DR. MICHAEL E MONTE CARLO DO
NPI 1790909760
Family Medicine in Woodbury, NJ

Q: What is Michael Monte Carlo's NPI number?

The NPI number for Michael Monte Carlo is 1790909760. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Q: What is Michael Monte Carlo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since April 12, 2007PECOS EnrolledAccepts Medicare Assignment

99.3/100

CMS Quality Rating

17 W RED BANK AVE STE 201, WOODBURY, NJ 08096(856) 536-1515 Get Directions Write a Review

NPPES record last updated: November 16, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 16, 2020, Feb 10, 2020, May 11, 2017 (3 updates tracked since 2017).

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About Dr. Michael E Monte Carlo Do NPPES

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

DR. MICHAEL E MONTE CARLO DO (NPI 1790909760) is an individual family medicine provider in Woodbury, New Jersey, licensed in New Jersey (25MB08173000) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1790909760

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. MICHAEL E MONTE CARLOCredential: DO

Location Address17 W RED BANK AVE STE 201Woodbury, NJ 08096-1630

Mailing Address1 Federal St # 200Camden, NJ 08103-1088 · (856) 356-4924

Phone(856) 536-1515

Sole ProprietorNo

Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2004

Enumeration DateApril 12, 2007

Last NPPES UpdateNovember 16, 20203 updates tracked since enumeration

NPPES CertifiedNovember 16, 2020

✔ NPI 1790909760 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NJ · 25MB08173000

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

17 W RED BANK AVE STE 201, Woodbury, NJ 08096

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Secondary Practice Locations 2

Location 1159 S Broad StWoodbury, NJ 08096-2410 · Phone (844) 542-2273 · Fax (856) 384-0218

Location 2165 Princeton AveWest Deptford, NJ 08096-3123 · Phone (844) 542-2273 · Fax (856) 384-0218

Other Identifiers 1

Medicaid0221171NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Oscar Health.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. Michael E Monte Carlo Do 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 ID4789779570

PECOS Enrollment IDI20071009000636

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 Reassignment

Medicare enrollment records show Michael Monte Carlo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cooper Care Alliance, PC

7.0 mi

Specialist

1 COOPER PLZ
Camden, NJ 08103

Reassigned Medicare billing, New Jersey enrollment
119 clinicians in this Medicare group

NPI 1215551437 (856) 342-2627

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 12

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.

465 services274 patients

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.

325 services184 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.

267 services267 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.

167 services166 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

148 services147 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.

66 services54 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

47 services47 patients

Smoking and tobacco use intensive counseling, 4-10 minutes 99406

This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.

40 services20 patients

Injection of drug or substance under skin or into muscle 96372

This procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.

22 services15 patients

Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment G0402

An Initial Preventive Physical Examination, also known as a "Welcome to Medicare" visit, is a one-time, face-to-face visit during your first 12 months of Medicare enrollment. It includes a review of your health, as well as education and counseling about preventive services and further screenings.

14 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310014

Location1 Cooper PlazaCamden, NJ 08103 · Camden County

Emergency services Birthing friendly

Inspira Medical Center Vineland

Acute Care Hospitals · Vineland, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310032

Location1505 W Sherman AveVineland, NJ 08360 · Cumberland County

Emergency services Birthing friendly

Penn Presbyterian Medical Center

Acute Care Hospitals · Philadelphia, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390223

Location51 North 39th StreetPhiladelphia, PA 19104 · Philadelphia County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08096 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

$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.

99.3/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

80.96

Promoting Interoperability

99.45

Improvement Activities

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

21 suppliers86 claims260 services$6.42 avg. paid by Medicare

Normal, low and high calibrator solution / chips A4256

DME-Other DME · category DE000N

5 suppliers23 claims23 services$2.83 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

17 suppliers59 claims82 services$1.06 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers18 claims102 services$1.84 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

2 suppliers14 claims14 services$51.99 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers17 claims17 services$14.02 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 4

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

RACHEL FRANCESCA BOCCELLA DO

Internal Medicine

17 W RED BANK AVE STE 201
WOODBURY, NJ 08096

Gloucester County (856) 536-1515

JAIME LYNN ANDREWS D.O.

Family Medicine

17 W RED BANK AVE STE 201
WOODBURY, NJ 08096

Gloucester County (856) 536-1515

LINDSAY VANACKER FNP-C

Nurse Practitioner

17 W RED BANK AVE STE 201
WOODBURY, NJ 08096

Gloucester County (856) 536-1515

SUSAN TAMAGNI PA-C

Physician Assistant (Medical)

17 W RED BANK AVE STE 201
WOODBURY, NJ 08096

Gloucester County (856) 536-1515

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 Monte Carlo's NPI number?

The NPI number for Michael Monte Carlo is 1790909760. It was assigned to this individual provider in the NPPES registry on April 12, 2007.

Where is Michael Monte Carlo located?

Michael Monte Carlo practices at 17 W Red Bank Ave Ste 201, Woodbury, NJ 08096. The listed phone number is (856) 536-1515.

What is Michael Monte Carlo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Monte Carlo enrolled in Medicare?

Yes. Michael Monte Carlo 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 organization bills Medicare for Michael Monte Carlo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Monte Carlo reassigns Medicare benefits to Cooper Care Alliance, PC (Camden, NJ). The 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 Michael Monte Carlo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Monte Carlo accept?

Health plans from Ambetter Health and Oscar Health list Michael Monte Carlo 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 Michael Monte Carlo affiliated with any hospitals?

According to CMS data, Michael Monte Carlo is affiliated with Cooper University Hospital, Inspira Medical Center Vineland and Penn Presbyterian Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Monte Carlo was last updated on November 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.