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DR. PETER J MENCEL M.D.
NPI 1609858455
Internal Medicine - Hematology & Oncology in Manasquan, NJ

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1707 ATLANTIC AVE, MANASQUAN, NJ 08736(732) 528-0760(732) 528-0764 Get Directions Write a Review

NPPES record last updated: June 29, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Peter J Mencel M.d. NPPES

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

DR. PETER J MENCEL M.D. (NPI 1609858455) is an individual hematology & oncology provider in Manasquan, New Jersey, licensed in New Jersey (25MA05491800) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (1982).

NPPES Registry Identity

NPI1609858455
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. PETER J MENCELCredential: M.D.
Location Address1707 ATLANTIC AVEManasquan, NJ 08736-1147
Mailing Address1707 Atlantic AveManasquan, NJ 08736-1147 · (732) 528-0760 · Fax (732) 528-0764
Phone(732) 528-0760
Fax(732) 528-0764
Sole ProprietorNo
Medical School CMSOtherGraduated 1982
Enumeration DateNovember 17, 2005
Last NPPES UpdateJune 29, 2010
✔ NPI 1609858455 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NJ · 25MA05491800
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1707 ATLANTIC AVE, Manasquan, NJ 08736
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINF47865NJ
Medicare ID-Type Unspecified467811Q4JNJ
Medicaid5643406NJ

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 J Mencel 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 ID6406917426
PECOS Enrollment IDI20101111000976
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 4

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.
890 services262 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.
41 services36 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.
26 services26 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.
16 services13 patients

Hospital Affiliations CMS Care Compare 3

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08736 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

Referred Medical Equipment & Supplies CMS DME claims 4

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier19 claims19 services$18.41 avg. paid by Medicare
Infusion supplies for external drug infusion pump, per cassette or bag (list drugs separately) A4222
DME-Medical/Surgical Supplies · category DA000N
1 supplier20 claims20 services$35.83 avg. paid by Medicare
Ambulatory infusion pump, single or multiple channels, electric or battery operated, with administrative equipment, worn by patient E0781
DME-Other DME · category DE000N
1 supplier12 claims12 services$174.49 avg. paid by Medicare
Injection, fluorouracil, 500 mg J9190
Treatment-Chemotherapy · category RH002N
1 supplier20 claims187 services$1.68 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 12

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

DR. DAVID BENJAMIN GREENBERG MD
Internal Medicine (Hematology & Oncology)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760
MRS. MEGAN SKINNER APN
Nurse Practitioner (Primary Care)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760
MOSAIC MUSIC THERAPY & NEURO-REHABILITATION, LLC
Music Therapist
1707 ATLANTIC AVE, BUILDING 2, SUITE 2
MANASQUAN, NJ 08736
Monmouth County (732) 859-7038
ATLANTIC HEMATOLOGY ONCOLOGY ASSOCIATES, LLC
Internal Medicine (Hematology & Oncology)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760
MS. MADHURIMA ANNE MD
Internal Medicine (Hematology & Oncology)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760
JONATHAN SCHEICK MA, MMH, MT-BC, CBIS
Music Therapist
1707 ATLANTIC AVE, BUILDING 2 SUITE 2
MANASQUAN, NJ 08736
Monmouth County (732) 859-7038
DR. WILLIAM A LERNER M.D.
Internal Medicine (Hematology & Oncology)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760
ARTHUR A TOPILOW M.D.
Internal Medicine (Hematology & Oncology)
1707 ATLANTIC AVE
MANASQUAN, NJ 08736
Monmouth County (732) 528-0760

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 Mencel's NPI number?

The NPI number for Peter Mencel is 1609858455. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Peter Mencel located?

Peter Mencel practices at 1707 Atlantic Ave, Manasquan, NJ 08736. The listed phone number is (732) 528-0760.

What is Peter Mencel's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Peter Mencel enrolled in Medicare?

Yes. Peter Mencel 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 Mencel affiliated with any hospitals?

According to CMS data, Peter Mencel is affiliated with Ocean Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Peter Mencel was last updated on June 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.