Active NPI 1518956002 Individual Practitioner Male Practitioner

Dr. Stephen Edward Small , DO

Plastic Surgery • Toms River, NJ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Stephen Small, DO is a certified Plastic Surgery practicing in Toms River, NJ. With approximately 28 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 1998, Dr. Small delivers high-quality medical care to the local community at 413 LAKEHURST RD STE 301.

Dr. Small accepts Medicare assignment.

Frequently performed procedures and clinical services include new patient outpatient office visit, established patient outpatient office visit, complicated repair of wound of trunk, 2.6-7.5 cm. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

413 Lakehurst Rd Ste 301

Toms River, NJ 08755

Telephone 7322557155

Fax 7322557455

Associated Practice Facility / Clinic

🏢 Ocean Plastic Surgery Pa Facility NPI 1891892345

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

1998

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Plastic Surgery in Toms River, NJ

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

28 Yrs -9.7 yrs vs City Avg

City Avg: 37.7 Yrs

State Avg: 31.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Toms River, NJ (209 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

71.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Small (28 Years) 28 Yrs

Toms River Specialty Average (37.7 Years) 37.7 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
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	130	130	$246.06	$109.85
99202 New patient office or other outpatient visit, typically 20 minutes	54	53	$160.76	$71.31
99213 Established patient office or other outpatient visit, typically 15 minutes	41	41	$199.44	$89.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	28	$280.82	$125.84
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	32	31	$886.86	$232.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	30	28	$95.18	$55.94
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	24	23	$952.62	$244.58
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	23	22	$1056.84	$279.18
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	20	20	$1870.82	$639.52
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$355.82	$78.58
11402 Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm	14	14	$370.64	$61.04
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	13	12	$531.28	$93.23
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$571.48	$82.44

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	194	194	$246.06	$119.75
99213 Established patient office or other outpatient visit, typically 15 minutes	128	80	$199.44	$96.45
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	41	39	$1056.84	$320.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	35	35	$952.62	$254.33
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	34	33	$886.86	$248.17
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	23	$280.82	$136.28
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	24	22	$1870.82	$659.19
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	23	20	$603.58	$105.14
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	22	18	$885.32	$273.64
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	20	19	$571.48	$94.67
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	18	17	$355.82	$90.87
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	15	$626.50	$103.78
11102 Tangential biopsy of single skin lesion	17	15	$379.50	$112.47
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	16	14	$295.52	$86.94
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	15	15	$1893.78	$766.29
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	13	13	$365.98	$177.29

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	90	90	$245.62	$121.32
99213 Established patient office or other outpatient visit, typically 15 minutes	88	59	$197.01	$98.63
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	76	76	$362.90	$181.38
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	50	45	$279.24	$139.13
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	38	38	$1056.84	$320.27
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	29	28	$886.86	$236.41
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	26	26	$1870.82	$716.26
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	25	24	$603.58	$98.32
11102 Tangential biopsy of single skin lesion	23	21	$379.50	$116.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	23	23	$952.62	$270.46
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	19	19	$885.32	$279.19
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	17	16	$355.82	$87.41
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	$529.52	$239.09
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	13	$531.28	$83.73
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	13	13	$1893.78	$751.48
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	12	12	$1061.22	$361.32

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	151	151	$352.31	$182.99
99213 Established patient office or other outpatient visit, typically 15 minutes	72	60	$156.66	$100.15
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	69	60	$235.03	$141.84
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$232.74	$123.03
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	34	32	$1870.82	$738.14
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	33	32	$886.86	$253.48
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	30	30	$1056.84	$318.52
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	28	27	$952.62	$246.53
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	26	24	$355.82	$91.64
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	20	19	$1893.78	$785.82
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	19	18	$885.32	$284.28
11102 Tangential biopsy of single skin lesion	19	17	$379.50	$115.60
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	17	16	$603.58	$110.84
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	14	13	$270.30	$78.30
14060 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less	13	13	$1708.40	$668.59
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	13	11	$626.50	$113.24
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	11	11	$571.48	$100.53

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	141	141	$232.74	$118.41
99213 Established patient office or other outpatient visit, typically 15 minutes	128	91	$156.66	$82.46
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	24	24	$1870.82	$755.83
11102 Tangential biopsy of single skin lesion	15	12	$379.50	$109.94
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	15	11	$531.28	$151.79
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	15	15	$885.32	$292.64
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	14	12	$571.48	$101.02
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	14	14	$1056.84	$515.72
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	14	13	$952.62	$259.06
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	12	12	$1056.84	$311.91

