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CAITLIN BRIANNA DUNKER
NPI 1639781388
Nurse Practitioner - Family in Brick, NJ

Active since August 22, 2020PECOS EnrolledAccepts Medicare Assignment
93.71/100
CMS Quality Rating
525 JACK MARTIN BLVD STE 301, BRICK, NJ 08724(732) 840-0067 Get Directions Write a Review

NPPES record last updated: October 6, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2024, Mar 4, 2023, Oct 6, 2020 and 1 more (4 updates tracked since 2020).

About Caitlin Brianna Dunker NPPES

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

CAITLIN BRIANNA DUNKER (NPI 1639781388) is an individual family provider in Brick, New Jersey, licensed in New Jersey (26NJ01063700) and active in the NPI registry since August 2020. She is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1639781388
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCAITLIN BRIANNA DUNKER
Location Address525 JACK MARTIN BLVD STE 301Brick, NJ 08724-7737
Mailing Address525 Jack Martin Blvd Ste 301Brick, NJ 08724-7737 · (732) 840-0067
Phone(732) 840-0067
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 22, 2020
Last NPPES UpdateOctober 6, 20244 updates tracked since enumeration
NPPES CertifiedOctober 6, 2024
✔ NPI 1639781388 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in NJ · 26NJ01063700
Also ListedRegistered NurseTaxonomy 163W00000X · License 26NR18186500 (NJ)
525 JACK MARTIN BLVD STE 301, Brick, NJ 08724
Open in Google Maps ↗

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

Caitlin Brianna Dunker 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 ID446633077
PECOS Enrollment IDI20221019000412
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

3

Medicare enrollment records show Caitlin Dunker reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allied Digestive Health, LLC
15 mi
Gastroenterology
187 ROUTE 36, MONMOUTH CORPORATE PARK CENTER I;BUILDING A, SUITE 230
West Long Beach, NJ 07764
  • Reassigned Medicare billing, New Jersey enrollment
  • 406 clinicians in this Medicare group
NPI 1265831259 (732) 222-3805
Hackensack Meridian Health Medical Group - Specialty Care PC
18 mi
Surgical Critical Care
331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 2,844 clinicians in this Medicare group
NPI 1215989249 (732) 807-0800
Rwjbh Primary Care Services
48 mi
Internal Medicine
95 OLD SHORT HILLS RD
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 428 clinicians in this Medicare group
NPI 1265037501 (973) 322-5000

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 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.

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.
68 services64 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.
55 services47 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.
32 services32 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.
22 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08724 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.

93.71/100
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 2

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

MRS. ALEXANDRA GREENBERG D.O.
Internal Medicine (Gastroenterology)
525 JACK MARTIN BLVD STE 301
BRICK, NJ 08724
Ocean County (732) 840-0067
LINDSAY BETH FEHRING NP
Nurse Practitioner (Adult Health)
525 JACK MARTIN BLVD STE 301
BRICK, NJ 08724
Ocean County (732) 840-0067

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 Caitlin Dunker's NPI number?

The NPI number for Caitlin Dunker is 1639781388. It was assigned to this individual provider in the NPPES registry on August 22, 2020.

Where is Caitlin Dunker located?

Caitlin Dunker practices at 525 Jack Martin Blvd Ste 301, Brick, NJ 08724. The listed phone number is (732) 840-0067.

What is Caitlin Dunker's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Caitlin Dunker enrolled in Medicare?

Yes. Caitlin Dunker 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 Caitlin Dunker's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Caitlin Dunker reassigns Medicare benefits to 3 organizations: Allied Digestive Health, LLC (West Long Beach, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ) and Rwjbh Primary Care Services (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 Caitlin Dunker's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Caitlin Dunker accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Caitlin Dunker 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 Caitlin Dunker affiliated with any hospitals?

According to CMS data, Caitlin Dunker is affiliated with Ocean Medical Center.

When was this NPI record last updated?

The NPPES record for Caitlin Dunker was last updated on October 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.