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DR. MICHAEL WALTER JOYCE M.D.
NPI 1780644005
Internal Medicine - Pulmonary Disease in Toms River, NJ

Active since March 23, 2006PECOS EnrolledAccepts Medicare Assignment
567 FISCHER BLVD, TOMS RIVER, NJ 08753(732) 506-6868(732) 506-6879 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2024, Mar 17, 2023 (2 updates tracked since 2023).

About Dr. Michael Walter Joyce M.d. NPPES

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

DR. MICHAEL WALTER JOYCE M.D. (NPI 1780644005) is an individual pulmonary disease provider in Toms River, New Jersey, licensed in New Jersey (MA65826) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS and is a graduate of State University Of New York Downstate Medical Center (1991).

NPPES Registry Identity

NPI1780644005
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. MICHAEL WALTER JOYCECredential: M.D.
Location Address567 FISCHER BLVDToms River, NJ 08753-6311
Mailing Address567 Fischer BlvdToms River, NJ 08753-6311 · (732) 506-6868 · Fax (732) 506-6879
Phone(732) 506-6868
Fax(732) 506-6879
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 1991
Enumeration DateMarch 23, 2006
Last NPPES UpdateNovember 8, 20242 updates tracked since enumeration
NPPES CertifiedNovember 8, 2024
✔ NPI 1780644005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in NJ · MA65826
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
567 FISCHER BLVD, Toms River, NJ 08753
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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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Walter Joyce 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 ID4486692902
PECOS Enrollment IDI20050425000323
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 7

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 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.
201 services141 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.
58 services54 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
40 services40 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
37 services37 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
26 services26 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
16 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08753 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.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
3 suppliers12 claims70 services$12.12 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers22 claims22 services$38.25 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers18 claims18 services$13.67 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
4 suppliers18 claims18 services$8.30 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers22 claims132 services$1.45 avg. paid by Medicare
Water chamber for humidifier, used with positive airway pressure device, replacement, each A7046
DME-Other DME · category DE001N
5 suppliers14 claims14 services$10.52 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 3

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

FRANK PAUL MATTEACE MD
Internal Medicine
567 FISCHER BLVD
TOMS RIVER, NJ 08753
Ocean County (732) 506-6868
FRANK P. MATTEACE MD, PA
Internal Medicine (Hospice and Palliative Medicine)
567 FISCHER BLVD
TOMS RIVER, NJ 08753
Ocean County (732) 506-6868
MISS STEPHANIE LYNN POLPERIO MSN, ACNPC-AG
Nurse Practitioner (Adult Health)
567 FISCHER BLVD
TOMS RIVER, NJ 08753
Ocean County (732) 506-6868

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 Michael Joyce's NPI number?

The NPI number for Michael Joyce is 1780644005. It was assigned to this individual provider in the NPPES registry on March 23, 2006.

Where is Michael Joyce located?

Michael Joyce practices at 567 Fischer Blvd, Toms River, NJ 08753. The listed phone number is (732) 506-6868.

What is Michael Joyce's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Michael Joyce enrolled in Medicare?

Yes. Michael Joyce 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 Michael Joyce accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Michael Joyce 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 Michael Joyce was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months 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.