Active NPI 1063463016 Individual Practitioner Male Practitioner

Dr. Lance A Markbreiter , MD

Orthopaedic Surgery • Tinton Falls, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lance Markbreiter, MD is a certified Orthopaedic Surgery practicing in Tinton Falls, NJ. With approximately 38 years of clinical experience since graduating from Yale University School Of Medicine in 1988, Dr. Markbreiter delivers high-quality medical care to the local community at 35 S GILBERT ST.

Dr. Markbreiter accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, methylprednisolone acetate, 1 mg, injection, methylprednisolone acetate, 40 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

35 S Gilbert St

Tinton Falls, NJ 077014917

Telephone 7325301515

Fax 7323456497

Associated Practice Facility / Clinic

🏢 Shore Orthopaedic Group Llc Facility NPI 1689743130

Medicare Profile & Education

Medical School

Yale University School Of Medicine

Graduation Year

1988

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Orthopaedic Surgery in Tinton Falls, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

38 Yrs +5.6 yrs vs City Avg

City Avg: 32.4 Yrs

State Avg: 27.4 Yrs

Regional Practice Density

11 Specialists

Practicing in Tinton Falls, NJ (746 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

69.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Markbreiter (38 Years) 38 Yrs

Tinton Falls Specialty Average (32.4 Years) 32.4 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
99213 Established patient office or other outpatient visit, typically 15 minutes	91	38	$125.00	$95.75
J1010 Injection, methylprednisolone acetate, 1 mg	89	32	$20.00	$0.13
J1030 Injection, methylprednisolone acetate, 40 mg	46	24	$20.00	$6.35
20605 Aspiration and/or injection of medium joint or joint capsule	37	20	$340.00	$57.77
20610 Aspiration and/or injection of fluid from large joint	37	20	$426.62	$75.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$240.00	$117.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	157	50	$20.00	$7.62
99213 Established patient office or other outpatient visit, typically 15 minutes	116	48	$125.00	$96.08
20610 Aspiration and/or injection of fluid from large joint	42	19	$412.50	$72.31
20605 Aspiration and/or injection of medium joint or joint capsule	37	20	$340.00	$58.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$240.00	$119.77

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	120	40	$20.00	$6.44
99213 Established patient office or other outpatient visit, typically 15 minutes	91	41	$125.00	$98.61
20610 Aspiration and/or injection of fluid from large joint	42	24	$385.00	$70.60
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$240.00	$121.55
20605 Aspiration and/or injection of medium joint or joint capsule	29	15	$351.72	$60.35

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	194	62	$20.00	$5.68
99213 Established patient office or other outpatient visit, typically 15 minutes	124	53	$125.00	$99.47
20610 Aspiration and/or injection of fluid from large joint	64	30	$391.02	$71.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	43	43	$240.00	$123.03
20605 Aspiration and/or injection of medium joint or joint capsule	37	22	$340.00	$59.87

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	168	49	$20.00	$6.06
99213 Established patient office or other outpatient visit, typically 15 minutes	116	53	$125.00	$80.84
20610 Aspiration and/or injection of fluid from large joint	52	26	$414.62	$70.97
20605 Aspiration and/or injection of medium joint or joint capsule	36	20	$340.00	$55.95
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$240.00	$117.32
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	13	$175.00	$117.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	144	51	$20.00	$6.30
99213 Established patient office or other outpatient visit, typically 15 minutes	89	52	$125.00	$76.97
20610 Aspiration and/or injection of fluid from large joint	48	26	$409.06	$64.59
20605 Aspiration and/or injection of medium joint or joint capsule	35	25	$354.29	$52.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$175.00	$112.25
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$305.00	$169.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$240.00	$112.49

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	248	76	$20.16	$6.67
99213 Established patient office or other outpatient visit, typically 15 minutes	137	76	$125.00	$74.26
20610 Aspiration and/or injection of fluid from large joint	82	44	$440.49	$64.33
20605 Aspiration and/or injection of medium joint or joint capsule	56	34	$382.50	$52.64
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	42	42	$240.00	$109.79
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	18	$175.00	$109.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$305.00	$166.36

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
J1030 Injection, methylprednisolone acetate, 40 mg	314	101	$20.00	$5.73
99213 Established patient office or other outpatient visit, typically 15 minutes	133	75	$125.00	$75.81
20610 Aspiration and/or injection of fluid from large joint	122	63	$476.52	$69.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	68	58	$175.00	$111.27
20605 Aspiration and/or injection of medium joint or joint capsule	56	37	$394.64	$53.87
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	33	33	$305.00	$169.31
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	30	30	$240.00	$112.06

Medical Specialties & State Licenses

Orthopaedic Surgery Primary Specialty

NUCC Taxonomy Code: 207X00000X

State License NJ MA60645

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

6170706 (NJ)

Practice Associates & Co-Workers

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

3 Associated Practitioners

Dr. Cary Glastein , MD

Orthopaedic Surgery

NPI 1154371557

Doctor of Medicine (M.D.)

Dr. Charles Rizzo , MD

Orthopaedic Surgery - Sports Medicine

NPI 1285703371

Doctor of Medicine (M.D.)

Dr. Scott Woska , MD

Physical Medicine & Rehabilitation

NPI 1326098351

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 July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 35 S GILBERT ST, TINTON FALLS, NJ 077014917 (Tel: 7325301515)

📍

Updated Business Mailing Address July 08, 2007

Registered at 35 S GILBERT ST, TINTON FALLS, NJ 077014917 (Tel: 7325301515)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as LANCE MARKBREITER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Orthopaedic Surgery (License #MA60645 in NJ)

🟢

Initial NPI Registration & Enumeration May 15, 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: 1063463016

Entity Type:

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

Enumeration Date: May 15, 2006

Last Update: July 13, 2026

Sole Proprietor: No

Update or Correct Profile

Mailing Address

35 S Gilbert St

Tinton Falls, NJ 077014917

Phone: 7325301515

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.