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

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: July 19, 2026.

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

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
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

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

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 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.

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

Hospital Affiliations CMS Care Compare 2

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

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
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

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.

Family Medicine
17 W RED BANK AVE STE 201
WOODBURY, NJ 08096
Physician Assistant (Medical)
17 W RED BANK AVE STE 201
WOODBURY, NJ 08096
Internal Medicine
17 W RED BANK AVE STE 201
WOODBURY, NJ 08096
Nurse Practitioner
17 W RED BANK AVE STE 201
WOODBURY, NJ 08096

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.

Is Michael Monte Carlo affiliated with any hospitals?

According to CMS data, Michael Monte Carlo is affiliated with Cooper University Hospital 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 with the weekly NPPES data releases published by CMS.