DR. MICHAEL J PENSAK M.D.
NPI 1942437561
Orthopaedic Surgery - Hand Surgery in Toms River, NJ

Active since June 22, 2009PECOS EnrolledAccepts Medicare Assignment
15.82/100
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 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2017, Dec 20, 2016 (2 updates tracked since 2016).

About Dr. Michael J Pensak M.d. NPPES

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

DR. MICHAEL J PENSAK M.D. (NPI 1942437561) is an individual hand surgery provider in Toms River, New Jersey, licensed in New Jersey (25MA09846100) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS, is affiliated with Raritan Bay Medical Center, and maintains a secondary practice location in Morganville.

NPPES Registry Identity

NPI1942437561
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDR. MICHAEL J PENSAKCredential: M.D.
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 CMSState University Of New York Downstate Medical CenterGraduated 2009
Enumeration DateJune 22, 2009
Last NPPES UpdateJuly 24, 20252 updates tracked since enumeration
NPPES CertifiedJuly 24, 2025
NPI 1942437561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in NJ · 25MA09846100
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
530 LAKEHURST RD STE 101, Toms River, NJ 08755

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

Dr. Michael J Pensak 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 ID6103145214
PECOS Enrollment IDI20160818002025
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 25

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 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.
597 services403 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
373 services249 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
259 services259 patients
Injection into tendon or ligament 20550
An injection into a tendon or ligament involves placing medication directly into these areas to help reduce inflammation and pain. It's often used for conditions like arthritis or tendonitis. The procedure is quick and usually involves a local anesthetic.
245 services189 patients
X-ray of wrist, minimum of 3 views 73110
An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.
187 services106 patients
Injection, methylprednisolone acetate, 40 mg J1030
Methylprednisolone acetate is a medication given through an injection. It's a type of corticosteroid, which reduces inflammation and immune responses. It can be used to treat various conditions like arthritis, allergies, and skin diseases. This dose is 40 mg.
153 services109 patients

Hospital Affiliations CMS Care Compare 3

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

Raritan Bay Medical Center

Acute Care Hospitals · Perth Amboy, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310039
Location530 New Brunswick AvePerth Amboy, NJ 08861 · Middlesex County
Emergency services Birthing friendly

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

Bayshore Medical Center

Acute Care Hospitals · Holmdel, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310112
Location727 N Beers StHolmdel, NJ 07733 · Monmouth County
Emergency services

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.

15.82/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost52.75

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Shoulder orthosis, figure of eight design abduction restrainer, canvas and webbing, prefabricated, off-the-shelf L3660
DME-Orthotic Devices · category DF000N
1 supplier11 claims11 services$80.20 avg. paid by Medicare
Wrist hand finger orthosis, without joint(s), prefabricated, off-the-shelf, any type L3809
DME-Orthotic Devices · category DF000N
1 supplier14 claims15 services$184.47 avg. paid by Medicare
Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
2 suppliers87 claims100 services$58.20 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
3 suppliers14 claims14 services$200.02 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier56 claims67 services$65.57 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 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 Michael Pensak's NPI number?

The NPI number for Michael Pensak is 1942437561. It was assigned to this individual provider in the NPPES registry on June 22, 2009.

Where is Michael Pensak located?

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

What is Michael Pensak's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is Michael Pensak enrolled in Medicare?

Yes. Michael Pensak 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 Pensak affiliated with any hospitals?

According to CMS data, Michael Pensak is affiliated with Raritan Bay Medical Center, Community Medical Center and Bayshore Medical Center.

When was this NPI record last updated?

The NPPES record for Michael Pensak was last updated on July 24, 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.