Active NPI 1518967249 Individual Practitioner Male Practitioner

John Manicone

Surgery • Millburn, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

John Manicone is a certified Surgery practicing in Millburn, NJ. With approximately 37 years of clinical experience since graduating from Rutgers R W Johnson Medical School (Cam/New Bruns/Pisc) in 1989, John Manicone delivers high-quality medical care to the local community at 225 MILLBURN AVE.

John Manicone is affiliated with Barnabas Health Medical Group Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include ultrasound study of arm or leg veins with compression and maneuvers, established patient outpatient office visit, ultrasound of both sides of head and neck blood flow. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

225 Millburn Ave
Suite 104b

Millburn, NJ 070411737

Telephone 9733795888

Fax 9739129757

Associated Practice Facility / Clinic

🏢 Millburn Surgical Associates Pa Facility NPI 1407893068

Medicare Profile & Education

Medical School

Rutgers R W Johnson Medical School (Cam/new Bruns/pisc)

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Millburn, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs Matches City Avg

City Avg: 37.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

2 Specialists

Practicing in Millburn, NJ (815 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Manicone (37 Years) 37 Yrs

Millburn Specialty Average (37.0 Years) 37.0 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
93970 Ultrasound study of arm or leg veins with compression and maneuvers	119	111	$410.08	$34.41
99213 Established patient office or other outpatient visit, typically 15 minutes	55	17	$150.00	$70.11
93880 Ultrasound of both sides of head and neck blood flow	52	52	$400.00	$39.74
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	14	$125.00	$37.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	37	$316.22	$21.97
93923 Complete ultrasound study of arm and leg arteries	36	34	$422.22	$22.65
93970 Ultrasound study of arm or leg veins with compression and maneuvers	20	17	$400.00	$34.35
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	19	19	$300.00	$138.21
11042 Removal of skin and tissue, 20.0 sq cm or less	18	14	$500.00	$63.27
99213 Established patient office or other outpatient visit, typically 15 minutes	18	14	$150.00	$99.63
93880 Ultrasound of both sides of head and neck blood flow	18	18	$400.00	$39.77
93925 Ultrasound of leg arteries or artery grafts	13	12	$550.00	$39.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$300.00	$181.95
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	11	$200.00	$140.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$300.00	$141.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	76	71	$415.79	$35.35
93880 Ultrasound of both sides of head and neck blood flow	24	22	$400.00	$40.78
93880 Ultrasound of both sides of head and neck blood flow	23	22	$417.39	$40.78
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	19	19	$300.00	$22.71
93970 Ultrasound study of arm or leg veins with compression and maneuvers	17	16	$400.00	$35.35
93923 Complete ultrasound study of arm and leg arteries	16	16	$425.00	$22.98
93923 Complete ultrasound study of arm and leg arteries	15	15	$400.00	$23.00
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$300.00	$182.63
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$200.00	$140.67
93925 Ultrasound of leg arteries or artery grafts	13	13	$576.92	$39.66
93926 Ultrasound of one leg arteries or artery grafts	11	11	$400.00	$24.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	95	89	$404.21	$36.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	65	13	$76.92	$41.65
93880 Ultrasound of both sides of head and neck blood flow	41	41	$400.00	$42.07
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	31	$400.00	$36.49
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	32	32	$309.38	$23.23
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	25	25	$300.00	$179.95
93880 Ultrasound of both sides of head and neck blood flow	25	25	$416.00	$42.07
93923 Complete ultrasound study of arm and leg arteries	24	24	$416.67	$23.80
93923 Complete ultrasound study of arm and leg arteries	23	23	$400.00	$23.90
99213 Established patient office or other outpatient visit, typically 15 minutes	21	15	$150.00	$101.74
93925 Ultrasound of leg arteries or artery grafts	19	18	$550.00	$41.48
93925 Ultrasound of leg arteries or artery grafts	19	19	$550.00	$41.42
76706 Ultrasound scan of abdominal aorta	19	19	$450.00	$28.89
93922 Ultrasound study of arm and leg arteries	15	15	$300.00	$13.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	120	112	$400.00	$36.35
93880 Ultrasound of both sides of head and neck blood flow	63	61	$400.00	$42.17
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	43	41	$306.98	$23.67
93880 Ultrasound of both sides of head and neck blood flow	40	40	$410.00	$42.17
99231 Follow-up hospital inpatient care per day, typically 15 minutes	33	14	$75.00	$41.62
93923 Complete ultrasound study of arm and leg arteries	32	31	$412.50	$23.58
93923 Complete ultrasound study of arm and leg arteries	32	31	$400.00	$23.58
99213 Established patient office or other outpatient visit, typically 15 minutes	25	17	$150.00	$103.23
76706 Ultrasound scan of abdominal aorta	24	24	$441.67	$29.84
93925 Ultrasound of leg arteries or artery grafts	23	22	$647.83	$41.41
93970 Ultrasound study of arm or leg veins with compression and maneuvers	22	19	$400.00	$36.50
93925 Ultrasound of leg arteries or artery grafts	21	21	$657.14	$41.41
93926 Ultrasound of one leg arteries or artery grafts	20	17	$420.00	$25.41
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$300.00	$188.21
93922 Ultrasound study of arm and leg arteries	18	17	$300.00	$13.84
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	12	12	$300.00	$147.74

