Active NPI 1902856834 Individual Practitioner Male Practitioner

Dr. Prabhas Trivedi , MD

Dermatology • Neptune, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Prabhas Trivedi, MD is a certified Dermatology practicing in Neptune, NJ. With approximately 23 years of clinical experience since completing medical education in 2003, Dr. Trivedi delivers high-quality medical care to the local community at 26 HIGHWAY 35 N.

Dr. Trivedi is affiliated with Nj Certified Dermatology Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include destruction of precancer skin growth, 2-14 growths, established patient outpatient office visit, destruction of skin growth. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

26 Highway 35 N

Neptune, NJ 077534743

Telephone 7324567777

Fax 8482512189

Associated Practice Facility / Clinic

🏢 Nj Certified Dermatology Pc Facility NPI 1003263807

Medicare Profile & Education

Medical School

Other

Graduation Year

2003

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Dermatology in Neptune, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

23 Yrs -0.4 yrs vs City Avg

City Avg: 23.4 Yrs

State Avg: 27.2 Yrs

Regional Practice Density

8 Specialists

Practicing in Neptune, NJ (444 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

53.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Trivedi (23 Years) 23 Yrs

Neptune Specialty Average (23.4 Years) 23.4 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
17003 Destruction of precancer skin growth, 2-14 growths	630	104	$14.72	$7.29
99213 Established patient office or other outpatient visit, typically 15 minutes	477	305	$197.00	$97.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	265	199	$123.35	$60.87
17000 Destruction of skin growth	217	130	$149.04	$64.05
11102 Tangential biopsy of single skin lesion	147	132	$222.34	$103.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	123	123	$242.77	$119.77
11103 Biopsy of related skin growth, each additional growth	84	54	$110.47	$54.68
99202 New patient office or other outpatient visit, typically 20 minutes	50	50	$158.09	$78.31
17110 Destruction of up to 14 skin growths	46	21	$250.32	$119.73
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	29	18	$221.57	$71.79
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	22	19	$674.04	$310.14
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	12	$277.37	$137.62
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	19	17	$272.49	$120.63
17004 Destruction of precancer skin growth, 15 or more growths	15	14	$370.20	$183.07
11104 Punch biopsy, first skin growth	14	13	$277.85	$137.79
11105 Punch biopsy, each additional skin growth	12	11	$131.25	$65.08

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	450	83	$15.28	$7.54
99213 Established patient office or other outpatient visit, typically 15 minutes	404	281	$198.48	$97.97
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	192	144	$125.47	$61.93
17000 Destruction of skin growth	171	102	$151.15	$67.44
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	126	126	$247.14	$121.47
11102 Tangential biopsy of single skin lesion	98	90	$231.44	$112.49
99202 New patient office or other outpatient visit, typically 20 minutes	53	53	$161.01	$79.70
11103 Biopsy of related skin growth, each additional growth	50	35	$114.00	$56.27
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	24	11	$233.23	$74.00
17110 Destruction of up to 14 skin growths	21	11	$256.31	$126.42
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	16	$280.47	$138.41
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	16	11	$702.14	$347.02
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	11	11	$281.37	$113.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	426	73	$16.08	$7.78
99213 Established patient office or other outpatient visit, typically 15 minutes	332	237	$202.60	$99.94
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	205	151	$126.95	$62.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	159	159	$249.65	$123.03
17000 Destruction of skin growth	144	91	$154.14	$71.69
11102 Tangential biopsy of single skin lesion	72	70	$238.78	$112.61
99202 New patient office or other outpatient visit, typically 20 minutes	57	57	$163.88	$81.48
99441 Telephone medical discussion with physician, 5-10 minutes	39	37	$124.10	$38.63
17110 Destruction of up to 14 skin growths	32	11	$264.16	$128.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	17	$284.71	$140.91
11103 Biopsy of related skin growth, each additional growth	22	14	$118.65	$58.63
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	16	12	$238.03	$84.73

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	505	83	$15.07	$7.53
99213 Established patient office or other outpatient visit, typically 15 minutes	350	252	$202.52	$101.36
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	175	128	$125.31	$62.81
17000 Destruction of skin growth	150	95	$150.36	$70.72
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	149	149	$249.11	$124.63
11102 Tangential biopsy of single skin lesion	74	69	$239.20	$115.96
99441 Telephone medical discussion with physician, 5-10 minutes	60	56	$124.07	$40.15
99202 New patient office or other outpatient visit, typically 20 minutes	60	60	$162.83	$81.42
11103 Biopsy of related skin growth, each additional growth	36	25	$121.03	$60.69
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	25	14	$702.16	$344.01
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	13	$288.33	$144.14
11104 Punch biopsy, first skin growth	14	14	$303.86	$152.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	411	74	$13.65	$6.96
99213 Established patient office or other outpatient visit, typically 15 minutes	237	191	$167.01	$84.02
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	222	171	$102.00	$50.10
99202 New patient office or other outpatient visit, typically 20 minutes	154	154	$169.76	$84.81
17000 Destruction of skin growth	131	103	$148.17	$68.65
11102 Tangential biopsy of single skin lesion	84	83	$230.17	$109.86
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	51	51	$237.69	$120.07
11103 Biopsy of related skin growth, each additional growth	24	17	$122.29	$61.58
17110 Destruction of up to 14 skin growths	19	11	$255.21	$125.24
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	14	13	$689.64	$348.09

