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DR. PAUL A KOLARSICK M.D.
NPI 1730526070
Colon & Rectal Surgery in Eatontown, NJ

Active since May 28, 2013PECOS EnrolledAccepts Medicare Assignment
46.47/100
CMS Quality Rating
10 INDUSTRIAL WAY E STE 104, EATONTOWN, NJ 07724(732) 389-1331 Get Directions Write a Review

NPPES record last updated: October 2, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Paul A Kolarsick M.d. NPPES

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

DR. PAUL A KOLARSICK M.D. (NPI 1730526070) is an individual colon & rectal surgery provider in Eatontown, New Jersey, licensed in New Jersey (25MA10659100) and active in the NPI registry since May 2013. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1730526070
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameDR. PAUL A KOLARSICKCredential: M.D.
Location Address10 INDUSTRIAL WAY E STE 104Eatontown, NJ 07724-3333
Mailing Address10 Industrial Way E Ste 104Eatontown, NJ 07724-3333 · (732) 389-1331
Phone(732) 389-1331
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateMay 28, 2013
Last NPPES UpdateOctober 2, 2019
✔ NPI 1730526070 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in NJ · 25MA10659100
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 25MA10659100 (NJ)
10 INDUSTRIAL WAY E STE 104, Eatontown, NJ 07724
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1300 2nd AveLong Branch, NJ 07740-6303 · Phone (732) 923-6769 · Fax (732) 923-6768
Location 2101 Prospect St Ste 214Lakewood, NJ 08701-5003 · Phone (732) 389-1331

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

Dr. Paul A Kolarsick 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 ID4789930231
PECOS Enrollment IDI20190903000600
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

2

Medicare enrollment records show Paul Kolarsick reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cnj Specialty Surgical Associate
Same address
Surgery
10 INDUSTRIAL WAY E
Eatontown, NJ 07724
  • Reassigned Medicare billing, New Jersey enrollment
  • 6 clinicians in this Medicare group
NPI 1629841614 (732) 389-1331
Ea Health - New Jersey LLC
5.5 mi
Emergency Medicine
1 RIVERVIEW PLZ
Red Bank, NJ 07701
  • Reassigned Medicare billing, New Jersey enrollment
  • 95 clinicians in this Medicare group
NPI 1063186641 (732) 741-2700

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 8

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 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.
46 services27 patients
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.
45 services31 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.
37 services37 patients
Diagnostic exam of anus using an endoscope 46600
This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.
25 services18 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
18 services18 patients
Partial removal of large bowel and reattachment to rectum using an endoscope 44207
This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07724 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
$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.

46.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality43.23
Promoting Interoperability0
Improvement Activities40
Cost61.68

Other Providers at the Same Location NPPES 2

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

SAMAR HABIBY MPH, RDN
Dietitian, Registered
10 INDUSTRIAL WAY E STE 104
EATONTOWN, NJ 07724
Monmouth County (732) 389-1331
DR. GURDEEP SINGH MATHAROO M.D.
Surgery
10 INDUSTRIAL WAY E STE 104
EATONTOWN, NJ 07724
Monmouth County (732) 389-1331

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 Paul Kolarsick's NPI number?

The NPI number for Paul Kolarsick is 1730526070. It was assigned to this individual provider in the NPPES registry on May 28, 2013.

Where is Paul Kolarsick located?

Paul Kolarsick practices at 10 Industrial Way E Ste 104, Eatontown, NJ 07724. The listed phone number is (732) 389-1331.

What is Paul Kolarsick's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Paul Kolarsick enrolled in Medicare?

Yes. Paul Kolarsick 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 Paul Kolarsick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Kolarsick reassigns Medicare benefits to 2 organizations: Cnj Specialty Surgical Associate (Eatontown, NJ) and Ea Health - New Jersey LLC (Red Bank, 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 Paul Kolarsick's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Kolarsick accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Paul Kolarsick 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 Paul Kolarsick affiliated with any hospitals?

According to CMS data, Paul Kolarsick is affiliated with Riverview Medical Center and Monmouth Medical Center.

When was this NPI record last updated?

The NPPES record for Paul Kolarsick was last updated on October 2, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.