Douglas Tiburzi, PA
NPI 1811924087 · Physician Assistant · Toms River, NJ
Enrolled with Medicare as Practitioner - Physician Assistant · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Douglas Tiburzi, PA is a Physician Assistant provider in Toms River, NJ (NPI 1811924087).
Provider details
- NPI number
- 1811924087
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA
- Sex
- Male
- Sole proprietor
- No
- License
- MP00205 (NJ)
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
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
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
97 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) |
|---|---|---|
| Replacement of Knee Joint, Both Sides of Knee27447 | 48 | $196 |
| Replacement of Thigh Bone and Hip Joint With Prosthesis27130 | 37 | $184 |
| Initial Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 40 Minutes99221 | 12 | $73 |
Typical Medicare-allowed amounts for these services range $73–$196 (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 · 2 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Tramadol Hcl | 18 | 18 |
| Pantoprazole Sodium | 12 | 12 |
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 no Part D record, 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.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$3,167 across 12 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
Additional practice locations (1)
- 186 County Road 520 # 1Morganville, NJ 07751-1246Phone: (732) 349-8454Fax: (732) 341-0259
Registry dates
- Enumerated
- 2006-06-26
- Last updated
- 2025-07-18
- Certified
- 2025-07-18
Frequently asked questions
- What is Douglas Tiburzi's NPI number?
- Douglas Tiburzi's National Provider Identifier (NPI) is 1811924087, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Douglas Tiburzi's specialty?
- Douglas Tiburzi is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Douglas Tiburzi located?
- Douglas Tiburzi's practice location on file with NPPES is 530 Lakehurst Rd Ste 101, Toms River, NJ 08755-8063.
- What is Douglas Tiburzi's phone number?
- The practice phone number listed in the NPPES registry for Douglas Tiburzi is (732) 349-8454.
- Does Douglas Tiburzi accept Medicare?
- Douglas Tiburzi is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Douglas Tiburzi's NPI active?
- Yes — Douglas Tiburzi's NPI (1811924087) is active in the NPPES registry as of the last update on 2025-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.