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PAULINA MAGDALENA SEDUTTO M.D.
NPI 1679735005
Obstetrics & Gynecology in Oakhurst, NJ

Active since June 26, 2008PECOS EnrolledAccepts Medicare Assignment
75.8/100
CMS Quality Rating
1900 ROUTE 35 STE 100, OAKHURST, NJ 07755(732) 663-0030(732) 663-0882 Get Directions Write a Review

NPPES record last updated: November 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Paulina Magdalena Sedutto M.d. NPPES

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

PAULINA MAGDALENA SEDUTTO M.D. (NPI 1679735005) is an individual obstetrics & gynecology provider in Oakhurst, New Jersey, licensed in New Jersey (25MA09761200) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1679735005
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NamePAULINA MAGDALENA SEDUTTOCredential: M.D.
Location Address1900 ROUTE 35 STE 100Oakhurst, NJ 07755-2758
Mailing Address1900 Route 35 Ste 100Oakhurst, NJ 07755-2758 · (732) 663-0030 · Fax (732) 663-0882
Phone(732) 663-0030
Fax(732) 663-0882
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 26, 2008
Last NPPES UpdateNovember 13, 2020
NPPES CertifiedNovember 13, 2020
✔ NPI 1679735005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in NJ · 25MA09761200
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1900 ROUTE 35 STE 100, Oakhurst, NJ 07755
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.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

Paulina Magdalena Sedutto 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 ID3870881527
PECOS Enrollment IDI20161012000741
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 Reassignment

Medicare enrollment records show Paulina Sedutto reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hackensack Meridian Health Medical Group - Specialty Care PC
5.8 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

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.

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.
43 services43 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.
24 services24 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.
23 services21 patients

Hospital Affiliations CMS Care Compare

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

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07755 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.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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 Paulina Sedutto's NPI number?

The NPI number for Paulina Sedutto is 1679735005. It was assigned to this individual provider in the NPPES registry on June 26, 2008.

Where is Paulina Sedutto located?

Paulina Sedutto practices at 1900 Route 35 Ste 100, Oakhurst, NJ 07755. The listed phone number is (732) 663-0030.

What is Paulina Sedutto's specialty?

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

Is Paulina Sedutto enrolled in Medicare?

Yes. Paulina Sedutto 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 organization bills Medicare for Paulina Sedutto's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paulina Sedutto reassigns Medicare benefits to Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). The 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 Paulina Sedutto's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paulina Sedutto accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paulina Sedutto 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 Paulina Sedutto affiliated with any hospitals?

According to CMS data, Paulina Sedutto is affiliated with Riverview Medical Center.

When was this NPI record last updated?

The NPPES record for Paulina Sedutto was last updated on November 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.