Active NPI 1811035280 Individual Practitioner Male Practitioner

Dr. Michael A Sciarra , DO

Internal Medicine - Gastroenterology • Edgewater, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Sciarra, DO is a certified Internal Medicine - Gastroenterology practicing in Edgewater, NJ. With approximately 35 years of clinical experience since graduating from Rowan University School Of Osteopathic Medicine in 1991, Dr. Sciarra delivers high-quality medical care to the local community at 968 RIVER ROAD.

Dr. Sciarra is affiliated with Beaufort County Memorial Hospital and accepts Medicare assignment.

Frequently performed procedures and clinical services include biopsy of large bowel using an endoscope, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

968 River Road
Suite 200

Edgewater, NJ 07020

Telephone 2019692111

Fax 2019698015

Associated Practice Facility / Clinic

🏢 968 River Road Radiology Facility NPI 1679502215

Medicare Profile & Education

Medical School

Rowan University School Of Osteopathic Medicine

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine - Gastroenterology in Edgewater, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs Matches City Avg

City Avg: 35.0 Yrs

State Avg: 29.8 Yrs

Regional Practice Density

1 Specialists

Practicing in Edgewater, NJ (764 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

78.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Sciarra (35 Years) 35 Yrs

Edgewater Specialty Average (35.0 Years) 35.0 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
45380 Biopsy of large bowel using an endoscope	133	131	$1140.37	$144.72
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	108	101	$969.00	$112.81
99213 Established patient office or other outpatient visit, typically 15 minutes	86	63	$209.00	$89.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	79	79	$1213.00	$247.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	63	42	$309.00	$125.92
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	44	44	$308.00	$109.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$471.00	$164.07
99221 Initial hospital inpatient care per day, typically 30 minutes	23	22	$294.00	$81.49
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	21	21	$900.00	$181.69
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	18	$398.00	$128.66
45378 Diagnostic exam of large bowel using a flexible endoscope	15	14	$870.00	$173.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
45380 Biopsy of large bowel using an endoscope	70	70	$1186.80	$134.35
99231 Follow-up hospital inpatient care per day, typically 15 minutes	70	24	$129.77	$53.89
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	66	$995.03	$102.23
99213 Established patient office or other outpatient visit, typically 15 minutes	61	58	$283.51	$96.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$408.35	$138.39
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$1209.19	$227.34
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	30	17	$235.00	$86.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$439.36	$139.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$900.00	$174.84
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$477.71	$160.68

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	999	150	$333.16	$111.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	553	114	$234.71	$77.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	347	219	$433.99	$144.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	196	160	$444.84	$146.80
99442 Telephone medical discussion with physician, 11-20 minutes	122	99	$308.36	$79.75
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	98	91	$1402.14	$123.85
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	86	75	$641.86	$213.83
99213 Established patient office or other outpatient visit, typically 15 minutes	82	75	$309.76	$103.12
45380 Biopsy of large bowel using an endoscope	79	79	$1593.02	$163.09
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	51	51	$560.59	$189.18
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	27	27	$1649.11	$283.04
43246 Insertion of stomach tube using a flexible endoscope	21	20	$662.14	$209.30
45378 Diagnostic exam of large bowel using a flexible endoscope	18	17	$1225.00	$198.62
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	12	$130.00	$41.90
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	15	11	$425.00	$141.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	983	197	$240.00	$79.00
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	948	161	$345.00	$113.41
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	337	205	$370.00	$146.71
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	292	229	$450.00	$148.36
99442 Telephone medical discussion with physician, 11-20 minutes	247	180	$220.00	$104.05
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	193	18	$230.00	$76.98
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	128	117	$1264.43	$123.35
45380 Biopsy of large bowel using an endoscope	106	101	$1442.04	$174.55
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	74	74	$550.00	$187.74
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	63	54	$665.00	$218.23
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	35	33	$1507.81	$261.61
43246 Insertion of stomach tube using a flexible endoscope	26	24	$680.00	$214.38
45378 Diagnostic exam of large bowel using a flexible endoscope	24	23	$1110.00	$192.72
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	21	19	$935.00	$126.29
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	18	17	$490.00	$205.60
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	17	16	$430.00	$138.82
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	11	$2410.65	$230.04

