Jose Dugenio, MD
NPI 1467473595 · Emergency Medicine Physician · Toms River, NJ
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jose Dugenio, MD is a Emergency Medicine Physician provider in Toms River, NJ (NPI 1467473595).
Provider details
- NPI number
- 1467473595
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MA024370 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
270 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 141 | $129 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 53 | $188 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 45 | $9 |
| X-Ray of Chest, 1 View71045 | 19 | $9 |
| Emergency Department Visit With Low Level of Medical Decision Making99283 | 12 | $76 |
Typical Medicare-allowed amounts for these services range $9–$188 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 6 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 42 | 40 |
| Azithromycin | 34 | 34 |
| Doxycycline Hyclate | 20 | 19 |
| Amoxicillin/Potassium Clavbrand: Amoxicillin-Clavulanate Potass | 18 | 18 |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 13 | 13 |
| Cephalexin | 11 | 11 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means , never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-22
- Last updated
- 2007-07-08
Frequently asked questions
- What is Jose Dugenio's NPI number?
- Jose Dugenio's National Provider Identifier (NPI) is 1467473595, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jose Dugenio's specialty?
- Jose Dugenio is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Jose Dugenio located?
- Jose Dugenio's practice location on file with NPPES is 24 Mitchell Dr, Toms River, NJ 08755-5177.
- What is Jose Dugenio's phone number?
- The practice phone number listed in the NPPES registry for Jose Dugenio is (732) 505-0887.
- Does Jose Dugenio accept Medicare?
- Jose Dugenio is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Jose Dugenio's NPI active?
- Yes — Jose Dugenio's NPI (1467473595) 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.