DR. THOMAS JOHN PLAHOVINSAK PH.D.
NPI 1811054778
Psychologist - Clinical in Toms River, NJ

Q: What is Thomas Plahovinsak's NPI number?

The NPI number for Thomas Plahovinsak is 1811054778. It was assigned to this individual provider in the NPPES registry on January 2, 2007.

Q: What is Thomas Plahovinsak's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 02, 2007PECOS EnrolledAccepts Medicare Assignment

100/100

CMS Quality Rating

448 LAKEHURST RD, TOMS RIVER, NJ 08755(732) 240-1617(732) 341-0757 Get Directions Write a Review

NPPES record last updated: March 6, 2008. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Thomas John Plahovinsak Ph.d. NPPES

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

DR. THOMAS JOHN PLAHOVINSAK PH.D. (NPI 1811054778) is an individual clinical provider in Toms River, New Jersey, licensed in New Jersey (2796) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1811054778

Entity TypeIndividualMale

Primary Taxonomy103TC0700X

Provider Legal NameDR. THOMAS JOHN PLAHOVINSAKCredential: PH.D.

Location Address448 LAKEHURST RDToms River, NJ 08755-6344

Mailing Address448 Lakehurst RdToms River, NJ 08755-6344 · (732) 240-1617 · Fax (732) 341-0757

Phone(732) 240-1617

Fax(732) 341-0757

Sole ProprietorNo

Medical School CMSOtherGraduated 1989

Enumeration DateJanuary 2, 2007

Last NPPES UpdateMarch 6, 2008

✔ NPI 1811054778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

License✔ Licensed in NJ · 2796

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

448 LAKEHURST RD, Toms River, NJ 08755

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Other Identifiers 1

Medicare PIN024100UNANJ

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. Thomas John Plahovinsak Ph.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 ID3274579115

PECOS Enrollment IDI20050630001062

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 4

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.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

854 services259 patients

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

849 services246 patients

Psychiatric diagnostic evaluation 90791

A psychiatric diagnostic evaluation is a thorough assessment used to identify any mental health conditions you may have. It involves a detailed discussion about your symptoms, thoughts, feelings and behavior patterns. Your medical history and family's mental health history are also considered.

368 services366 patients

Family psychotherapy with patient, 50 minutes 90847

Family psychotherapy is a 50-minute session where a therapist helps the patient and their family understand and manage mental health issues. It's a collaborative process that aims to improve communication, solve family problems, understand and handle special family situations, and create a better functioning home environment.

47 services33 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08755 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

$185.05 typical visit price

range $61.59 – $185.05

Typical copayment $46.26 (range $15.39 – $46.26)

Most-billed visit code 99205

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.

100/100

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

Scored as part of a group practice

Quality

90.54

Improvement Activities

Other Providers at the Same Location NPPES 8

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

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