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	88	17	$125.00	$28.35
93970 Ultrasound study of arm or leg veins with compression and maneuvers	83	79	$404.82	$37.31
93880 Ultrasound of both sides of head and neck blood flow	61	59	$400.00	$68.96
93923 Complete ultrasound study of arm and leg arteries	42	40	$400.00	$55.64
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	37	36	$308.11	$24.33
93970 Ultrasound study of arm or leg veins with compression and maneuvers	36	29	$400.00	$142.51
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	12	$75.00	$42.81
99213 Established patient office or other outpatient visit, typically 15 minutes	34	26	$150.00	$84.52
93880 Ultrasound of both sides of head and neck blood flow	32	32	$400.00	$43.61
93925 Ultrasound of leg arteries or artery grafts	30	28	$700.00	$77.35
93923 Complete ultrasound study of arm and leg arteries	29	28	$413.79	$24.17
76706 Ultrasound scan of abdominal aorta	27	27	$400.00	$30.23
93925 Ultrasound of leg arteries or artery grafts	25	24	$700.00	$42.83
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$300.00	$183.08
11042 Removal of skin and tissue, 20.0 sq cm or less	20	11	$500.00	$63.47
93922 Ultrasound study of arm and leg arteries	15	14	$300.00	$13.85

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	121	114	$403.31	$36.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	115	21	$125.00	$27.42
93880 Ultrasound of both sides of head and neck blood flow	77	75	$400.00	$82.79
93880 Ultrasound of both sides of head and neck blood flow	55	55	$400.00	$43.16
93923 Complete ultrasound study of arm and leg arteries	52	49	$400.00	$84.43
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	50	49	$300.00	$24.22
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	48	11	$125.00	$50.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	39	34	$400.00	$223.20
99213 Established patient office or other outpatient visit, typically 15 minutes	39	28	$150.00	$82.15
99231 Follow-up hospital inpatient care per day, typically 15 minutes	36	19	$75.00	$42.18
93923 Complete ultrasound study of arm and leg arteries	36	36	$400.00	$23.72
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$180.05
93925 Ultrasound of leg arteries or artery grafts	32	31	$725.00	$42.32
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	29	28	$300.00	$146.85
93925 Ultrasound of leg arteries or artery grafts	26	26	$700.00	$62.03
93926 Ultrasound of one leg arteries or artery grafts	16	13	$400.00	$25.98
93922 Ultrasound study of arm and leg arteries	16	16	$300.00	$13.58
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$400.00	$217.09
76706 Ultrasound scan of abdominal aorta	11	11	$318.18	$38.71

