Medicare Enrolled

Dr. Maria Elma Pontipiedra, FNP- BC

Physician Assistant · Toms River, NJ
Practice pattern: Clinical Cardiology — Primarily office-based clinical cardiology
Low-engagement
1886 CHARLTON CIR, Toms River, NJ 08755
7329141754
In practice since 2019 (6 years)
NPI: 1326698853 verify on NPPES ↗
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating. This page presents federal public records about Dr. Pontipiedra from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Pontipiedra? Request a correction or review of any data shown here. Provider portal →

What this data tells you about Dr. Pontipiedra

Dr. Maria Elma Pontipiedra is a physician assistant in Toms River, NJ, with 6 years of NPI registration. Based on federal Medicare data, Dr. Pontipiedra performed 2,033 Medicare services across 1,683 unique beneficiaries.

Between the years covered by Open Payments, Dr. Pontipiedra received a total of $9,408 from 41 pharmaceutical and/or device companies across 556 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in physician assistant. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.

The Data Coverage level for Dr. Pontipiedra is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.

✓ 6 years in practice ▲ Top 5% volume in NJ $9,408 industry payments

Medicare Practice Summary

Medicare Utilization ↗
2,033
Medicare services
Top 5% in NJ for physician assistant
1,683
Unique beneficiaries
$47
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~339 Medicare services per year of practice

Top procedures by volume

Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.

Procedure Volume Avg. paid Avg. submitted
Office visit, established patient (30-39 min)
A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition.
579 $87 $200
Blood glucose test using hand-held instrument
A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels.
561 $3 $10
Office visit, established patient (20-29 min)
An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition.
367 $63 $150
Continuous glucose monitoring with interpretation
This procedure involves monitoring blood sugar levels in tissue fluid using a sensor placed under the skin, along with the interpretation and reporting of the results.
336 $24 $52
Telephone medical discussion, 11-20 minutes
A phone conversation with a physician lasting between 11 and 20 minutes.
143 $63 $142
Continuous glucose monitoring, sensor under skin
This procedure involves continuous monitoring of blood sugar levels in tissue fluid using a sensor placed under the skin with provider-supplied equipment.
27 $131 $265
Office visit, established patient (10-19 min)
An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition.
20 $40 $148
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.

Industry Payment Transparency

Open Payments through 2024 ↗
$9,408
Total received (2021-2024)
Avg $2,352/year across 4 years
Top 2% in NJ for physician assistant
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
41
Companies
556
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →

Payment profile

Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.

Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$9,408 (100.0%)

Payment trend by year

Annual totals from pharmaceutical and medical device companies.

2024
$2,325
2023
$2,633
2022
$2,504
2021
$1,945

Payments by company (2024)

