DR. RICK PUMILL M.D.
NPI 1538164975
Internal Medicine - Cardiovascular Disease in Edgewater, NJ

Q: What is Rick Pumill's NPI number?

The NPI number for Rick Pumill is 1538164975. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Q: Where is Rick Pumill located?

Rick Pumill practices at 103 River Rd, Edgewater, NJ 07020. The listed phone number is (201) 941-8100.

Q: What is Rick Pumill's specialty?

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

Q: Is Rick Pumill enrolled in Medicare?

Yes. Rick Pumill 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.

Q: What insurance does Rick Pumill accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rick Pumill 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.

Q: Is Rick Pumill affiliated with any hospitals?

According to CMS data, Rick Pumill is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Englewood Hospital And Medical Center, Ocean Medical Center and Hudson Regional Hospital.

Q: When was this NPI record last updated?

The NPPES record for Rick Pumill was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment

83.78/100

CMS Quality Rating

103 RIVER RD, EDGEWATER, NJ 07020(201) 941-8100(201) 941-2899 Get Directions Write a Review

NPPES record last updated: April 15, 2008. Verified against the NPPES registry weekly; last sync: October 04, 2026.

On this page

About Dr. Rick Pumill M.d. NPPES

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

DR. RICK PUMILL M.D. (NPI 1538164975) is an individual cardiovascular disease provider in Edgewater, New Jersey, licensed in New Jersey (25MA05187300) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1538164975

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameDR. RICK PUMILLCredential: M.D.

Location Address103 RIVER RDEdgewater, NJ 07020-1010

Mailing Address103 River RdEdgewater, NJ 07020-1010 · (201) 941-8100 · Fax (201) 941-2899

Phone(201) 941-8100

Fax(201) 941-2899

Sole ProprietorNo

Medical School CMSOtherGraduated 1984

Enumeration DateJune 14, 2005

Last NPPES UpdateApril 15, 2008

✔ NPI 1538164975 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 · 25MA05187300

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.

103 RIVER RD, Edgewater, NJ 07020

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Other Identifiers 10

Other25585NJ · Aetna Hmo Id #

Other0K7706NJ · Healthnet Id #

Medicare UPINE39379NJ

Other73F081NJ · Empire Bc/bs Of Ny Id #

Other4261300NJ · Aetna Ppo Id #

Other0074887000NJ · Amerihealth Group #

Medicaid2018705NJ

Other0090117NJ · Ghi Ppo Id #

Medicare PIN597057CN5NJ

OtherBP176NJ · Oxford Id #

Accepted Insurance

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

Dr. Rick Pumill 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 ID9335121052

PECOS Enrollment IDI20040604000783

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 14

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.

1,077 services711 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.

703 services641 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.

407 services393 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.

356 services296 patients

Electrocardiogram (ecg) up to 30 days continuous with transmission of patient triggered events with review and report by health care professional 93229

An Electrocardiogram (ECG) is a test that records your heart's electrical activity for up to 30 days. You trigger a transmission if you feel symptoms, which is then reviewed by a healthcare professional. The report helps diagnose heart conditions.

143 services137 patients

Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional 93228

An Electrocardiogram (ECG) is a non-invasive test that records the electrical signals in your heart. For up to 30 days, a small device will continuously monitor your heart's activity. A healthcare professional will then review the data and provide a report on your heart's function.

142 services136 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

105 services104 patients

Anticoagulant management of patient taking warfarin 93793

Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.

60 services14 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

55 services55 patients

Heart rhythm recording, analysis, report, review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93241

This procedure involves wearing a device for up to 7 days to continuously record your heart's electrical activity. The data collected helps in understanding your heart's rhythm and detecting irregularities if any. The results are then analyzed, reported, and interpreted by experts.

31 services31 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.

28 services28 patients

Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244

A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.

23 services23 patients

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.

