DOUGLAS A HUTT MD
NPI 1457440729
Internal Medicine - Pulmonary Disease in East Brunswick, NJ

Active since October 12, 2006PECOS EnrolledAccepts Medicare Assignment
52.07/100
CMS Quality Rating
593 CRANBURY RD, STE 1A, EAST BRUNSWICK, NJ 08816(732) 613-8880(732) 613-0077 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Douglas A Hutt Md NPPES

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

DOUGLAS A HUTT MD (NPI 1457440729) is an individual pulmonary disease provider in East Brunswick, New Jersey, licensed in New Jersey (25MA046029) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with University Medical Center Of Princeton At Plainsboro, and is a graduate of Columbia University College Of Physicians And Surgeons (1982).

NPPES Registry Identity

NPI1457440729
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDOUGLAS A HUTTCredential: MD
Location Address593 CRANBURY RD, STE 1AEast Brunswick, NJ 08816
Mailing Address593 Cranbury Rd, Ste 1aEast Brunswick, NJ 08816 · (732) 613-8880 · Fax (732) 613-0077
Fax(732) 613-0077
Sole ProprietorNo
Medical School CMSColumbia University College Of Physicians And SurgeonsGraduated 1982
Enumeration DateOctober 12, 2006
Last NPPES UpdateApril 17, 2024
NPPES CertifiedApril 17, 2024
NPI 1457440729 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in NJ · 25MA046029
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.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA04602900 (NJ)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 25MA04602900 (NJ)
593 CRANBURY RD, East Brunswick, NJ 08816

Other Identifiers 3

OtherLS104NJ · Oxford
Other533777NJ · Aetna Ushc
Medicaid0650307NJ

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

Douglas A Hutt 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 ID5092604405
PECOS Enrollment IDI20101213000984
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 15

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.
1,103 services421 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.
326 services112 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.
158 services125 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
144 services49 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
134 services63 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.
101 services94 patients

Hospital Affiliations CMS Care Compare 3

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

University Medical Center Of Princeton At Plainsboro

Acute Care Hospitals · Plainsboro, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310010
LocationOne-Five Plainsboro RoadPlainsboro, NJ 08536 · Middlesex County
Emergency services Birthing friendly

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

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.

52.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality86.95
Improvement Activities0
Cost43.24

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%126 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
96%476 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%508 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 31

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
10 suppliers103 claims103 services$30.01 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers70 claims70 services$68.23 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
8 suppliers68 claims199 services$27.03 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers52 claims308 services$13.28 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers33 claims183 services$12.40 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
11 suppliers100 claims100 services$42.58 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 12

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

Internal Medicine (Cardiovascular Disease)
593 CRANBURY RD, SUITE 2
EAST BRUNSWICK, NJ 08816
Internal Medicine (Cardiovascular Disease)
593 CRANBURY RD
EAST BRUNSWICK, NJ 08816
Nurse Practitioner (Gerontology)
593 CRANBURY RD
EAST BRUNSWICK, NJ 08816
Internal Medicine (Cardiovascular Disease)
593 CRANBURY RD, SUITE 2
EAST BRUNSWICK, NJ 08816
Internal Medicine (Cardiovascular Disease)
593 CRANBURY RD, SUITE 2
EAST BRUNSWICK, NJ 08816
Internal Medicine (Pulmonary Disease)
593 CRANBURY RD, SUITE 1A
EAST BRUNSWICK, NJ 08816
Durable Medical Equipment & Medical Supplies
593 CRANBURY RD, HEALTHY HEART SLEEP PROGRAMS AT CARDIOLOGY ASSOCIATES
EAST BRUNSWICK, NJ 08816
Clinical Medical Laboratory
593 CRANBURY RD
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 Douglas Hutt's NPI number?

The NPI number for Douglas Hutt is 1457440729. It was assigned to this individual provider in the NPPES registry on October 12, 2006.

Where is Douglas Hutt located?

Douglas Hutt practices at 593 Cranbury Rd Ste 1A, East Brunswick, NJ 08816. The listed phone number is (732) 613-8880.

What is Douglas Hutt's specialty?

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

Is Douglas Hutt enrolled in Medicare?

Yes. Douglas Hutt 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 Douglas Hutt accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Douglas Hutt 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 Douglas Hutt affiliated with any hospitals?

According to CMS data, Douglas Hutt is affiliated with University Medical Center Of Princeton At Plainsboro, Robert Wood Johnson University Hospital and Saint Peter's University Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Hutt was last updated on April 17, 2024. 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.