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	2,858	111	$230.00	$76.67
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,839	280	$240.00	$79.19
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	357	301	$450.00	$150.71
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	327	193	$370.00	$121.52
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	258	67	$345.00	$114.80
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	148	131	$1260.00	$129.09
99306 Initial nursing facility visit, typically 45 minutes per day	112	104	$550.00	$181.43
45380 Biopsy of large bowel using an endoscope	90	86	$1440.00	$185.03
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$550.00	$184.21
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	36	33	$1495.00	$280.29
99442 Telephone medical discussion with physician, 11-20 minutes	32	31	$220.00	$84.95
45378 Diagnostic exam of large bowel using a flexible endoscope	31	29	$1110.00	$186.02
43255 Control of bleeding of esophagus, stomach, and/or upper small bowel using a flexible endoscope	27	26	$2330.00	$207.17
43246 Insertion of stomach tube using a flexible endoscope	27	23	$680.00	$225.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	19	18	$665.00	$222.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$490.00	$157.81
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	11	11	$935.00	$125.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	606	276	$369.75	$119.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	576	165	$239.97	$77.98
99213 Established patient office or other outpatient visit, typically 15 minutes	170	130	$254.47	$82.22
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	141	129	$1264.96	$126.42
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	135	128	$450.00	$145.41
45380 Biopsy of large bowel using an endoscope	86	85	$1449.01	$198.44
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	47	46	$1507.77	$259.51
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$550.00	$180.25
45378 Diagnostic exam of large bowel using a flexible endoscope	24	21	$1110.00	$202.31
45382 Control of bleeding of upper large bowel using a flexible endoscope	13	13	$2495.00	$257.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	676	317	$164.00	$76.29
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	515	148	$158.00	$73.55
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	422	243	$241.00	$111.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	165	152	$299.00	$136.96
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	153	143	$797.00	$123.97
45380 Biopsy of large bowel using an endoscope	119	113	$933.00	$135.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	108	108	$365.00	$167.97
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	61	56	$972.00	$262.35
45378 Diagnostic exam of large bowel using a flexible endoscope	33	31	$724.00	$183.91
43246 Insertion of stomach tube using a flexible endoscope	14	14	$456.00	$197.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	638	127	$157.31	$75.34
99213 Established patient office or other outpatient visit, typically 15 minutes	630	331	$163.46	$77.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	562	275	$239.59	$113.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	189	170	$793.41	$134.47
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	188	144	$297.82	$142.31
45380 Biopsy of large bowel using an endoscope	134	130	$928.04	$140.66
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	117	117	$363.72	$172.19
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	64	63	$966.22	$267.79
45378 Diagnostic exam of large bowel using a flexible endoscope	39	38	$722.62	$197.17
43246 Insertion of stomach tube using a flexible endoscope	12	11	$456.00	$217.66

Medical Specialties & State Licenses

Internal Medicine - Gastroenterology Primary Specialty

NUCC Taxonomy Code: 207RG0100X

State License NJ 25MB06004900

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

7163908 (NJ)

Hospital & Practice Group Affiliations

Beaufort County Memorial Hospital

300 Midtown Dr, Beaufort, SC 299065200

Phone: 8437700404

Beaufort County Memorial Hospital

955 Ribaut Rd, Beaufort, SC 299025441

Phone: 8435225983

Beaufort County Memorial Hospital

989 Ribaut Rd, Beaufort, SC 299025472

Practice Associates & Co-Workers

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

1 Associated Practitioners

Maria Montalvo , NP

Nurse Practitioner - Acute Care

NPI 1568864270

Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active April 03, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 03, 2015

Registered at 968 RIVER ROAD, SUITE 200, EDGEWATER, NJ 07020 (Tel: 2019692111)

📍

Updated Business Mailing Address April 03, 2015

Registered at 968 RIVER ROAD, SUITE 200, EDGEWATER, NJ 07020 (Tel: 2019692111)

👤

Provider Name / Credentials Updated April 03, 2015

Recorded as MICHAEL SCIARRA, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 03, 2015

Internal Medicine (License #25MB06004900 in NJ)

🟢

Initial NPI Registration & Enumeration February 01, 2007

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: 1811035280

Entity Type:

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

Enumeration Date: February 01, 2007

Last Update: April 03, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

968 River Road, Suite 200

Edgewater, NJ 07020

Phone: 2019692111

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

⚠️ Medical Disclaimer

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