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	211	211	$232.74	$115.20
99213 Established patient office or other outpatient visit, typically 15 minutes	175	111	$156.66	$79.47
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	36	35	$886.86	$262.54
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	32	32	$1056.84	$327.80
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	28	$355.82	$99.94
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	29	28	$531.28	$90.58
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	27	27	$1870.82	$680.96
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	27	26	$952.62	$276.97
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	20	19	$603.58	$109.58
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	19	18	$1893.78	$770.75
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	18	18	$626.50	$105.78
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	18	16	$270.30	$79.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$352.22	$174.70
13152 Complicated repair of wound of eyelids, nose, ears, or lip, 2.6-7.5 cm	15	15	$1061.22	$374.36
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	14	14	$885.32	$285.79
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	12	12	$2286.00	$930.01

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	241	241	$232.74	$112.28
99213 Established patient office or other outpatient visit, typically 15 minutes	224	146	$156.66	$75.15
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	52	49	$886.86	$249.11
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	36	36	$1056.84	$321.31
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	33	33	$952.62	$268.15
13102 Complicated repair of wound of trunk, each additional 5.0 cm or less	33	26	$270.30	$77.58
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	31	31	$355.82	$86.16
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	31	30	$885.32	$279.39
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	26	24	$626.50	$114.94
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	25	23	$1870.82	$705.42
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	22	21	$531.28	$85.84
15260 Relocation of patient skin to nose, ears, eyelids, and/or lips (20 sq centimeters or less)	18	18	$2286.00	$905.97
11642 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 1.1-2.0 cm	16	16	$603.58	$96.55
14061 Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.1-30.0 sq cm	15	15	$2232.44	$876.08
11301 Shaving of skin growth of body, arms, or legs, 0.6-1.0 cm	13	11	$270.28	$118.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	204	204	$232.74	$111.62
99213 Established patient office or other outpatient visit, typically 15 minutes	134	90	$156.66	$75.47
13121 Repair of wound (2.6 to 7.5 centimeters) of scalp, arms, and/or legs	43	41	$952.62	$267.14
13132 Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm	39	39	$1056.84	$329.99
11602 Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm	28	26	$355.82	$88.74
15120 Skin graft of face, scalp, eyelids, mouth, neck, ears, eye region, genitals, hands, feet, and/or multiple fingers or toes (first 100 sq cm or less, or 1% body area of infants and children)	23	23	$1870.82	$711.44
13101 Complicated repair of wound of trunk, 2.6-7.5 cm	23	23	$886.86	$254.85
15100 Partial thickness self skin graft to trunk, arms, or legs, 100.0 sq cm or 1% body area for infants and children, or less	20	19	$1893.78	$736.67
13122 Complicated repair of wound of scalp, arms, or legs, each additional 5.0 cm or less	20	18	$295.52	$89.19
11603 Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm	17	17	$626.50	$102.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	17	16	$161.12	$110.55
15004 Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less	17	17	$885.32	$280.02
11641 Removal of cancer skin growth of face, ears, eyelids, nose, lips, or mouth, 0.6-1.0 cm	14	14	$531.28	$93.54
11622 Removal of cancer skin growth of scalp, neck, hands, feet, or genitals, 1.1-2.0 cm	13	13	$571.48	$89.98
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$352.22	$168.22

Medical Specialties & State Licenses

CMS Verified: 2025-04-02

Plastic Surgery Primary Specialty

NUCC Taxonomy Code: 208200000X

State License NJ 25MB07162600

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

Plastic Surgery

NUCC Taxonomy Code: 208200000X

State License OH 34008382

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Amerihealth

2806037000 (NJ)

Commercial Insurance / Payer ID Healthnet

3K4764 (NJ)

Commercial Insurance / Payer ID Phcs

9453528 (NJ)

Commercial Insurance / Payer ID Horizon

204999183

Commercial Insurance / Payer ID Aetna

7843763 (NJ)

Commercial Insurance / Payer ID Cigna

8318425 (NJ)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location August 21, 2018

Registered at 413 LAKEHURST RD STE 301, TOMS RIVER, NJ 08755 (Tel: 7322557155)

📍

Updated Business Mailing Address August 21, 2018

Registered at 413 LAKEHURST RD STE 301, TOMS RIVER, NJ 087557388 (Tel: 7322557155)

✅

NPI Profile Active January 15, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2008

Registered at 2446 CHURCH RD, SUITE 2E, TOMS RIVER, NJ 08753 (Tel: 7322557155)

📍

Updated Business Mailing Address January 15, 2008

Registered at 2446 CHURCH RD, SUITE 2E, TOMS RIVER, NJ 08753 (Tel: 7322557155)

👤

Provider Name / Credentials Updated January 15, 2008

Recorded as STEPHEN SMALL, DO

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2008

Plastic Surgery (License #25MB07162600 in NJ)

🟢

Initial NPI Registration & Enumeration October 18, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1518956002

Entity Type:

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

Enumeration Date: October 18, 2005

Last Update: April 02, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

413 Lakehurst Rd Ste 301

Toms River, NJ 087557388

Phone: 7322557155

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

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