Active NPI 1871559096 Individual Practitioner Male Practitioner

Dr. Seth M Kipnis , MD

Surgery • Neptune, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Seth Kipnis, MD is a certified Surgery practicing in Neptune, NJ. With approximately 26 years of clinical experience since completing medical education in 2000, Dr. Kipnis delivers high-quality medical care to the local community at 1706 STATE ROUTE 33 5.

Dr. Kipnis is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc and accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, initial hospital care with moderate level of medical decision making, if using time, at least, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1706 State Route 33 5

Neptune, NJ 077534977

Telephone 7327755005

Fax 7327750064

Associated Practice Facility / Clinic

🏢 Carney T. Desarno, Md, Llc Facility NPI 1801039631

Medicare Profile & Education

Medical School

Other

Graduation Year

2000

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Neptune, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

26 Yrs +7.0 yrs vs City Avg

City Avg: 19.0 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

15 Specialists

Practicing in Neptune, NJ (815 Statewide)

Telehealth Adoption Rate

6.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

68.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Kipnis (26 Years) 26 Yrs

Neptune Specialty Average (19.0 Years) 19.0 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
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	73	73	$551.23	$175.55
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	60	$556.57	$177.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	62	35	$255.40	$81.02
99213 Established patient office or other outpatient visit, typically 15 minutes	51	26	$300.20	$96.02
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	50	23	$55.00	$17.03
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	28	$425.54	$129.49
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	27	25	$595.19	$189.76
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	26	23	$190.58	$59.13
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	25	18	$382.00	$121.71
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	22	22	$725.45	$231.71
47563 Removal of gallbladder with x-ray study of bile ducts using an endoscope	14	14	$2226.59	$683.45
49505 Repair of groin hernia (5 years or older)	13	13	$1713.46	$553.29
99231 Follow-up hospital inpatient care per day, typically 15 minutes	12	12	$160.00	$50.91
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	12	12	$371.67	$117.49

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	71	35	$440.85	$83.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$565.98	$177.05
99213 Established patient office or other outpatient visit, typically 15 minutes	35	30	$303.29	$95.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	34	32	$1095.56	$182.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	28	24	$414.50	$136.18
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	22	21	$511.45	$138.17
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	19	15	$404.58	$125.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	19	14	$135.53	$52.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$384.22	$119.81
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$734.56	$233.31
47562 Removal of gallbladder using an endoscope	14	14	$4075.71	$639.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	44	$2917.00	$208.11
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	45	29	$1080.00	$74.93
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	37	37	$588.00	$180.48
99213 Established patient office or other outpatient visit, typically 15 minutes	33	27	$275.00	$98.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	24	23	$358.00	$138.54
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	18	$472.00	$195.43
47562 Removal of gallbladder using an endoscope	14	14	$15180.00	$605.87
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	14	14	$608.00	$238.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$388.92	$122.10
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	13	13	$1348.00	$65.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	42	41	$2652.00	$212.74
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	26	$981.75	$76.34
99213 Established patient office or other outpatient visit, typically 15 minutes	33	23	$250.00	$97.57
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$532.81	$182.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	15	$325.00	$141.84
43235 Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope	14	14	$1225.00	$66.48

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	64	33	$981.75	$77.01
99213 Established patient office or other outpatient visit, typically 15 minutes	40	28	$250.00	$78.45
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	28	26	$2652.00	$216.22
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$535.00	$178.69
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	16	11	$1356.00	$111.67
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	15	$325.00	$118.38
47562 Removal of gallbladder using an endoscope	12	12	$13800.01	$595.53

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	41	28	$981.75	$76.12
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	37	34	$2652.00	$211.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$535.00	$174.72
99213 Established patient office or other outpatient visit, typically 15 minutes	30	21	$250.00	$79.40
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$553.00	$208.20
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	17	17	$429.00	$154.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	16	$325.00	$111.80

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	36	19	$246.96	$76.42
99213 Established patient office or other outpatient visit, typically 15 minutes	32	21	$118.75	$78.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	27	27	$363.70	$175.15
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$1082.45	$212.91
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	12	$175.00	$115.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	43	31	$100.00	$78.32
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	41	41	$350.00	$174.65
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	25	$175.00	$114.73
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	22	$350.00	$212.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	13	13	$400.00	$219.32
43775 Stomach reduction procedure with partial removal of stomach using an endoscope	13	13	$12000.00	$1044.60

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MA07300800

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.

Hospital & Practice Group Affiliations

Hackensack Meridian Health Medical Group - Specialty Care Pc

19 Davis Ave, Neptune, NJ 077534488

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Carney Desarno , MD

Surgery

NPI 1144296187

Doctor of Medicine (M.D.)

Dr. Dena Arumugam , MD

Surgery

NPI 1831401553

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active September 17, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location September 17, 2015

Registered at 1706 STATE ROUTE 33 5, NEPTUNE, NJ 077534977 (Tel: 7327755005)

📍

Updated Business Mailing Address September 17, 2015

Registered at 1706 STATE ROUTE 33 5, NEPTUNE, NJ 077534977 (Tel: 7327755005)

👤

Provider Name / Credentials Updated September 17, 2015

Recorded as SETH KIPNIS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2015

Surgery (License #25MA07300800 in NJ)

🟢

Initial NPI Registration & Enumeration April 25, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1871559096

Entity Type:

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

Enumeration Date: April 25, 2006

Last Update: September 17, 2015

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1706 State Route 33 5

Neptune, NJ 077534977

Phone: 7327755005

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.