LANCE A MARKBREITER (M.D.) – Orthopaedic Surgery Physician, NPI 1063463016
Orthopaedic Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
917 ORTHOPEDIC SURGERY in NJ
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Provider Addresses for LANCE A MARKBREITER (M.D.)
35, Gilbert Street South, Tinton Falls, Monmouth County, New Jersey, 07701, United States
TINTON FALLS, NJ 077014917
Phone: (732) 530-1515
Fax: (732) 345-6497
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2008-08-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20080818000454 | I | Orthopedic Surgery | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| J1030 | Injection, methylprednisolone acetate, 40 mg | 157 | 50 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 116 | 48 | $0 |
| 20610 | Aspiration and/or injection of fluid from large joint | 42 | 19 | $0 |
| 20605 | Aspiration and/or injection of fluid from medium joint | 37 | 20 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 27 | 27 | $0 |
Insurance plans in this area (ZIP 07701)
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