DR. JOHN MICHAEL PELLEGRINO MD
NPI 1730254053
Surgery - Surgical Oncology in Brick, NJ
About Dr. John Michael Pellegrino Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN MICHAEL PELLEGRINO MD (NPI 1730254053) is an individual surgical oncology provider in Brick, New Jersey, licensed in New Jersey (25MA05283200) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Morristown Medical Center, and is a graduate of Creighton University School Of Medicine (1987).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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
Dr. John Michael Pellegrino 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.
Medicare Billing Reassignments
2Medicare enrollment records show John Pellegrino reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Centrastate Specialists, PC
- 34 clinicians in this Medicare group
Morristown, NJ 07960
- Reassigned Medicare billing, New Jersey enrollment
- 1,699 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 5
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Morristown Medical Center
Acute Care Hospitals · Morristown, NJRaritan Bay Medical Center
Acute Care Hospitals · Perth Amboy, NJCommunity Medical Center
Acute Care Hospitals · Toms River, NJOcean Medical Center
Acute Care Hospitals · Brick, NJCentrastate Medical Center
Acute Care Hospitals · Freehold, NJPhysician 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.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 15
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRICK, NJ 08724
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 John Pellegrino's NPI number?
The NPI number for John Pellegrino is 1730254053. It was assigned to this individual provider in the NPPES registry on November 21, 2006.
Where is John Pellegrino located?
John Pellegrino practices at 459 Jack Martin Blvd, Brick, NJ 08724. The listed phone number is (732) 458-4600.
What is John Pellegrino's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Surgical Oncology, with taxonomy code 2086X0206X.
Is John Pellegrino enrolled in Medicare?
Yes. John Pellegrino 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 John Pellegrino's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Pellegrino reassigns Medicare benefits to 2 organizations: Centrastate Specialists, P.C. (Freehold, NJ) and Practice Associates Medical Group (Morristown, 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 John Pellegrino's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Pellegrino accept?
Health plans from Ambetter Health and Ambetter Health of Delaware list John Pellegrino 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 John Pellegrino affiliated with any hospitals?
According to CMS data, John Pellegrino is affiliated with Morristown Medical Center, Raritan Bay Medical Center, Community Medical Center, Ocean Medical Center and Centrastate Medical Center.
When was this NPI record last updated?
The NPPES record for John Pellegrino was last updated on June 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.