Active NPI 1639699713 Individual Practitioner Female Practitioner

Nicole Lupo , PA-C

Surgery • Oakhurst, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Nicole Lupo, PA-C is a certified Surgery practicing in Oakhurst, NJ. With approximately 9 years of clinical experience since completing medical education in 2017, Nicole Lupo delivers high-quality medical care to the local community at 255 MONMOUTH RD.

Nicole Lupo is affiliated with Hackensack Meridian Health Medical Group - Specialty Care Pc 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, telephone medical discussion with physician, 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

255 Monmouth Rd

Oakhurst, NJ 077551515

Telephone 7325315445

Associated Practice Facility / Clinic

🏢 Shore Wellness Center, Inc. Facility NPI 1225018617

Medicare Profile & Education

Medical School

Other

Graduation Year

2017

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Oakhurst, NJ

Experienced Practitioner (5-10 Yrs)

Practitioner Clinical Experience

9 Yrs -10.9 yrs vs City Avg

City Avg: 19.9 Yrs

State Avg: 26.9 Yrs

Regional Practice Density

9 Specialists

Practicing in Oakhurst, NJ (815 Statewide)

Telehealth Adoption Rate

11.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lupo (9 Years) 9 Yrs

Oakhurst Specialty Average (19.9 Years) 19.9 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	47	42	$255.53	$72.25
99441 Telephone medical discussion with physician, 5-10 minutes	30	30	$192.83	$31.53
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	25	25	$420.80	$119.53
99213 Established patient office or other outpatient visit, typically 15 minutes	15	15	$307.33	$71.99
99442 Telephone medical discussion with physician, 11-20 minutes	13	13	$303.85	$75.43

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	59	$239.23	$70.91
99442 Telephone medical discussion with physician, 11-20 minutes	43	42	$308.60	$66.91
99441 Telephone medical discussion with physician, 5-10 minutes	39	39	$195.00	$31.58
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	23	23	$437.83	$117.81
99231 Follow-up hospital inpatient care per day, typically 15 minutes	23	21	$140.65	$44.94
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$640.00	$157.01

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	58	40	$182.24	$64.35
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$363.04	$179.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$273.06	$97.04
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	15	$136.88	$35.13

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	56	43	$150.00	$65.69
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	29	29	$350.00	$183.06
99231 Follow-up hospital inpatient care per day, typically 15 minutes	16	16	$100.00	$35.04

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	45	26	$150.00	$65.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	13	13	$350.00	$184.57

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	125	89	$150.00	$64.00
99231 Follow-up hospital inpatient care per day, typically 15 minutes	61	53	$100.00	$34.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	33	$250.00	$121.70
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	18	18	$348.89	$179.87
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	14	$105.00	$37.71
99202 New patient office or other outpatient visit, typically 20 minutes	16	16	$160.00	$69.96

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	129	96	$150.00	$64.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	32	27	$100.00	$34.93
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$300.00	$180.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	21	21	$250.00	$121.91
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	17	17	$225.00	$93.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	37	23	$100.00	$34.99

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License NJ 25MP00434000

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

425 Jack Martin Blvd, Brick, NJ 087247732

Phone: 7328364504

Hackensack Meridian Health Medical Group - Specialty Care Pc

30 Prospect Ave, Hackensack, NJ 076011915

Hackensack Meridian Health Medical Group - Specialty Care Pc

425 Jack Martin Blvd, Brick, NJ 087247732

Phone: 7327764755

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Thomas Lake , MD

Colon & Rectal Surgery

NPI 1003881277

Doctor of Medicine (M.D.)

Dr. Jeffrey Lin , MD

Surgery

NPI 1255641197

Doctor of Medicine (M.D.)

Dr. Glenn Parker , MD

Colon & Rectal Surgery

NPI 1568437739

Doctor of Medicine (M.D.)

Denise Handy-Burnham , NP

Nurse Practitioner - Critical Care Medicine

NPI 1598730038

Nurse Practitioner

Dr. Mark Schwartz , MD

Surgery

NPI 1760453567

Doctor of Medicine (M.D.)

Dr. Stephen Klepner , DO

Surgery

NPI 1861871287

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active June 21, 2017

NPI status registered as active in NPPES database

📍

Updated Practice Location June 21, 2017

Registered at 255 MONMOUTH RD, OAKHURST, NJ 077551515 (Tel: 7325315445)

📍

Updated Business Mailing Address June 21, 2017

Registered at 10 CRIMSON LN, FREEHOLD, NJ 077289013

👤

Provider Name / Credentials Updated June 21, 2017

Recorded as NICOLE LUPO, PA-C

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 21, 2017

Surgery (License #25MP00434000 in NJ)

🟢

Initial NPI Registration & Enumeration June 21, 2017

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: 1639699713

Entity Type:

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

Enumeration Date: June 21, 2017

Last Update: June 21, 2017

Sole Proprietor: No

Update or Correct Profile

Mailing Address

10 Crimson Ln

Freehold, NJ 077289013

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.