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JOHN VACLAVIK MD
NPI 1548467137
Obstetrics & Gynecology in Ocean, NJ

Active since June 28, 2007PECOS EnrolledAccepts Medicare Assignment
804 W PARK AVE, OCEAN, NJ 07712(732) 695-2040(732) 493-1640 Get Directions Write a Review

NPPES record last updated: March 11, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Vaclavik Md NPPES

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

JOHN VACLAVIK MD (NPI 1548467137) is an individual obstetrics & gynecology provider in Ocean, New Jersey, licensed in New Jersey (25MA08315400) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center, and maintains a secondary practice location in Howell.

NPPES Registry Identity

NPI1548467137
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN VACLAVIKCredential: MD
Location Address804 W PARK AVEOcean, NJ 07712-7272
Mailing AddressPo Box 22581New York, NY 10087-2581 · (856) 669-6050 · Fax (856) 528-3117
Phone(732) 695-2040
Fax(732) 493-1640
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 28, 2007
Last NPPES UpdateMarch 11, 2021
NPPES CertifiedMarch 11, 2021
✔ NPI 1548467137 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA08315400
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
804 W PARK AVE, Ocean, NJ 07712
Open in Google Maps ↗

Secondary Practice Location 1

Location 13469 Route 9 NHowell, NJ 07731-3305 · Phone (732) 695-2040 · Fax (732) 493-1640

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

John Vaclavik 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 ID9436218237
PECOS Enrollment IDI20081110000004
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 3

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
46 services46 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
42 services42 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.
16 services13 patients

Hospital Affiliations CMS Care Compare

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07712 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.

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
87%256 patients4/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
99%1,345 patients
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…
41%1,330 patients2/55-star benchmark: 97%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Percentage of patients aged 18 years and older who were screened for tobacco use one or more times within 24 months AND who received tobacco cessation intervention if identified as a tobacco user
Patients screenedForUse: 100% · 1,363 patients
94%1,363 patients4/55-star benchmark: 98%
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.

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.

CRISTINA NICOLE CASHIN APN
Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 531-0010
MEGAN EDWARDS CPNP
Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 531-0010
MEKA B Z HARRIS DMD
Dentist (Orthodontics and Dentofacial Orthopedics)
804 W PARK AVE, OCEAN ORTHODONTICS BUILDING A
OCEAN, NJ 07712
Monmouth County (732) 493-4747
DR. ELIAS SASSON MD
Pediatrics
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 531-0010
JACK GOULD DO
Obstetrics & Gynecology
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 695-2040
C.VACCARO,M.D.,P.A.
Internal Medicine
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 493-4100
MRS. CYNTHIA MEILING MCLAUGHLIN APN-C
Nurse Practitioner (Pediatrics)
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 531-0010
ARLENE ROSENBERG NP
Nurse Practitioner (Obstetrics & Gynecology)
804 W PARK AVE
OCEAN, NJ 07712
Monmouth County (732) 695-2040

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 John Vaclavik's NPI number?

The NPI number for John Vaclavik is 1548467137. It was assigned to this individual provider in the NPPES registry on June 28, 2007.

Where is John Vaclavik located?

John Vaclavik practices at 804 W Park Ave, Ocean, NJ 07712. The listed phone number is (732) 695-2040.

What is John Vaclavik's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is John Vaclavik enrolled in Medicare?

Yes. John Vaclavik 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 John Vaclavik affiliated with any hospitals?

According to CMS data, John Vaclavik is affiliated with Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for John Vaclavik was last updated on March 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.