Carol Sgambelluri, MD
NPI 1255363701 · Family Medicine Physician · Green Brook, NJ
Enrolled with Medicare as Practitioner - Family Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carol Sgambelluri, MD is a Family Medicine Physician provider in Green Brook, NJ (NPI 1255363701).
Provider details
- NPI number
- 1255363701
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 25MA05327000 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
5,556 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 406 | $8 |
| Blood Test, Comprehensive Group of Blood Chemicals80053 | 398 | $10 |
| Lactate Dehydrogenase (enzyme) Level83615 | 397 | $6 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 335 | $13 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 301 | $3 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 275 | $95 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 117 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 361 | 148 |
| Alprazolam | 256 | 69 |
| Levothyroxine Sodium | 219 | 62 |
| Amlodipine Besylate | 181 | 66 |
| Metoprolol Succinate | 179 | 64 |
| Gabapentin | 146 | 44 |
| Rosuvastatin Calcium |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-07
- Last updated
- 2007-07-08
Frequently asked questions
- What is Carol Sgambelluri's NPI number?
- Carol Sgambelluri's National Provider Identifier (NPI) is 1255363701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carol Sgambelluri's specialty?
- Carol Sgambelluri is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carol Sgambelluri located?
- Carol Sgambelluri's practice location on file with NPPES is 1005 North Washington Ave, Green Brook, NJ 08812.
- What is Carol Sgambelluri's phone number?
- The practice phone number listed in the NPPES registry for Carol Sgambelluri is (732) 968-8900.
- Does Carol Sgambelluri accept Medicare?
- Carol Sgambelluri is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carol Sgambelluri's NPI active?
- Yes — Carol Sgambelluri's NPI (1255363701) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.