GERARDO DOMINADO DUMAPIT MD
NPI 1619929627
Internal Medicine in South Plainfield, NJ

Active since May 17, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 31D1042098 · Waiver
19.25/100
CMS Quality Rating
906 OAK TREE AVE, SUITE C, SOUTH PLAINFIELD, NJ 07080(908) 822-1213(908) 822-1088 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gerardo Dominado Dumapit Md NPPES

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

GERARDO DOMINADO DUMAPIT MD (NPI 1619929627) is an individual internal medicine provider in South Plainfield, New Jersey, licensed in New Jersey (25MA06258900) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through June 19, 2027, and is affiliated with Raritan Bay Medical Center.

NPPES Registry Identity

NPI1619929627
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGERARDO DOMINADO DUMAPITCredential: MD
Location Address906 OAK TREE AVE, SUITE CSouth Plainfield, NJ 07080-5127
Mailing Address906 Oak Tree Ave, Suite CSouth Plainfield, NJ 07080-5127 · (908) 822-1213 · Fax (908) 822-1088
Fax(908) 822-1088
Sole ProprietorYes
Medical School CMSOtherGraduated 1985
Enumeration DateMay 17, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1619929627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · 25MA06258900
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

906 OAK TREE AVE, South Plainfield, NJ 07080

Other Identifiers 2

Medicare UPING58153NJ
Medicare ID-Type Unspecified959120NJ

Accepted 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

Gerardo Dominado Dumapit 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 ID2668414806
PECOS Enrollment IDI20050526000906
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 31D1042098

Gerardo D Dumapit MD LLC · South Plainfield, NJ
Active · expires Jun 19, 2027
CLIA Number31D1042098
Laboratory TypePhysician Office
Certificate Effective DateJune 20, 2025
Certificate Expiration DateJune 19, 2027
Laboratory DirectorGerardo D. Dumapit MD
Laboratory Phone(908) 822-1213
Laboratory LocationGerardo D Dumapit MD LLC906 Oak Tree Road Suite C, South Plainfield, NJ 07080
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
1,580 services153 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
989 services84 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
329 services223 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
278 services41 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.
193 services193 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
153 services133 patients

Hospital Affiliations CMS Care Compare 2

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex 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 07080 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
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

19.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality15
Improvement Activities0
Cost37.85

Referred Medical Equipment & Supplies CMS DME claims 9

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
24 suppliers72 claims170 services$5.86 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
17 suppliers41 claims51 services$0.99 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
2 suppliers16 claims16 services$38.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers15 claims15 services$11.95 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
4 suppliers27 claims27 services$55.44 avg. paid by Medicare
Albuterol, up to 2.5 mg and ipratropium bromide, up to 0.5 mg, fda-approved final product, non-compounded, administered through dme J7620
DME-Drugs Administered Through DME · category DG006N
2 suppliers11 claims900 services$0.09 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 16

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

Obstetrics & Gynecology (Maternal & Fetal Medicine)
906 OAK TREE AVE, SUITE # K-L
SOUTH PLAINFIELD, NJ 07080
Internal Medicine (Gastroenterology)
906 OAK TREE AVE, SUITE J
SOUTH PLAINFIELD, NJ 07080
Pediatrics
906 OAK TREE AVE, SUITE E
SOUTH PLAINFIELD, NJ 07080
Dentist (General Practice)
906 OAK TREE AVE, SUITE O
SOUTH PLAINFIELD, NJ 07080
Ophthalmology
906 OAK TREE AVE, SUITE J,
SOUTH PLAINFIELD, NJ 07080
Dentist (General Practice)
906 OAK TREE AVE, SUITE M
SOUTH PLAINFIELD, NJ 07080
Optometrist
906 OAK TREE AVE, SUITE G,
SOUTH PLAINFIELD, NJ 07080
Dentist (Pediatric Dentistry)
906 OAK TREE AVE, M
SOUTH PLAINFIELD, NJ 07080

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1619929627, enumerated as an "individual" on May 17, 2006.

The provider is located at 906 OAK TREE AVE SUITE C SOUTH PLAINFIELD, NJ 07080 and the phone number is (908) 822-1213.

Internal Medicine with taxonomy code 207R00000X.

The provider might be accepting Accepts: Ambetter Health, Ambetter Health of Delaware,. Please consult your insurance carrier or call the provider to verify.

Gerardo Dumapit is affiliated with: RARITAN BAY MEDICAL CENTER and JFK MEDICAL CENTER.