Peter Mencel, M.D.
NPI 1609858455 · Hematology & Oncology Physician · Manasquan, NJ
Enrolled with Medicare as Practitioner - Hematology/Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Peter Mencel, M.D. is a Hematology & Oncology Physician provider in Manasquan, NJ (NPI 1609858455).
Provider details
- NPI number
- 1609858455
- Entity type
- Individual
- Primary specialty
- Hematology & Oncology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA05491800 (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
20 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
973 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 890 | $138 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 41 | $97 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 26 | $237 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 16 | $194 |
Typical Medicare-allowed amounts for these services range $97–$237 (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 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Anastrozole | 54 | 20 |
| Apixabanbrand: Eliquis | 24 | — |
| Letrozole | 14 | — |
| Ropinirole Hcl | 14 | — |
| Famotidine | 13 | — |
| Glipizidebrand: Glipizide Er | 13 | — |
| Prochlorperazine Maleate | 12 | 11 |
| Venetoclaxbrand: Venclexta |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$1,320 across 70 records (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
- 2005-11-17
- Last updated
- 2010-06-29
Frequently asked questions
- What is Peter Mencel's NPI number?
- Peter Mencel's National Provider Identifier (NPI) is 1609858455, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Peter Mencel's specialty?
- Peter Mencel is listed in the NPPES registry with a primary specialty of Hematology & Oncology Physician (Allopathic & Osteopathic Physicians).
- Where is Peter Mencel located?
- Peter Mencel's practice location on file with NPPES is 1707 Atlantic Ave, Manasquan, NJ 08736-1147.
- What is Peter Mencel's phone number?
- The practice phone number listed in the NPPES registry for Peter Mencel is (732) 528-0760.
- Does Peter Mencel accept Medicare?
- Peter Mencel is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Peter Mencel's NPI active?
- Yes — Peter Mencel's NPI (1609858455) is active in the NPPES registry as of the last update on 2010-06-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.