BRENDEN BRUNNER MD
NPI 1659768588
Internal Medicine in Toms River, NJ

Active since April 17, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
14 HOSPITAL DR, TOMS RIVER, NJ 08755(503) 789-2990 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 12, 2022, Jun 21, 2021, May 7, 2019 and 1 more (4 updates tracked since 2018).

About Brenden Brunner Md NPPES

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

BRENDEN BRUNNER MD (NPI 1659768588) is an individual internal medicine provider in Toms River, New Jersey, licensed in New Jersey (25MA11373100) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Monmouth Medical Center-southern Campus, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1659768588
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameBRENDEN BRUNNERCredential: MD
Location Address14 HOSPITAL DRToms River, NJ 08755-6402
Mailing AddressPo Box 1120Toms River, NJ 08754-1120 · (503) 789-2990
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateApril 17, 2015
Last NPPES UpdateApril 12, 20224 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1659768588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NJ · 25MA11373100✔ Licensed in LA · MD.309290
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.
14 HOSPITAL DR, Toms River, NJ 08755

Accepted 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

Brenden Brunner 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 ID9739488925
PECOS Enrollment IDI20220309003193
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

4

Medicare enrollment records show Brenden Brunner reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
14 HOSPITAL DR
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
Internal Medicine
1235 WHITEHORSE MERCERVILLE RD STE 306
Hamilton, NJ 08619
  • Reassigned Medicare billing, New Jersey enrollment
  • 39 clinicians in this Medicare group
Emergency Medicine
3 EXECUTIVE DR, STE 400
Somerset, NJ 08873
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,557 clinicians in this Medicare group
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group

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 3

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.

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.
4,442 services621 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
506 services462 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
282 services255 patients

Hospital Affiliations CMS Care Compare

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

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 08755 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
$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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
100%638 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%523 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
4 suppliers56 claims56 services$16.37 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 suppliers62 claims62 services$84.68 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 20

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

Internal Medicine
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Rehabilitation Practitioner
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Physical Medicine & Rehabilitation
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Registered Nurse
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Internal Medicine
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Hospitalist
14 HOSPITAL DR
TOMS RIVER, NJ 08755
Occupational Therapist
14 HOSPITAL DR
TOMS RIVER, NJ 08755

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 Brenden Brunner's NPI number?

The NPI number for Brenden Brunner is 1659768588. It was assigned to this individual provider in the NPPES registry on April 17, 2015.

Where is Brenden Brunner located?

Brenden Brunner practices at 14 Hospital Dr, Toms River, NJ 08755. The listed phone number is (503) 789-2990.

What is Brenden Brunner's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brenden Brunner enrolled in Medicare?

Yes. Brenden Brunner 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 Brenden Brunner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brenden Brunner reassigns Medicare benefits to 4 organizations: Brenden Brunner MD LLC (Toms River, NJ), First Docs LLC (Hamilton, NJ), Rwjbh Emergency Medicine Associates, LLC (Somerset, NJ) and Rwjbh Observation Associates LLC (Livingston, 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 Brenden Brunner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brenden Brunner accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, HMO Louisiana and Oscar Health list Brenden Brunner 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 Brenden Brunner affiliated with any hospitals?

According to CMS data, Brenden Brunner is affiliated with Monmouth Medical Center-Southern Campus.

When was this NPI record last updated?

The NPPES record for Brenden Brunner was last updated on April 12, 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.