Provider Profile
Maria Elma M. Pontipiedra, FNP- BC is a nurse practitioner practicing in Toms River, NJ. Medicare claims data shows Maria Elma provided 1,838 services to 1,460 patients. The services billed most often include established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more, 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', and continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report. This provider record is associated with NPI 1326698853.
Factual summary compiled by Guide.md from public records; not written by this provider.
Exactly as CMS reports it (National Downloadable File, Opt-Out Affidavits, Order & Referring). Not an insurance directory; confirm coverage with the office.
1886 CHARLTON CIR
Toms River, NJ 08755
1,838 services · 1,460 patients · 7 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report | Treatment | 95251 |
229 | More often than most peers in Nurse Practitioner |
| Continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment | Treatment | 95250 |
17 | Too few peers to compare |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
662 | More than most peers in Nurse Practitioner |
| 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' | Billing code | G2211 |
618 | More than most peers in Nurse Practitioner |
| Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more | Office visit | 99213 |
176 | More often than most peers in Nurse Practitioner |
| Telephone medical discussion with physician, 11-20 minutes | Office visit | 99442 |
119 | More than most peers in Nurse Practitioner |
| Blood glucose (sugar) test performed by hand-held instrument | Lab test | 82962 |
17 | Less often than most peers in Nurse Practitioner |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Maria Elma M. Pontipiedra is a nurse practitioner in Toms River, NJ. That is the designation recorded for this NPI in the federal registry.
NPI registry
Maria Elma M. Pontipiedra is listed at 1886 Charlton Cir, Toms River, NJ 08755. Addresses come from the NPI registry and can lag a move, so confirm before travelling.
NPI registry
The number on file is (732) 914-1754. Contact the office directly to confirm availability and scheduling.
NPI registry
Maria Elma M. Pontipiedra's National Provider Identifier is 1326698853. It is issued by the Centers for Medicare & Medicaid Services and is unique and permanent — it does not change if they move practice.
NPI registry
Maria Elma M. Pontipiedra attended Other, graduating in 2019. This comes from the CMS National Downloadable File.
CMS public data
Maria Elma M. Pontipiedra has 7 years experience. Calculated from a graduation year of 2019, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Maria Elma M. Pontipiedra provides treatments such as continuous monitoring of blood sugar level in tissue fluid using sensor under skin with interpretation and report and continuous monitoring of blood sugar level in tissue fluid using sensor under skin with provider supplied equipment, alongside routine visits and testing. This reflects Medicare patients only and is billing volume, not a measure of quality.
Medicare claims
Not yet. This profile is built from public federal data and has not been confirmed by Maria Elma M. Pontipiedra. If this is you, claiming it is free.
Guide.md
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