NICOLE LUPO (PA-C) – Surgery Physician, NPI 1639699713
Surgery Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
Provider Addresses for NICOLE LUPO (PA-C)
10, Crimson Lane, Four Maples, Freehold Township, Monmouth County, New Jersey, 07728, United States
FREEHOLD, NJ 077289013
Phone:
Type: Mailing
255 MONMOUTH RD
OAKHURST, NJ 077551515
Phone: (732) 531-5445
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $803.
Total Amount is formed as General ($803) + Research ($0) + Ownership ($0) = $803.
Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Dilon Technologies, Inc. ($479).
Total Amount
$803
General + Research + Ownership
Payments
9
Total payment records
General Amount
$803
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-17
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Dilon Technologies, Inc. | $479 |
| Integra LifeSciences Corporation | $262 |
| Baxter Healthcare | $31 |
| Olympus America Inc. | $17 |
| Solventum Corporation | $14 |
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: 2017-09-19
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 |
|---|---|---|---|---|
| I20170919000088 | I | Physician Assistant | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 71 | 59 | $0 |
| 99442 | Telephone medical discussion with physician, 11-20 minutes | 43 | 42 | $0 |
| 99441 | Telephone medical discussion with physician, 5-10 minutes | 39 | 39 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 23 | 23 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 23 | 21 | $0 |
Insurance plans in this area (ZIP 07728)
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Group practice members
- 1
- 2
- 3
- 4
- 5
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Vascular Surgery | NY | |
| Physician Assistant | NJ | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NJ | |
| General Surgery | NJ |
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