Active NPI 1346663531 Individual Practitioner Female Practitioner

Dr. Alison Price , MD

Surgery • Berkeley Heights, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Alison Price, MD is a certified Surgery practicing in Berkeley Heights, NJ. With approximately 13 years of clinical experience since graduating from New York University School Of Medicine in 2013, Dr. Price delivers high-quality medical care to the local community at 1 DIAMOND HILL RD.

Dr. Price is affiliated with Summit Medical Group Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, biopsy of breast and placement of locating device using ultrasound, first growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Telephone 9082778770

Associated Practice Facility / Clinic

🏢 Summit Medical Group Pa Facility NPI 1942254347

Medicare Profile & Education

Medical School

New York University School Of Medicine

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Berkeley Heights, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

13 Yrs -4.3 yrs vs City Avg

City Avg: 17.3 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

7 Specialists

Practicing in Berkeley Heights, NJ (815 Statewide)

Telehealth Adoption Rate

28.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Price (13 Years) 13 Yrs

Berkeley Heights Specialty Average (17.3 Years) 17.3 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	123	109	$188.00	$98.40
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$412.00	$182.07
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	39	39	$3918.00	$541.15
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	19	16	$366.00	$196.65
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$516.00	$226.68
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$274.00	$122.10
19301 Partial removal of breast	14	14	$3964.29	$587.59
19081 Biopsy of breast accessed through the skin with stereotactic guidance	11	11	$3939.00	$554.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	106	96	$188.00	$99.34
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$412.00	$182.85
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	31	31	$3918.00	$585.09
19301 Partial removal of breast	18	17	$3700.00	$642.68
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	18	18	$516.00	$240.72
80053 Blood test, comprehensive group of blood chemicals	17	14	$40.00	$10.35
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	15	$366.00	$196.59
36415 Insertion of needle into vein for collection of blood sample	16	13	$15.00	$8.40
19081 Biopsy of breast accessed through the skin with stereotactic guidance	14	14	$3939.00	$583.91
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	12	$32.00	$7.61
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$274.00	$141.28
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$2300.00	$242.50
38900 Lymph node imaging during surgery	11	11	$758.00	$146.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	110	88	$188.00	$102.88
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	53	53	$412.00	$187.88
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	24	24	$3918.00	$601.89
36415 Insertion of needle into vein for collection of blood sample	21	20	$15.00	$2.96
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$274.00	$127.35
80053 Blood test, comprehensive group of blood chemicals	18	17	$40.00	$10.43
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	16	16	$366.00	$203.39
19081 Biopsy of breast accessed through the skin with stereotactic guidance	15	15	$3939.00	$619.41
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	15	15	$32.00	$7.67
19301 Partial removal of breast	14	14	$3700.00	$641.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$274.00	$133.94

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	96	87	$188.00	$102.68
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	62	62	$412.00	$188.21
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	44	43	$3918.00	$677.84
36415 Insertion of needle into vein for collection of blood sample	29	26	$15.00	$2.90
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	29	28	$366.00	$203.23
19301 Partial removal of breast	22	21	$3868.18	$732.33
19081 Biopsy of breast accessed through the skin with stereotactic guidance	21	21	$3939.00	$685.89
80053 Blood test, comprehensive group of blood chemicals	19	18	$40.00	$10.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	15	15	$516.00	$231.56
85025 Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count	14	13	$32.00	$7.21
38525 Biopsy or removal of lymph nodes of under the arm, open procedure	12	12	$2491.67	$248.50
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$274.00	$146.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	102	93	$188.00	$84.02
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	43	43	$412.00	$180.03
19083 Biopsy of breast and placement of locating device using ultrasound, first growth	25	25	$3918.00	$714.74
36415 Insertion of needle into vein for collection of blood sample	17	17	$15.00	$2.99
80053 Blood test, comprehensive group of blood chemicals	14	14	$40.00	$10.52
19081 Biopsy of breast accessed through the skin with stereotactic guidance	11	11	$3939.00	$722.58

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA10640600

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License PA MT204025

Hospital & Practice Group Affiliations

Summit Medical Group Pa

1 Diamond Hill Rd, Berkeley Heights, NJ 079222104

Phone: 9082734300

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners

Emily Haring , PA-C

Physician Assistant - Surgical

NPI 1184154601

Physician Assistant (Certified)

Virginia Comer , PA-C

Physician Assistant

NPI 1265605653

Physician Assistant (Certified)

Dr. Winnie Polen , DO

Surgery

NPI 1851371330

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events

📍

Updated Practice Location November 05, 2019

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778770)

📍

Updated Business Mailing Address November 05, 2019

Registered at 1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 079222104 (Tel: 9082778770)

✅

NPI Profile Active January 24, 2014

NPI status registered as active in NPPES database

📍

Updated Practice Location January 24, 2014

Registered at 3401 N BROAD ST, DEPT OF SURGERY, PHILADELPHIA, PA 191405103 (Tel: 2157074545)

📍

Updated Business Mailing Address January 24, 2014

Registered at 3401 N BROAD ST, DEPT OF SURGERY, PHILADELPHIA, PA 191405103

👤

Provider Name / Credentials Updated January 24, 2014

Recorded as ALISON PRICE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 24, 2014

Surgery (License #MT204025 in PA)

🟢

Initial NPI Registration & Enumeration January 24, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1346663531

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 24, 2014

Last Update: November 05, 2019

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1 Diamond Hill Rd

Berkeley Heights, NJ 079222104

Phone: 9082778770

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.