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DAVID NATHIN M.D.
NPI 1457883159
Hospitalist in Middletown, NJ

Active since March 31, 2017PECOS EnrolledAccepts Medicare Assignment
72.93/100
CMS Quality Rating
480 RED HILL RD, MIDDLETOWN, NJ 07748(848) 800-5913 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 7, 2020, Mar 31, 2017 (2 updates tracked since 2017).

About David Nathin M.d. NPPES

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

DAVID NATHIN M.D. (NPI 1457883159) is an individual hospitalist provider in Middletown, New Jersey, licensed in New Jersey (25MA10866700) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1457883159
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDAVID NATHINCredential: M.D.
Location Address480 RED HILL RDMiddletown, NJ 07748-3052
Mailing Address480 Red Hill RdMiddletown, NJ 07748-3052 · (848) 800-5913
Phone(848) 800-5913
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2017
Last NPPES UpdateFebruary 26, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2026
✔ NPI 1457883159 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NJ · 25MA10866700
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 25MA10866700 (NJ)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
480 RED HILL RD, Middletown, NJ 07748
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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

David Nathin 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 ID7618393505
PECOS Enrollment IDI20200824000582
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 6

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.

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.
985 services395 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.
341 services170 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
231 services218 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
178 services171 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
66 services65 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.
24 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth 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 07748 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

72.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality68.21
Improvement Activities40
Cost51.37

Reported Quality Measures

Advance Care Plan
100%611 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%440 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 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier18 claims18 services$5.18 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier32 claims32 services$55.47 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier25 claims25 services$28.18 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 20

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

DR. JACOB SHIN M.D.
Radiology (Radiation Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6436
RAQUEL C BARRETO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 227-3742
SUZANNE PENNA MSN, RN
Registered Nurse (Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (646) 888-2629
ALLAN MARIANO
Physician Assistant (Surgical)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6000
DR. NICOLE BERARDONI SAPHIER M.D.
Radiology (Diagnostic Radiology)
480 RED HILL RD, MEMORIAL SLOAN KETTERING CANCER CENTER
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6304
PAULINE BETTY MOCK PHARMD
Pharmacist
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 228-6050
MRS. JESSICA ELANA DOMB NP
Nurse Practitioner (Family)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (848) 225-6265
DR. KRISTINE PEREGRINO LACUNA
Internal Medicine (Medical Oncology)
480 RED HILL RD
MIDDLETOWN, NJ 07748
Monmouth County (929) 452-1176

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 David Nathin's NPI number?

The NPI number for David Nathin is 1457883159. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is David Nathin located?

David Nathin practices at 480 Red Hill Rd, Middletown, NJ 07748. The listed phone number is (848) 800-5913.

What is David Nathin's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is David Nathin enrolled in Medicare?

Yes. David Nathin 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 David Nathin affiliated with any hospitals?

According to CMS data, David Nathin is affiliated with Riverview Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for David Nathin was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.