DR. JOHN MICHAEL PELLEGRINO MD
NPI 1730254053
Surgery - Surgical Oncology in Brick, NJ

Active since November 21, 2006PECOS EnrolledAccepts Medicare Assignment
459 JACK MARTIN BLVD, BRICK, NJ 08724(732) 458-4600(732) 458-3885 Get Directions Write a Review

NPPES record last updated: June 25, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 Raritan Bay Medical Center, and is a graduate of Creighton University School Of Medicine (1987).

NPPES Registry Identity

NPI1730254053
Entity TypeIndividualMale
Primary Taxonomy2086X0206X
Provider Legal NameDR. JOHN MICHAEL PELLEGRINOCredential: MD
Location Address459 JACK MARTIN BLVDBrick, NJ 08724-7724
Mailing Address459 Jack Martin BlvdBrick, NJ 08724-7724 · (732) 458-4600 · Fax (732) 458-3885
Fax(732) 458-3885
Sole ProprietorYes
Medical School CMSCreighton University School Of MedicineGraduated 1987
Enumeration DateNovember 21, 2006
Last NPPES UpdateJune 25, 2013
NPI 1730254053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgery · Surgical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code2086X0206X
License Licensed in NJ · 25MA05283200
Definition

A surgical oncologist is a well-qualified surgeon who has obtained additional training and experience in the multidisciplinary approach to the prevention, diagnosis, treatment, and rehabilitation of cancer patients, and devotes a major portion of his or her professional practice to these activities and cancer research.

459 JACK MARTIN BLVD, Brick, NJ 08724

Other Identifiers 2

Medicare UPINF56640NJ
Medicare ID-Type Unspecified744213DAHNJ

Accepted Insurance

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

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.

PECOS PAC ID3072519131
PECOS Enrollment IDI20110725000682
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 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.

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
289 services212 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.
287 services231 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
86 services86 patients
Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 7.6-12.5 cm 12034
This procedure involves the repair of a moderate-sized wound (7.6-12.5 cm) on the scalp, underarms, trunk, arms, or legs. It includes cleaning, removing damaged tissue, and stitching the wound to promote healing. Local anesthesia is used for comfort.
28 services28 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
23 services22 patients

Hospital Affiliations CMS Care Compare 5

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

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

Monmouth Medical Center

Acute Care Hospitals · Long Branch, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310075
Location300 Second AvenueLong Branch, NJ 07740 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth 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
$185.05 typical visit price
range $61.59 – $185.05
Typical copayment $46.26 (range $15.39 – $46.26)
Most-billed visit code 99205
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.

Reported Quality Measures

Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
97%64 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
96%457 patients4/55-star benchmark: 97%
Perioperative Care: Venous Thromboembolism (VTE) Prophylaxis (When Indicated in ALL Patients)
Percentage of surgical patients aged 18 years and older undergoing procedures for which venous thromboembolism (VTE) prophylaxis is indicated in all patients, who had an order for Low Molecular Weight Heparin (LMWH), Low- Dose Unfractionated Heparin (LDUH)…
100%34 patients
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
95%457 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
15%457 patients1/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
3%457 patients
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.

Other Providers at the Same Location NPPES 14

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

Urology
459 JACK MARTIN BLVD, SUITE 3
BRICK, NJ 08724
Internal Medicine (Interventional Cardiology)
459 JACK MARTIN BLVD, STE 4
BRICK, NJ 08724
Nurse Practitioner (Family)
459 JACK MARTIN BLVD, STE 1
BRICK, NJ 08724
Anesthesiology (Pain Medicine)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Ambulance (Air Transport)
459 JACK MARTIN BLVD
BRICK, NJ 08724
Family Medicine
459 JACK MARTIN BLVD, SUITE 1
BRICK, NJ 08724
Surgery (Surgical Oncology)
459 JACK MARTIN BLVD, SUITE 5A
BRICK, NJ 08724
Family Medicine
459 JACK MARTIN BLVD, STE 1
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.

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 Raritan Bay Medical Center, Community Medical Center, Ocean Medical Center, Monmouth 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 with the weekly NPPES data releases published by CMS.