MR. DOUGLAS J. TIBURZI PA
NPI 1811924087
Physician Assistant in Toms River, NJ

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
91.25/100
CMS Quality Rating
530 LAKEHURST RD STE 101, TOMS RIVER, NJ 08755(732) 349-8454(732) 341-0259 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Douglas J. Tiburzi Pa NPPES

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

MR. DOUGLAS J. TIBURZI PA (NPI 1811924087) is an individual physician assistant in Toms River, New Jersey, licensed in New Jersey (25MP00020500) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Community Medical Center, and maintains a secondary practice location in Morganville.

NPPES Registry Identity

NPI1811924087
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DOUGLAS J. TIBURZICredential: PA
Location Address530 LAKEHURST RD STE 101Toms River, NJ 08755-8063
Mailing Address530 Lakehurst Rd Ste 101Toms River, NJ 08755-8063 · (732) 349-8454 · Fax (732) 341-0259
Fax(732) 341-0259
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJune 26, 2006
Last NPPES UpdateJuly 18, 2025
NPPES CertifiedJuly 18, 2025
NPI 1811924087 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00020500
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MP00205 (NJ)
530 LAKEHURST RD STE 101, Toms River, NJ 08755

Other Names 1

Other Name (5)Mr. Doug J. Tiburzi Pa-c

Secondary Practice Location 1

Location 1186 County Road 520 # 1Morganville, NJ 07751-1246 · Phone (732) 349-8454 · Fax (732) 341-0259

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

Mr. Douglas J. Tiburzi Pa 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 ID7810183894
PECOS Enrollment IDI20101202000673, I20210106001833
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 3

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.

Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
48 services48 patients
Replacement of thigh bone and hip joint with prosthesis 27130
This procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
37 services37 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Community Medical Center

Acute Care Hospitals · Toms River, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310041
Location99 Rt 37 WestToms River, NJ 08755 · Ocean County
Emergency services Birthing friendly

Staten Island University Hospital

Acute Care Hospitals · Staten Island, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330160
Location475 Seaview AvenueStaten Island, NY 10305 · Richmond County
Emergency services Birthing friendly

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
$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
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
Most-billed visit code 99213
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.

91.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality74.92
Promoting Interoperability91.67
Improvement Activities40

Other Providers at the Same Location NPPES 13

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

Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Sports Medicine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Nurse Practitioner (Adult Health)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Podiatrist (Foot & Ankle Surgery)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
530 LAKEHURST RD STE 101
TOMS RIVER, NJ 08755

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 Douglas Tiburzi's NPI number?

The NPI number for Douglas Tiburzi is 1811924087. It was assigned to this individual provider in the NPPES registry on June 26, 2006. The provider is also known as Mr. Doug J. Tiburzi Pa-C.

Where is Douglas Tiburzi located?

Douglas Tiburzi practices at 530 Lakehurst Rd Ste 101, Toms River, NJ 08755. The listed phone number is (732) 349-8454.

What is Douglas Tiburzi's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Douglas Tiburzi enrolled in Medicare?

Yes. Douglas Tiburzi 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 Douglas Tiburzi affiliated with any hospitals?

According to CMS data, Douglas Tiburzi is affiliated with Community Medical Center and Staten Island University Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Tiburzi was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.