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DR. STEVEN ANTHONY CULBERT M.D.
NPI 1619904000
Obstetrics & Gynecology in Lakewood, NJ

Active since June 28, 2006PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
101 PROSPECT ST, SUITE 202, LAKEWOOD, NJ 08701(732) 942-4442(732) 942-7024 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Steven Anthony Culbert M.d. NPPES

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

DR. STEVEN ANTHONY CULBERT M.D. (NPI 1619904000) is an individual obstetrics & gynecology provider in Lakewood, New Jersey, licensed in New Jersey (25MA06555800) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and is a graduate of Tufts University School Of Medicine (1995).

NPPES Registry Identity

NPI1619904000
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. STEVEN ANTHONY CULBERTCredential: M.D.
Location Address101 PROSPECT ST, SUITE 202Lakewood, NJ 08701-5020
Mailing Address101 Prospect St, Suite 202Lakewood, NJ 08701-5020 · (732) 942-4442 · Fax (732) 942-7024
Phone(732) 942-4442
Fax(732) 942-7024
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1995
Enumeration DateJune 28, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1619904000 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 · 25MA06555800
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.
101 PROSPECT ST, Lakewood, NJ 08701
Open in Google Maps ↗

Other Identifiers 1

Medicare UPING95263NJ

Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Steven Anthony Culbert 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 ID5698797926
PECOS Enrollment IDI20060103000057
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Steven Culbert reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Barnabas Health Medical Group PC
40 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Barnabas Health Medical Group, PC
48 mi
Specialist
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 757 clinicians in this Medicare group
NPI 1447206420 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 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.
43 services35 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.
38 services38 patients
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.
35 services35 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

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-Southern Campus

Acute Care Hospitals · Lakewood, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310084
Location600 River AveLakewood, NJ 08701 · Ocean County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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.

93.71/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality77.79
Promoting Interoperability100
Improvement Activities40

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.

STEVEN R LEFF MD
Ophthalmology
101 PROSPECT ST, SUITE 102
LAKEWOOD, NJ 08701
Ocean County (732) 367-0699
EYE CONSULTANTS PA
Ophthalmology
101 PROSPECT ST, SUITE 102
LAKEWOOD, NJ 08701
Ocean County (732) 367-0699
KIMRAD LLC
Radiology (Radiation Oncology)
101 PROSPECT ST, SUITE 111
LAKEWOOD, NJ 08701
Ocean County (732) 363-2699
DR. SUMAN JAIN M.D.
Pediatrics
101 PROSPECT ST
LAKEWOOD, NJ 08701
Ocean County (732) 363-1424
DR. KIRITKUMAR M PANDYA M.D.
Urology
101 PROSPECT ST, ST#101
LAKEWOOD, NJ 08701
Ocean County (732) 364-2262
NJ CATARACT AND LASER INSTITUTE
Clinic/Center (Ophthalmologic Surgery)
101 PROSPECT ST
LAKEWOOD, NJ 08701
Ocean County (908) 309-9862
MS. LORI A. SHERMAN MPH, MSN, CNM
Advanced Practice Midwife
101 PROSPECT ST, SUITE 202
LAKEWOOD, NJ 08701
Ocean County (732) 942-4442
SANDEEPA MAKARAND UTPAT MD
Internal Medicine
101 PROSPECT ST, SUITE 115
LAKEWOOD, NJ 08701
Ocean County (732) 905-6635

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 Steven Culbert's NPI number?

The NPI number for Steven Culbert is 1619904000. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Where is Steven Culbert located?

Steven Culbert practices at 101 Prospect St Suite 202, Lakewood, NJ 08701. The listed phone number is (732) 942-4442.

What is Steven Culbert's specialty?

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

Is Steven Culbert enrolled in Medicare?

Yes. Steven Culbert 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.

Which organizations bill Medicare for Steven Culbert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Culbert reassigns Medicare benefits to 2 organizations: Barnabas Health Medical Group PC (Elizabeth, NJ) and Barnabas Health Medical Group, PC (West Orange, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Culbert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Steven Culbert accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Steven Culbert 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 Steven Culbert affiliated with any hospitals?

According to CMS data, Steven Culbert is affiliated with Community Medical Center, Ocean Medical Center and Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Steven Culbert was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.