Donna Koby
NPI 1639722242 · Psychiatric/Mental Health Nurse Practitioner · Toms River, NJ
Enrolled with Medicare as Practitioner - Nurse Practitioner · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Donna Koby is a Psychiatric/Mental Health Nurse Practitioner provider in Toms River, NJ (NPI 1639722242).
Provider details
- NPI number
- 1639722242
- Entity type
- Individual
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 26NJ00936000 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
6 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
420 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) |
|---|---|---|
| Initial Or Subsequent Psychiatric Collaborative Care Management, First 30 Minutes in a Month of Behavioral Health Care Manager Activities, in Consultation With a Psychiatric Consultant, and Directed By the Treating Physician Or Other Qualified Health CareG2214 | 143 | $51 |
| Care Management Services for Behavioral Health Conditions, 20 Minutes Or More Clinical Staff Time Directed By Health Care Professional99484 | 113 | $49 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 54 | $98 |
| Psychotherapy With Evaluation and Management Visit, 30 Minutes90833 | 52 | $59 |
| Psychotherapy With Evaluation and Management Visit, 45 Minutes90836 | 30 | $79 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 10 distinct drugs on file.
| Drug | Part D claims (2024) |
|---|---|
| Alprazolam | 56 |
| Methylphenidate Hcl | 21 |
| Lamotrigine | 21 |
| Bupropion Hclbrand: Bupropion Hcl Sr | 18 |
| Sertraline Hcl | 16 |
| Fluoxetine Hcl | 13 |
| Dextroamphetamine/Amphetaminebrand: Dextroamphetamine-Amphetamine | 13 |
| Methylphenidate Hclbrand: Methylphenidate Er |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$163 across 3 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
- 2019-07-23
- Last updated
- 2022-04-18
- Certified
- 2022-04-18
Frequently asked questions
- What is Donna Koby's NPI number?
- Donna Koby's National Provider Identifier (NPI) is 1639722242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Donna Koby's specialty?
- Donna Koby is listed in the NPPES registry with a primary specialty of Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Donna Koby located?
- Donna Koby's practice location on file with NPPES is 1857 Cable Dr, Toms River, NJ 08753-3124.
- What is Donna Koby's phone number?
- The practice phone number listed in the NPPES registry for Donna Koby is (908) 405-2117.
- Does Donna Koby accept Medicare?
- Donna Koby is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Donna Koby's NPI active?
- Yes — Donna Koby's NPI (1639722242) is active in the NPPES registry as of the last update on 2022-04-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.