MICHELE R LANZA MD
NPI 1558370635
Family Medicine in Red Bank, NJ

Active since August 06, 2006PECOS EnrolledAccepts Medicare Assignment
93.1/100
CMS Quality Rating
240 MAPLE AVE, RED BANK, NJ 07701(732) 576-1600(732) 576-1610 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 21, 2026, Jun 29, 2018 (2 updates tracked since 2018).

About Michele R Lanza Md NPPES

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

MICHELE R LANZA MD (NPI 1558370635) is an individual family medicine provider in Red Bank, New Jersey, licensed in New Jersey (25MA08072300) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1558370635
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMICHELE R LANZACredential: MD
Location Address240 MAPLE AVERed Bank, NJ 07701-1731
Mailing Address240 Maple AveRed Bank, NJ 07701-1731 · (732) 576-1600 · Fax (732) 576-1610
Fax(732) 576-1610
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateAugust 6, 2006
Last NPPES UpdateApril 21, 20262 updates tracked since enumeration
NPPES CertifiedApril 21, 2026
NPI 1558370635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NJ · 25MA08072300
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
240 MAPLE AVE, Red Bank, NJ 07701

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

Michele R Lanza 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 ID9931291846
PECOS Enrollment IDI20070823000458
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 7

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.
573 services308 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.
338 services203 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
179 services179 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.
48 services44 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.
30 services30 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
26 services26 patients

Hospital Affiliations CMS Care Compare 4

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean 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

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 07701 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
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.

93.1/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality99.63
Improvement Activities40
Cost77.49

Reported Quality Measures

Advance Care Plan
94%750 patients4/55-star benchmark: 100%
Appropriate Treatment for Upper Respiratory Infection (URI)
25%311 patients2/55-star benchmark: 100%
Breast Cancer Screening
63%849 patients3/55-star benchmark: 93%
Cervical Cancer Screening
59%1,224 patients3/55-star benchmark: 98%
Chlamydia Screening for Women
2%126 patients
Closing the Referral Loop: Receipt of Specialist Report
0%157 patients1/55-star benchmark: 87%
Colorectal Cancer Screening
58%1,609 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
82%652 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
5%190 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
46%190 patients3/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
100%6,852 patients5/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
38%714 patients2/55-star benchmark: 100%
HIV Screening
3%2,208 patients1/55-star benchmark: 60%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
83%2,356 patients4/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
44%2,535 patients3/55-star benchmark: 61%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 2% · 677 patients
Patients totalRate: 14% · 776 patients
16%776 patients3/55-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.

Other Providers at the Same Location NPPES

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

Family Medicine
240 MAPLE AVE
RED BANK, NJ 07701

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 Michele Lanza's NPI number?

The NPI number for Michele Lanza is 1558370635. It was assigned to this individual provider in the NPPES registry on August 6, 2006.

Where is Michele Lanza located?

Michele Lanza practices at 240 Maple Ave, Red Bank, NJ 07701. The listed phone number is (732) 576-1600.

What is Michele Lanza's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michele Lanza enrolled in Medicare?

Yes. Michele Lanza 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 Michele Lanza affiliated with any hospitals?

According to CMS data, Michele Lanza is affiliated with Riverview Medical Center, Community Medical Center, Ocean Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Michele Lanza was last updated on April 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.