DR. PETER JAMES HYNES M.D.
NPI 1497953210
Internal Medicine - Cardiovascular Disease in Sea Girt, NJ

Active since July 03, 2007PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
2130 HIGHWAY 35, BLDG C SUITE 321, SEA GIRT, NJ 08750(732) 974-6700(732) 974-6707 Get Directions Write a Review

NPPES record last updated: January 28, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Peter James Hynes M.d. NPPES

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

DR. PETER JAMES HYNES M.D. (NPI 1497953210) is an individual cardiovascular disease provider in Sea Girt, New Jersey, licensed in New Jersey (25MA08531000) and active in the NPI registry since July 2007. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1497953210
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. PETER JAMES HYNESCredential: M.D.
Location Address2130 HIGHWAY 35, BLDG C SUITE 321Sea Girt, NJ 08750-1011
Mailing Address2130 Highway 35, Bldg C Suite 321Sea Girt, NJ 08750-1011 · (732) 974-6700 · Fax (732) 974-6707
Fax(732) 974-6707
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateJuly 3, 2007
Last NPPES UpdateJanuary 28, 2013
NPI 1497953210 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in NJ · 25MA08531000
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
2130 HIGHWAY 35, Sea Girt, NJ 08750

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

Dr. Peter James Hynes 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 ID5799967196
PECOS Enrollment IDI20110307000407
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 33

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.
1,620 services912 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
792 services721 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.
563 services209 patients
Injection, regadenoson, 0.1 mg J2785
Regadenoson injection, 0.1 mg, is a medication used to help visualize the heart during a stress test. It works by increasing blood flow in the arteries of the heart. It's injected into a vein and is generally well-tolerated.
512 services128 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
469 services460 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.
340 services280 patients

Hospital Affiliations CMS Care Compare 5

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · 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

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08750 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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

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.

Speech-Language Pathologist
2130 HIGHWAY 35, SUITE 311
SEA GIRT, NJ 08750
Social Worker (Clinical)
2130 HIGHWAY 35, BLDG. A-114
SEA GIRT, NJ 08750
Counselor (Mental Health)
2130 HIGHWAY 35, SUITE A-114
SEA GIRT, NJ 08750
Internal Medicine
2130 HIGHWAY 35, BLDG C
SEA GIRT, NJ 08750
Allergy & Immunology (Allergy)
2130 HIGHWAY 35, SUITE 115A
SEA GIRT, NJ 08750
Pediatrics
2130 HIGHWAY 35
SEA GIRT, NJ 08750
Dentist (Periodontics)
2130 HIGHWAY 35, SUITE 121
SEA GIRT, NJ 08750
Optometrist
2130 HIGHWAY 35
SEA GIRT, NJ 08750

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 Peter Hynes's NPI number?

The NPI number for Peter Hynes is 1497953210. It was assigned to this individual provider in the NPPES registry on July 3, 2007.

Where is Peter Hynes located?

Peter Hynes practices at 2130 Highway 35 Bldg C Suite 321, Sea Girt, NJ 08750. The listed phone number is (732) 974-6700.

What is Peter Hynes's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Peter Hynes enrolled in Medicare?

Yes. Peter Hynes 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 Peter Hynes affiliated with any hospitals?

According to CMS data, Peter Hynes is affiliated with Raritan Bay Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Hynes was last updated on January 28, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.