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
93970 Ultrasound study of arm or leg veins with compression and maneuvers	167	158	$409.58	$37.01
99231 Follow-up hospital inpatient care per day, typically 15 minutes	167	52	$75.75	$42.14
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	99	25	$125.00	$27.38
93880 Ultrasound of both sides of head and neck blood flow	89	87	$413.48	$43.11
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	17	$125.00	$49.12
93880 Ultrasound of both sides of head and neck blood flow	59	52	$400.00	$143.18
99213 Established patient office or other outpatient visit, typically 15 minutes	59	44	$150.00	$79.93
93923 Complete ultrasound study of arm and leg arteries	54	49	$400.00	$98.95
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	54	51	$300.00	$24.20
99183 Management and supervision of oxygen chamber therapy per session	53	13	$509.43	$118.63
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	50	49	$300.00	$147.12
93923 Complete ultrasound study of arm and leg arteries	47	46	$425.53	$23.68
93970 Ultrasound study of arm or leg veins with compression and maneuvers	39	34	$400.00	$226.67
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$300.00	$180.59
93925 Ultrasound of leg arteries or artery grafts	26	26	$700.00	$42.70
93925 Ultrasound of leg arteries or artery grafts	24	23	$700.00	$97.68
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	20	14	$500.00	$13.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	15	$200.00	$118.93
93926 Ultrasound of one leg arteries or artery grafts	18	18	$400.00	$25.97
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	18	17	$300.00	$141.14
93922 Ultrasound study of arm and leg arteries	13	13	$300.00	$13.56
93990 Ultrasound of dialysis access	12	12	$433.33	$26.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$200.00	$82.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	202	30	$125.00	$27.43
93970 Ultrasound study of arm or leg veins with compression and maneuvers	190	182	$402.11	$37.48
99231 Follow-up hospital inpatient care per day, typically 15 minutes	130	56	$75.00	$42.18
93880 Ultrasound of both sides of head and neck blood flow	105	104	$400.00	$43.18
93971 Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers	61	58	$300.00	$23.87
99213 Established patient office or other outpatient visit, typically 15 minutes	58	42	$150.00	$80.79
11042 Removal of skin and tissue, 20.0 sq cm or less	43	17	$500.00	$64.16
93923 Complete ultrasound study of arm and leg arteries	41	41	$400.00	$24.18
93923 Complete ultrasound study of arm and leg arteries	39	34	$400.00	$146.11
93970 Ultrasound study of arm or leg veins with compression and maneuvers	37	29	$400.00	$227.56
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	36	32	$300.00	$147.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	35	13	$125.00	$46.75
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	34	27	$200.00	$115.75
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	34	34	$300.00	$179.79
93925 Ultrasound of leg arteries or artery grafts	34	33	$700.00	$42.40
93880 Ultrasound of both sides of head and neck blood flow	30	24	$400.00	$232.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$400.00	$218.31
93926 Ultrasound of one leg arteries or artery grafts	17	17	$400.00	$26.01
93990 Ultrasound of dialysis access	14	11	$400.00	$26.28
G0365 Vessel mapping of vessels for hemodialysis access (services for preoperative vessel mapping prior to creation of hemodialysis access using an autogenous hemodialysis conduit, including arterial inflow and venous outflow)	12	11	$500.00	$13.19

Medical Specialties & State Licenses

CMS Verified: 2024-12-12

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA05569400

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.

Specialist

NUCC Taxonomy Code: 174400000X

State License NJ 25MA05569400

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6893201 (NJ)

Commercial Insurance / Payer ID Amerigroup #

84168 (NJ)

Commercial Insurance / Payer ID Amerihealth #

0526328000 (NJ)

Commercial Insurance / Payer ID Healthnet #

0K3218 (NJ)

Commercial Insurance / Payer ID Aetna Ppo #

5093166 (NJ)

Commercial Insurance / Payer ID Horizon Nj Health #

1059497 (NJ)

Commercial Insurance / Payer ID Aetna Hmo #

575898 (NJ)

Commercial Insurance / Payer ID Ghi Ppo #

5710066 (NJ)

Commercial Insurance / Payer ID Railroad Mdcr #

770001140 (NJ)

Hospital & Practice Group Affiliations

Barnabas Health Medical Group Pc

201 Lyons Ave, Newark, NJ 071122027

Phone: 9739268230

Practice Associates & Co-Workers

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

4 Associated Practitioners

Victor Parsonnet

Specialist

NPI 1043210784

Dr. Paul Saccone , MD

Plastic Surgery

NPI 1407071657

Doctor of Medicine (M.D.)

Adam Kopelan

Specialist

NPI 1679573307

Donald Brief

Specialist

NPI 1922008713

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 14, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location September 14, 2007

Registered at 225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 070411737 (Tel: 9733795888)

📍

Updated Business Mailing Address September 14, 2007

Registered at 225 MILLBURN AVE, SUITE 104B, MILLBURN, NJ 070411737 (Tel: 9733795888)

👤

Provider Name / Credentials Updated September 14, 2007

Recorded as JOHN MANICONE

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 14, 2007

Specialist (License #25MA05569400 in NJ)

🟢

Initial NPI Registration & Enumeration July 22, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for John Manicone. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1518967249

Entity Type:

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

Enumeration Date: July 22, 2005

Last Update: December 12, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

225 Millburn Ave, Suite 104b

Millburn, NJ 070411737

Phone: 9733795888

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.