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ALTHEA DUNA APN
NPI 1699271494
Nurse Practitioner - Acute Care in Egg Harbor Township, NJ

Active since April 02, 2018PECOS EnrolledAccepts Medicare Assignment
84.49/100
CMS Quality Rating
7 SARATOGA RD, EGG HARBOR TOWNSHIP, NJ 08234(609) 927-1036 Get Directions Write a Review

NPPES record last updated: April 2, 2018. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Althea Duna Apn NPPES

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

ALTHEA DUNA APN (NPI 1699271494) is an individual acute care provider in Egg Harbor Township, New Jersey, licensed in New Jersey (26NJ00812500) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS, is affiliated with Shore Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1699271494
Entity TypeIndividualFemale
Primary Taxonomy363LA2100X
Provider Legal NameALTHEA DUNACredential: APN
Location Address7 SARATOGA RDEgg Harbor Township, NJ 08234-6744
Mailing Address7 Saratoga RdEgg Harbor Township, NJ 08234-6744 · (609) 927-1036
Phone(609) 927-1036
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2018
✔ NPI 1699271494 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Acute CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2100X
License✔ Licensed in NJ · 26NJ00812500
7 SARATOGA RD, Egg Harbor Township, NJ 08234
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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

Althea Duna Apn 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 ID1456603455
PECOS Enrollment IDI20181002001896
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.

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.
271 services104 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
141 services126 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
73 services49 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.
29 services19 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.
23 services14 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.
17 services17 patients

Hospital Affiliations CMS Care Compare

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

Shore Medical Center

Acute Care Hospitals · Somers Point, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310047
Location100 Medical Center WaySomers Point, NJ 08244 · Atlantic County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08234 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.

84.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.33
Promoting Interoperability100
Improvement Activities40
Cost58.41

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 Althea Duna's NPI number?

The NPI number for Althea Duna is 1699271494. It was assigned to this individual provider in the NPPES registry on April 2, 2018.

Where is Althea Duna located?

Althea Duna practices at 7 Saratoga Rd, Egg Harbor Township, NJ 08234. The listed phone number is (609) 927-1036.

What is Althea Duna's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Acute Care, with taxonomy code 363LA2100X.

Is Althea Duna enrolled in Medicare?

Yes. Althea Duna 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.

Is Althea Duna affiliated with any hospitals?

According to CMS data, Althea Duna is affiliated with Shore Medical Center.

When was this NPI record last updated?

The NPPES record for Althea Duna was last updated on April 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.