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DONNA M KOBY
NPI 1639722242
Nurse Practitioner - Psychiatric/Mental Health in Toms River, NJ

Active since July 23, 2019PECOS EnrolledAccepts Medicare Assignment
1857 CABLE DR, TOMS RIVER, NJ 08753(908) 405-2117 Get Directions Write a Review

NPPES record last updated: April 18, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 18, 2022, Apr 14, 2022, Jul 23, 2019 (3 updates tracked since 2019).

About Donna M Koby NPPES

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

DONNA M KOBY (NPI 1639722242) is an individual psychiatric/mental health provider in Toms River, New Jersey, licensed in New Jersey (26NJ00936000) and active in the NPI registry since July 2019. She is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639722242
Entity TypeIndividualFemale
Primary Taxonomy363LP0808X
Provider Legal NameDONNA M KOBY
Location Address1857 CABLE DRToms River, NJ 08753-3124
Mailing Address1857 Cable DrToms River, NJ 08753-3124 · (908) 405-2117
Phone(908) 405-2117
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateJuly 23, 2019
Last NPPES UpdateApril 18, 20223 updates tracked since enumeration
NPPES CertifiedApril 18, 2022
✔ NPI 1639722242 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP0808X
License✔ Licensed in NJ · 26NJ00936000
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License 26NJ00936000 (NJ)
1857 CABLE DR, Toms River, NJ 08753
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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

Donna M Koby 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 ID9739419813
PECOS Enrollment IDI20191003000436
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 6

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.

Initial or subsequent psychiatric collaborative care management, first 30 minutes in a month of behavioral health care manager activities, in consultation with a psychiatric consultant, and directed by the treating physician or other qualified health care G2214
This service involves a behavioral health care manager working with a psychiatric consultant, under the guidance of your treating healthcare provider. They spend 30 minutes each month managing your psychiatric care collaboratively to ensure optimal mental health outcomes.
143 services19 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
113 services18 patients
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.
54 services17 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
52 services17 patients
Psychotherapy with evaluation and management visit, 45 minutes 90836
Psychotherapy with evaluation and management is a 45-minute session where a healthcare provider discusses your mental and emotional health. They assess your current state, manage any issues, and help you develop coping strategies. This service aims to improve your overall well-being.
30 services16 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.
28 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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.

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 Donna Koby's NPI number?

The NPI number for Donna Koby is 1639722242. It was assigned to this individual provider in the NPPES registry on July 23, 2019.

Where is Donna Koby located?

Donna Koby practices at 1857 Cable Dr, Toms River, NJ 08753. The listed phone number is (908) 405-2117.

What is Donna Koby's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Is Donna Koby enrolled in Medicare?

Yes. Donna Koby 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.

When was this NPI record last updated?

The NPPES record for Donna Koby was last updated on April 18, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.