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CARY L PINELES MD
NPI 1760474951
Internal Medicine in Lakewood, NJ

Active since August 16, 2005PECOS Enrolled
500 RIVER AVE STE 140, SHORE MEDICAL SPECIALISTS, LAKEWOOD, NJ 08701(732) 363-7200(732) 363-8183 Get Directions Write a Review

NPPES record last updated: August 12, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Cary L Pineles Md NPPES

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

CARY L PINELES MD (NPI 1760474951) is an individual internal medicine provider in Lakewood, New Jersey, licensed in New Jersey (41763) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1760474951
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameCARY L PINELESCredential: MD
Location Address500 RIVER AVE STE 140, SHORE MEDICAL SPECIALISTSLakewood, NJ 08701-4743
Mailing Address500 River Ave Ste 140, Shore Medical SpecialistsLakewood, NJ 08701-4743 · (732) 363-7200 · Fax (732) 363-8183
Phone(732) 363-7200
Fax(732) 363-8183
Sole ProprietorNo
Enumeration DateAugust 16, 2005
Last NPPES UpdateAugust 12, 2014
✔ NPI 1760474951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 41763
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
500 RIVER AVE STE 140, Lakewood, NJ 08701
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Other Identifiers 4

Medicare UPINC54748
Medicare ID-Type Unspecified445422ALKNJ
Medicaid0683809NJ
Medicare UPINC54748NJ

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 (PECOS)

Cary L Pineles Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Cary Pineles reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Shore Medical Specialists
7.9 mi
Internal Medicine
9 HOSPITAL DR STE B1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1134217417 (732) 363-7200
Shoremedical5 LLC
7.9 mi
Internal Medicine
9 HOSPITAL DR STE B1
Toms River, NJ 08755
  • Reassigned Medicare billing, New Jersey enrollment
  • 8 clinicians in this Medicare group
NPI 1962981944 (732) 363-7200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08701 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
$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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
70%1,297 patients3/55-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.
0%793 patients1/55-star benchmark: 99%
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…
40%793 patients2/55-star benchmark: 100%
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers24 claims50 services$6.47 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers15 claims18 services$1.04 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers17 claims17 services$13.15 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers17 claims17 services$5.87 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$185.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

EDWARD M MARON MD
Internal Medicine
500 RIVER AVE STE 140
LAKEWOOD, NJ 08701
Ocean County (732) 363-7200
HARISH CHANDER MD
Internal Medicine
500 RIVER AVE STE 140, SHORE MEDICAL SPECIALISTS
LAKEWOOD, NJ 08701
Ocean County (732) 363-7200

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 Cary Pineles's NPI number?

The NPI number for Cary Pineles is 1760474951. It was assigned to this individual provider in the NPPES registry on August 16, 2005.

Where is Cary Pineles located?

Cary Pineles practices at 500 River Ave Ste 140 Shore Medical Specialists, Lakewood, NJ 08701. The listed phone number is (732) 363-7200.

What is Cary Pineles's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Cary Pineles enrolled in Medicare?

Yes. Cary Pineles is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Cary Pineles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Cary Pineles reassigns Medicare benefits to 2 organizations: Shore Medical Specialists (Toms River, NJ) and Shoremedical5 LLC (Toms River, 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 Cary Pineles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Cary Pineles accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Cary Pineles 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.

When was this NPI record last updated?

The NPPES record for Cary Pineles was last updated on August 12, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.