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DR. LOUIS MICHAEL BERSALONA M.D.
NPI 1851429682
Internal Medicine in Sea Girt, NJ

Active since March 01, 2007PECOS EnrolledAccepts Medicare Assignment
7.52/100
CMS Quality Rating
511 SEA GIRT AVE, SEA GIRT, NJ 08750(732) 282-9000(732) 282-9144 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Louis Michael Bersalona M.d. NPPES

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

DR. LOUIS MICHAEL BERSALONA M.D. (NPI 1851429682) is an individual internal medicine provider in Sea Girt, New Jersey, licensed in New Jersey (25MA06776900) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, is affiliated with Ocean Medical Center, and is a graduate of Rutgers New Jersey Medical School (1996).

NPPES Registry Identity

NPI1851429682
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LOUIS MICHAEL BERSALONACredential: M.D.
Location Address511 SEA GIRT AVESea Girt, NJ 08750-2923
Mailing Address511 Sea Girt AveSea Girt, NJ 08750-2923 · (732) 282-9000 · Fax (732) 282-9144
Phone(732) 282-9000
Fax(732) 282-9144
Sole ProprietorNo
Medical School CMSRutgers New Jersey Medical SchoolGraduated 1996
Enumeration DateMarch 1, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1851429682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA06776900
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
511 SEA GIRT AVE, Sea Girt, NJ 08750
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Other Identifiers 3

Medicare PIN045983NJ
Medicare ID-Type Unspecified029055PP2NJ
Medicare UPING99627NJ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 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. Louis Michael Bersalona 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 ID5698953040
PECOS Enrollment IDI20110707000248
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 Louis Bersalona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Seaview Medical Associates, LLC
Same address
Internal Medicine
511 SEA GIRT AVE
Sea Girt, NJ 08750
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1881882686 (732) 282-9000

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 9

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.
462 services299 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.
351 services208 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
248 services160 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.
45 services43 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.
32 services32 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.
31 services31 patients

Hospital Affiliations CMS Care Compare 2

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08750 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
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
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.

7.52/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost25.08

Referred Medical Equipment & Supplies CMS DME claims 2

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
7 suppliers19 claims41 services$4.98 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers12 claims12 services$0.56 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 2

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

DR. HOLLY ABATE BERSALONA M.D.
Internal Medicine
511 SEA GIRT AVE
SEA GIRT, NJ 08750
Monmouth County (732) 282-9000
SEAVIEW MEDICAL ASSOCIATES, LLC
Internal Medicine
511 SEA GIRT AVE
SEA GIRT, NJ 08750
Monmouth County (732) 282-9000

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 Louis Bersalona's NPI number?

The NPI number for Louis Bersalona is 1851429682. It was assigned to this individual provider in the NPPES registry on March 1, 2007.

Where is Louis Bersalona located?

Louis Bersalona practices at 511 Sea Girt Ave, Sea Girt, NJ 08750. The listed phone number is (732) 282-9000.

What is Louis Bersalona's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Louis Bersalona enrolled in Medicare?

Yes. Louis Bersalona 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 Louis Bersalona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Louis Bersalona reassigns Medicare benefits to Seaview Medical Associates, LLC (Sea Girt, 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 Louis Bersalona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Louis Bersalona accept?

Health plans from Oscar Health list Louis Bersalona 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 Louis Bersalona affiliated with any hospitals?

According to CMS data, Louis Bersalona is affiliated with Ocean Medical Center and Jersey Shore University Medical Center.

When was this NPI record last updated?

The NPPES record for Louis Bersalona was last updated on October 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.