Active NPI 1831666841 Individual Practitioner Female Practitioner

Danielle Defoto , PA

Physician Assistant • Oakhurst, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Danielle Defoto, PA is a certified Physician Assistant practicing in Oakhurst, NJ. With approximately 11 years of clinical experience since completing medical education in 2015, Danielle Defoto delivers high-quality medical care to the local community at 1912 STATE ROUTE 35 STE 101.

Danielle Defoto is affiliated with Id Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least, initial hospital care with straightforward or low-level 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

1912 State Route 35 Ste 101

Oakhurst, NJ 077552768

Telephone 7322224762

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Oakhurst, NJ

Established Specialist (10-20 Yrs)

Practitioner Clinical Experience

11 Yrs +3.5 yrs vs City Avg

City Avg: 7.5 Yrs

State Avg: 10.1 Yrs

Regional Practice Density

8 Specialists

Practicing in Oakhurst, NJ (3413 Statewide)

Telehealth Adoption Rate

12.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

58.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Defoto (11 Years) 11 Yrs

Oakhurst Specialty Average (7.5 Years) 7.5 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
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	518	274	$164.52	$69.14
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	262	133	$247.40	$104.06
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	147	117	$227.05	$95.44
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	80	80	$273.00	$114.78
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	51	50	$361.59	$152.10
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	44	29	$323.07	$135.83
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	36	36	$279.33	$117.55
99306 Initial nursing facility visit, typically 45 minutes per day	32	28	$382.31	$160.47

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	895	399	$99.80	$71.66
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	398	198	$150.22	$107.63
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	127	92	$124.64	$97.11
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	90	89	$290.30	$157.03
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	64	61	$159.73	$121.10
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	55	54	$229.98	$117.85
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	39	28	$181.63	$139.53
99306 Initial nursing facility visit, typically 45 minutes per day	20	20	$209.15	$165.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	147	146	$1519.73	$157.92
99220 Hospital observation care, typically 70 minutes	64	63	$699.84	$162.25
99217 Hospital observation care on day of discharge	54	53	$271.00	$65.35
99284 Emergency department visit with moderate level of medical decision making	38	38	$1052.42	$110.09
99225 Subsequent observation care, typically 25 minutes per day	23	22	$271.00	$64.33
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	22	12	$77.43	$64.24
99283 Emergency department visit with low level of medical decision making	21	21	$571.71	$65.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	21	17	$99.83	$82.50
99236 Initial hospital care with same-day admission and discharge with high level of medical decision making, per day, if using time, at least 85 minutes	11	11	$833.91	$191.98

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	170	169	$1520.57	$159.27
99220 Hospital observation care, typically 70 minutes	85	85	$690.00	$163.98
99284 Emergency department visit with moderate level of medical decision making	39	39	$1042.00	$110.23
99283 Emergency department visit with low level of medical decision making	25	25	$567.00	$64.98
99217 Hospital observation care on day of discharge	25	25	$271.00	$65.62
99225 Subsequent observation care, typically 25 minutes per day	22	22	$271.00	$64.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	234	229	$1516.00	$155.63
99220 Hospital observation care, typically 70 minutes	71	71	$1385.00	$167.18
99217 Hospital observation care on day of discharge	56	56	$547.00	$66.08
99283 Emergency department visit with low level of medical decision making	24	24	$683.00	$58.25
99219 Hospital observation care, typically 50 minutes	24	24	$1013.00	$122.91
99284 Emergency department visit with moderate level of medical decision making	23	23	$1026.00	$107.06
93010 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only	18	18	$116.00	$7.68
99225 Subsequent observation care, typically 25 minutes per day	16	16	$438.00	$65.90
99291 Critical care, first 30-74 minutes	11	11	$1666.82	$200.58

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99285 Emergency department visit for life threatening or functioning severity	187	186	$1516.00	$152.24
99283 Emergency department visit with low level of medical decision making	65	64	$683.00	$54.57
99284 Emergency department visit with moderate level of medical decision making	48	48	$1036.21	$103.47
99217 Hospital observation care on day of discharge	28	28	$547.00	$65.42
99220 Hospital observation care, typically 70 minutes	22	22	$1385.00	$165.03
99219 Hospital observation care, typically 50 minutes	12	12	$1013.00	$120.83

Medical Specialties & State Licenses

CMS Verified: 2024-04-26

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License NJ 25MP00510700

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Hospital & Practice Group Affiliations

Id Care Llc

105 Raider Blvd, Hillsborough, NJ 088441528

Phone: 9082810221

Practice Associates & Co-Workers

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

10 Associated Practitioners

Dr. Sukrut Dwivedi , DO

Internal Medicine - Infectious Disease

NPI 1003082660

Doctor of Osteopathic Medicine (D.O.)

Dr. Ajay Mathur , MD

Internal Medicine - Infectious Disease

NPI 1053357947

Doctor of Medicine (M.D.)

Taylor Santora

Nurse Practitioner - Family

NPI 1083387708

Dr. Farida Abdul Malik , MD

Internal Medicine - Infectious Disease

NPI 1205123262

Doctor of Medicine (M.D.)

Inna Belenson , MSN, RN, APN-C

Nurse Practitioner - Adult Health

NPI 1285006718

Master of Science in Nursing, Registered Nurse, APNC

Jessica Lopez , APN

Nurse Practitioner - Family

NPI 1457125148

Advanced Practice Nurse

Career & Practice History Timeline

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

10 Historical Events

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 26, 2024

Physician Assistant (License #25MP00510700 in NJ)

📍

Updated Practice Location December 04, 2023

Registered at 1912 STATE ROUTE 35 STE 101, OAKHURST, NJ 077552768 (Tel: 7322224762)

📍

Updated Business Mailing Address December 04, 2023

Registered at 105 RAIDER BLVD STE 101, HILLSBOROUGH, NJ 088441528 (Tel: 9082810221)

📍

Updated Practice Location March 26, 2020

Registered at 99 ROUTE 37 W, TOMS RIVER, NJ 087556423 (Tel: 9084615331)

✅

NPI Profile Active October 28, 2018

NPI status registered as active in NPPES database

📍

Updated Practice Location October 28, 2018

Registered at 2 ALLAIRE AVE, MIDDLETOWN, NJ 077483187 (Tel: 9084615331)

📍

Updated Business Mailing Address October 28, 2018

Registered at 2 ALLAIRE AVE, MIDDLETOWN, NJ 077483187 (Tel: 9084615331)

👤

Provider Name / Credentials Updated October 28, 2018

Recorded as DANIELLE DEFOTO, PA

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 28, 2018

Student in an Organized Health Care Education/Training Program

🟢

Initial NPI Registration & Enumeration October 28, 2018

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: 1831666841

Entity Type:

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

Enumeration Date: October 28, 2018

Last Update: April 26, 2024

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

105 Raider Blvd Ste 101

Hillsborough, NJ 088441528

Phone: 9082810221

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.