23 services22 patients

Heart rhythm recording continous external ekg over more than 48 hours up to 7 days 93242

This procedure involves wearing a device, an external EKG, for up to 7 days to continuously monitor your heart rhythm. It helps detect irregularities that may not occur during a standard EKG. The device is non-invasive and safe.

22 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

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

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

Hudson Regional Hospital

Acute Care Hospitals · Secaucus, NJ

1/5 CMS rating

OwnershipProprietary

CMS Certification Number310118

Location55 Meadowlands PkwySecaucus, NJ 07094 · Hudson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07020 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

$79.09 typical visit price

range $20.97 – $155.92

Typical copayment $19.77 (range $5.24 – $38.98)

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.

83.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

93.85

Promoting Interoperability

Improvement Activities

Cost

61.24

Reported Quality Measures

Controlling High Blood Pressure

81%1,604 patients4/55-star benchmark: 91%

Coronary Artery Disease (CAD): Beta-Blocker Therapy Prior Myocardial Infarction (MI) or Left Ventricular Systolic Dysfunction (LVEF <= 40%)

91%43 patients4/55-star benchmark: 99%

Documentation of Current Medications in the Medical Record

99%5,171 patients4/55-star benchmark: 100%

e-Prescribing

99%2,063 patients4/55-star benchmark: 100%

Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented

40%1,725 patients3/55-star benchmark: 61%

Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention

Patients combinedPopulations: 77% · 1,580 patients

Patients screened: 80% · 1,580 patients

31%67 patients2/55-star benchmark: 100%

Provide Patients Electronic Access to Their Health Information

84%1,278 patients4/55-star benchmark: 100%

Statin Therapy for the Prevention and Treatment of Cardiovascular Disease

90%1,211 patients4/55-star benchmark: 91%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 1,480 patients

Patients totalRate: 1% · 1,483 patients

1%1,483 patients4/55-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 5

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

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

3 suppliers11 claims11 services$64.02 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

6 suppliers12 claims12 services$12.31 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

3 suppliers11 claims11 services$8.54 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

5 suppliers16 claims94 services$1.52 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

2 suppliers12 claims12 services$26.68 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.

BRIAN BECHTOLD

Physician Assistant

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

MR. ANDREI TERENTIEV MD

Internal Medicine

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 945-4288

GLOBAL MEDICAL GUARDIANS

Surgery

103 RIVER RD, SUITE 101
EDGEWATER, NJ 07020

Bergen County (201) 945-9906

DR. FERNANDO SEGOVIA M.D.

Internal Medicine (Cardiovascular Disease)

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

ANDREI TERENTIEV MD LLC

Internal Medicine

103 RIVER RD, SUITE 101
EDGEWATER, NJ 07020

Bergen County (201) 945-4288

RIVER ROAD DENTAL PC

Dentist

103 RIVER RD, SUITE 105
EDGEWATER, NJ 07020

Bergen County (201) 840-0045

MRS. JASMIN ROHIT PRASAD FNP

Nurse Practitioner (Family)

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 866-5151

CROSS COUNTY CARDIOLOGY P A

Specialist

103 RIVER RD
EDGEWATER, NJ 07020

Bergen County (201) 941-8100

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 Rick Pumill's NPI number?

The NPI number for Rick Pumill is 1538164975. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Rick Pumill located?

Rick Pumill practices at 103 River Rd, Edgewater, NJ 07020. The listed phone number is (201) 941-8100.

What is Rick Pumill's specialty?

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

Is Rick Pumill enrolled in Medicare?

Yes. Rick Pumill 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 Rick Pumill accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Rick Pumill 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 Rick Pumill affiliated with any hospitals?

According to CMS data, Rick Pumill is affiliated with Hackensack University Medical Center, Holy Name Medical Center, Englewood Hospital And Medical Center, Ocean Medical Center and Hudson Regional Hospital.

When was this NPI record last updated?

The NPPES record for Rick Pumill was last updated on April 15, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.