JOHN D GUMINA M.D.
NPI 1831169515
Family Medicine in Freehold, NJ

Active since January 25, 2006PECOS EnrolledAccepts Medicare Assignment
94.95/100
CMS Quality Rating
3499 ROUTE 9 N, FREEHOLD, NJ 07728(732) 625-3166(732) 409-7473 Get Directions Write a Review

NPPES record last updated: May 26, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John D Gumina M.d. NPPES

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

JOHN D GUMINA M.D. (NPI 1831169515) is an individual family medicine provider in Freehold, New Jersey, licensed in New Jersey (MA30356) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Other (1970).

NPPES Registry Identity

NPI1831169515
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN D GUMINACredential: M.D.
Location Address3499 ROUTE 9 NFreehold, NJ 07728-3258
Mailing Address3499 Route 9 NFreehold, NJ 07728-3258 · (732) 625-3166 · Fax (732) 409-7473
Fax(732) 409-7473
Sole ProprietorNo
Medical School CMSOtherGraduated 1970
Enumeration DateJanuary 25, 2006
Last NPPES UpdateMay 26, 2010
NPI 1831169515 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 · MA30356
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.
3499 ROUTE 9 N, Freehold, NJ 07728

Other Identifiers 2

Medicare UPINC54044NJ
Medicare PIN186620PU2NJ

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

John D Gumina 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 ID7113907080
PECOS Enrollment IDI20101014001166
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 13

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.
793 services279 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.
153 services152 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.
146 services145 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.
115 services113 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.
112 services112 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
58 services58 patients

Hospital Affiliations CMS Care Compare 3

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

Ocean Medical Center

Acute Care Hospitals · Brick, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number310052
Location425 Jack Martin BlvdBrick, NJ 08724 · Ocean County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Centrastate Medical Center

Acute Care Hospitals · Freehold, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310111
Location901 West Main StreetFreehold, NJ 07728 · Monmouth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07728 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.

94.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality87.26
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

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
16 suppliers38 claims110 services$6.38 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
10 suppliers23 claims35 services$1.17 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers45 claims45 services$202.49 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 14

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

Nurse Practitioner (Acute Care)
3499 ROUTE 9 N
FREEHOLD, NJ 07728
Family Medicine
3499 ROUTE 9 N, SUITE 2B
FREEHOLD, NJ 07728
Nurse Practitioner (Adult Health)
3499 ROUTE 9 N, SUITE 2B
FREEHOLD, NJ 07728
Obstetrics & Gynecology
3499 ROUTE 9 N, STE 2B
FREEHOLD, NJ 07728
Chiropractor
3499 ROUTE 9 N
FREEHOLD, NJ 07728
Orthopaedic Surgery
3499 ROUTE 9 N
FREEHOLD, NJ 07728
Obstetrics & Gynecology (Gynecology)
3499 ROUTE 9 N
FREEHOLD, NJ 07728
Physician Assistant (Medical)
3499 ROUTE 9 N
FREEHOLD, NJ 07728

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 John Gumina's NPI number?

The NPI number for John Gumina is 1831169515. It was assigned to this individual provider in the NPPES registry on January 25, 2006.

Where is John Gumina located?

John Gumina practices at 3499 Route 9 N, Freehold, NJ 07728. The listed phone number is (732) 625-3166.

What is John Gumina's specialty?

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

Is John Gumina enrolled in Medicare?

Yes. John Gumina 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 John Gumina affiliated with any hospitals?

According to CMS data, John Gumina is affiliated with Ocean Medical Center, Jersey Shore University Medical Center and Centrastate Medical Center.

When was this NPI record last updated?

The NPPES record for John Gumina was last updated on May 26, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.