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	684	108	$12.66	$6.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	340	240	$100.24	$49.24
99213 Established patient office or other outpatient visit, typically 15 minutes	323	245	$163.23	$80.38
17000 Destruction of skin growth	228	130	$145.39	$62.10
99202 New patient office or other outpatient visit, typically 20 minutes	200	200	$167.50	$82.92
11102 Tangential biopsy of single skin lesion	180	157	$223.85	$102.43
11103 Biopsy of related skin growth, each additional growth	157	79	$120.26	$59.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$237.22	$117.07
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	35	16	$223.17	$62.93
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	30	27	$684.20	$336.69
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	23	$269.93	$113.17
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	18	17	$316.06	$142.51
69100 Biopsy of ear	18	14	$223.22	$75.72
11104 Punch biopsy, first skin growth	17	16	$281.24	$138.50
17004 Destruction of precancer skin growth, 15 or more growths	16	12	$336.88	$167.68
17110 Destruction of up to 14 skin growths	12	11	$249.75	$122.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	439	81	$11.88	$5.83
99213 Established patient office or other outpatient visit, typically 15 minutes	252	193	$159.80	$78.89
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	245	186	$97.45	$48.25
99202 New patient office or other outpatient visit, typically 20 minutes	205	205	$165.47	$81.20
11100 Biopsy of single growth of skin and/or tissue	151	138	$237.11	$112.33
17000 Destruction of skin growth	150	103	$148.01	$61.38
11101 Biopsy of each additional growth of skin and/or tissue	130	71	$71.58	$35.51
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	95	95	$234.17	$113.38
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	30	20	$252.77	$106.18
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	21	12	$317.29	$133.89
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	19	19	$681.53	$335.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
17003 Destruction of precancer skin growth, 2-14 growths	726	115	$11.77	$6.21
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	294	195	$65.91	$47.95
17000 Destruction of skin growth	248	144	$101.88	$61.96
99213 Established patient office or other outpatient visit, typically 15 minutes	215	162	$109.53	$79.60
99202 New patient office or other outpatient visit, typically 20 minutes	186	186	$109.60	$81.56
11100 Biopsy of single growth of skin and/or tissue	176	149	$154.45	$108.21
11101 Biopsy of each additional growth of skin and/or tissue	127	68	$49.15	$35.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	66	66	$158.77	$117.62
11300 Shaving of 0.5 centimeters or less skin growth of the trunk, arms, or legs	56	31	$149.21	$67.20
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	40	25	$185.00	$107.50
12032 Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm	33	26	$458.77	$333.78
17271 Destruction of cancer skin growth of scalp, neck, hands, feet, or genitals, 0.6-1.0 cm	16	14	$245.81	$153.59
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	15	11	$392.59	$139.04
17280 Destruction of malignant growth (0.5 centimeters or less) of face, ears, eyelids, nose, lips, or mouth	15	12	$206.57	$128.25

Medical Specialties & State Licenses

CMS Verified: 2021-08-04

Dermatology Primary Specialty

NUCC Taxonomy Code: 207N00000X

State License NJ 25MA07651700

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0310573 (NJ)

Commercial Insurance / Payer ID Medicare Ptan

076559 (NJ)

Commercial Insurance / Payer ID Amerigroup

1101489 (NJ)

Commercial Insurance / Payer ID Oxford

P5490287 (NJ)

Hospital & Practice Group Affiliations

Nj Certified Dermatology Pc

515 Iron Bridge Rd, Freehold, NJ 077285300

Phone: 7324567777

Nj Certified Dermatology Pc

26 Hwy 35 N, Neptune, NJ 077534743

Phone: 7324567777

Nj Certified Dermatology Pc

721 N Beers St, Holmdel, NJ 077331518

Phone: 7324567777

Nj Certified Dermatology Pc

2275 Route 33, Hamilton, NJ 086901748

Phone: 7324567777

Nj Certified Dermatology Pc

200 Perrine Rd, Old Bridge, NJ 088572871

Phone: 7324567777

Practice Associates & Co-Workers

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

21 Associated Practitioners

Coty Kalbach , PA-C

Physician Assistant - Medical

NPI 1093167272

Physician Assistant (Certified)

Marina Mikhail , FNP

Nurse Practitioner - Family

NPI 1144071275

Family Nurse Practitioner

Ashlee Paknis , PA-C

Physician Assistant

NPI 1144877747

Physician Assistant (Certified)

Timothy Kelly , CRNP

Nurse Practitioner - Family

NPI 1164193751

Certified Registered Nurse Practitioner

Dr. Manhong Ma , MD

Dermatology

NPI 1164472965

Doctor of Medicine (M.D.)

Dr. Peter Lapis , MD

Pathology - Anatomic Pathology & Clinical Pathology

NPI 1164604153

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Practice Location June 11, 2018

Registered at 26 HIGHWAY 35 N, NEPTUNE, NJ 077534743 (Tel: 7324567777)

✅

NPI Profile Active January 15, 2009

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2009

Registered at 111 W WATER ST, TOMS RIVER, NJ 087536407 (Tel: 7322444700)

📍

Updated Business Mailing Address January 15, 2009

Registered at PO BOX 4979, TOMS RIVER, NJ 087544979 (Tel: 7322444700)

👤

Provider Name / Credentials Updated January 15, 2009

Recorded as PRABHAS TRIVEDI, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2009

Dermatology (License #25MA07651700 in NJ)

🟢

Initial NPI Registration & Enumeration May 11, 2006

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: 1902856834

Entity Type:

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

Enumeration Date: May 11, 2006

Last Update: August 04, 2021

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 4979

Toms River, NJ 087544979

Phone: 7322444700

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.