Consulting
Speaking
Meals & Travel
Research
Corcept Therapeutics
$274
Lilly USA, LLC
$264
SANOFI-AVENTIS U.S. LLC
$233
Novo Nordisk Inc
$201
Boehringer Ingelheim Pharmaceuticals, Inc.
$155
AstraZeneca Pharmaceuticals LP
$141
Insulet Corporation
$123
ABBVIE INC.
$121
Medtronic, Inc.
$117
Mannkind Corporation
$114
Dexcom, Inc.
$106
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$104
Amneal Pharmaceuticals LLC
$79
Abbott Laboratories
$69
Bayer Healthcare Pharmaceuticals Inc.
$66
CeQur Corporation
$45
PFIZER INC.
$21
Kyowa Kirin, Inc.
$17
IBSA Pharma Inc.
$16
Ultragenyx Pharmaceutical Inc.
$15
Ascensia Diabetes Care Us Inc.
$15
OPKO Pharmaceuticals, LLC
$15
Xeris Pharmaceuticals, Inc.
$14
Top 3 companies account for 33.2% of 2024 payments
All-time payments by company (2021-2024) ›
Novo Nordisk Inc
$2,049
Lilly USA, LLC
$946
Amneal Pharmaceuticals LLC
$615
Medtronic, Inc.
$569
SANOFI-AVENTIS U.S. LLC
$498
Corcept Therapeutics
$475
Intuity Medical Inc
$470
AstraZeneca Pharmaceuticals LP
$457
Abbott Laboratories
$369
Bayer HealthCare Pharmaceuticals Inc.
$279
Ascensia Diabetes Care Us Inc.
$277
Dexcom, Inc.
$273
ABBVIE INC.
$222
Bayer Healthcare Pharmaceuticals Inc.
$217
Boehringer Ingelheim Pharmaceuticals, Inc.
$170
Mannkind Corporation
$169
Insulet Corporation
$142
MannKind Corporation
$140
Horizon Therapeutics plc
$125
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$104
Amarin Pharma Inc.
$100
Xeris Pharmaceuticals, Inc.
$83
DEXCOM, INC.
$78
CeQur Corporation
$74
IBSA Pharma Inc.
$70
Becton, Dickinson and Company
$59
AbbVie Inc.
$50
RECORDATI_RARE_DISEASES_INC.
$37
Kyowa Kirin, Inc.
$33
Ultragenyx Pharmaceutical Inc.
$30
OPKO Pharmaceuticals, LLC
$30
Endo Pharmaceuticals Inc.
$30
Merck Sharp & Dohme Corporation
$27
Radius Health, Inc.
$27
PFIZER INC.
$21
Tolmar, Inc.
$17
Antares Pharma, Inc.
$16
Rhythm Pharmaceuticals, Inc.
$15
Supernus Pharmaceuticals, Inc.
$15
Kowa Pharmaceuticals America, Inc.
$14
Regeneron Healthcare Solutions, Inc.
$14
Top 3 companies account for 38.4% of all-time payments
Associated products mentioned in payments ›
AFREZZA · BAQSIMI · BD Nano 2nd Gen Pen Needle · BD Ultra-Fine · BOTOX · CeQur Simplicity · Crysvita · DEXCOM G6 TRANSMITTER · Dexcom G6 Transmitter · EVERSENSE 365 SENSOR KIT (RETAIL) · EVKEEZA · FARXIGA · FREESTYLE LIBRE 2 · FREESTYLE LIBRE 3 · FreeStyle Libre 2 · GVOKE HYPOPEN · GVOKE PFS · HUMULIN · INPEN SMART INSULIN DELIVERY SYSTEM · INTELLIS ADAPTIVESTIM · InPen · JANUVIA · JARDIANCE · JATENZO · Kerendia · Korlym · LICART · LOKELMA · Livalo · MINIMED 770G · MINIMED 780G · MOUNJARO · NASCOBAL · Omnipod · Ozempic · Pogo Automatic Blood Glucose Monitoring System · RAYALDEE · RECORLEV · RYBELSUS · Rybelsus · SOLIQUA 100/33 · SOMAVERT · SYNTHROID · Saxenda · TEPEZZA · TOUJEO · TRULICITY · TZIELD · Tirosint · UNITHROID · Vascepa · Wegovy · XIFAXAN · XYOSTED
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →

Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 2% for physician assistant in NJ.

Looking for a physician assistant in Toms River?
Compare physician assistants in the Toms River area by procedure volume, costs, and industry payment transparency.
Browse physician assistants nearby

Geographic Context

Physician assistants within 10 mi
234
Per 100K population
36.2
County median income
$86,411
Nearest hospital
COMMUNITY MEDICAL CENTER
0.0 mi

Data Sources

Provider Registry NPPES Weekly updates
Medicare Enrollment PECOS Monthly updates
Practice Data Medicare Util. Annual (CY lag)
Industry Payments Open Payments CY 2024
Disciplinary History — Not public N/A

This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →

Summary

Dr. Pontipiedra is a clinical cardiology specialist, with above-average Medicare volume (top 5% in NJ), with low-engagement industry engagement in the top 2% of NJ peers.

This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →

Frequently Asked Questions

Is Dr. Pontipiedra experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Pontipiedra performed 579 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Pontipiedra receive payments from pharmaceutical companies?
Yes. Dr. Pontipiedra received a total of $9,408 from 41 companies across 556 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Pontipiedra's costs compare to other physician assistants in Toms River?
Dr. Pontipiedra's average Medicare payment per service is $47. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Pontipiedra) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
About this page

All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.

This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.

Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology

Data Disclaimer — Data sourced from the Centers for Medicare & Medicaid Services (CMS): National Plan and Provider Enumeration System (NPPES), Open Payments program, Medicare Provider Utilization and Payment Data, and Provider Enrollment & Certification data (PECOS). Published under the Freedom of Information Act (FOIA). This website is not affiliated with, endorsed by, or authorized by CMS, HHS, or the U.S. Government. Data may contain errors as reported to CMS by providers and reporting entities. Payments from industry are legal and do not indicate wrongdoing. Medicare data reflects only patients aged 65+ or those with qualifying disabilities. For corrections, contact CMS directly. This information does not constitute medical advice and should not be used as the sole basis for choosing a healthcare provider. Procedure descriptions use plain language and do not reference CPT® codes, which are copyrighted by the American Medical Association. Full methodology → · Report a data error → · Privacy policy →