NJ 07753
Monmouth County (732) 776-4203
JIMOH A ARO
Nurse Practitioner (Primary Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500
DR. ISRIN SRISETHNIL DO
Anesthesiology
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (732) 897-0200
DR. MARY SEDAROUS M.D.
Neuromusculoskeletal Medicine & OMM
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (732) 897-3600
MS. CHRISTINE OGLE APN
Nurse Practitioner (Acute Care)
1945 CORLIES AVE
NEPTUNE, NJ 07753
Monmouth County (732) 775-5500

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 Susan Gatton's NPI number?

The NPI number for Susan Gatton is 1447581368. It was assigned to this individual provider in the NPPES registry on January 15, 2010.

Where is Susan Gatton located?

Susan Gatton practices at 1945 Corlies Ave, Neptune, NJ 07753. The listed phone number is (732) 775-5500.

What is Susan Gatton's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

Is Susan Gatton enrolled in Medicare?

Yes. Susan Gatton 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.

When was this NPI record last updated?

The NPPES record for Susan Gatton was last updated on November 27, 2017. 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.