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Edit this profilePrabhat K. Sinha, MD is a healthcare provider in Toms River, NJ specializing in family practice. Prabhat is also listed as specializing in internal medicine. According to Medicare claims data, Prabhat cared for 3,316 Medicare patients across 7,955 services. 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, subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes, and subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes. This provider record is associated with NPI 1013988286.
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.
20 HOSPITAL DR STE 3
Toms River, NJ 08755
Within Family Medicine generally. Availability varies by clinician, training and location — this profile has not been claimed, so nothing here is a personal claim by the provider.
Most searched conditions
Cardiometabolic
Digestive
Genitourinary and reproductive
Musculoskeletal and pain
Neurologic and behavioral
Respiratory and infectious
Skin
Common childhood and ear conditions
Pain & Joints
Most searched procedures
Preventive interventions
Screening and testing
Diagnostic Tests
Exams & Screenings
Foot and Leg Pain
Heart & Circulation
Injections
Lungs & Breathing
Minor Procedures
Occupational Health
Office procedures
Pain Management
Preventive Care
Respiratory
Senior Care
Sexual & Reproductive Health
Skin Procedures
Sleep Health
Urgent Care Procedures
Wellness & Weight
Women's Health
7,955 services · 3,316 patients · 25 distinct codes
| Procedure | Type | Code | Services | Compared with peers |
|---|---|---|---|---|
| Influenza vaccine, trivalent derived from cell cultures | Treatment | 90661 |
46 | More often than most peers in Family Practice |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | Office visit | 99214 |
1,989 | More than most peers in Family Practice |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | Office visit | 99233 |
1,194 | More than most peers in Family Practice |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | Office visit | 99232 |
589 | More than most peers in Family Practice |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
450 | More than most peers in Family Practice |
| Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | Office visit | 99223 |
386 | More than most peers in Family Practice |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
382 | More often than most peers in Family Practice |
| Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | Office visit | 99309 |
379 | More often than most peers in Family Practice |
| Hospital discharge day management, 30 minutes or less | Office visit | 99238 |
339 | More than most peers in Family Practice |
| Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes | Office visit | 99310 |
311 | More than most peers in Family Practice |
Source: CMS Medicare public data. Shows how often procedures were billed — not quality of care or patient satisfaction.
Dr. Sinha is a family practice in Toms River, NJ. That is the designation recorded for this NPI in the federal registry.
NPI registry
Dr. Sinha is listed at 20 Hospital Dr Ste 3, 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) 341-9900. Contact the office directly to confirm availability and scheduling.
NPI registry
Dr. Sinha's National Provider Identifier is 1013988286. 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
Dr. Sinha attended Other, graduating in 1992. This comes from the CMS National Downloadable File.
CMS public data
Dr. Sinha has 34 years experience. Calculated from a graduation year of 1992, reported in the CMS National Downloadable File.
CMS public data
According to Medicare billing data, Dr. Sinha provides treatments such as influenza vaccine, trivalent derived from cell cultures, 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 Dr. Sinha. If this is you, claiming it is free.
Guide.md
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