Gerald Edward Pflum, M.D.
Otolaryngology/Facial Plastic Surgery Physician · Neptune, NJ
Gerald Edward Pflum, M.D. is an otolaryngology/facial plastic surgery physician with a practice address in Neptune, New Jersey, and NPI 1386603066, issued on Mar 21, 2006. Check the license (New Jersey 25MA032941, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Gerald Edward Pflum
- Credential
- M.D.
- Primary taxonomy
- Otolaryngology/Facial Plastic Surgery Physician 207YX0905X
- License number
- 25MA032941 NJ
Self-reported in NPPES; status is on the state search - Practice location
- 444 Neptune Blvd, Neptune, NJ 07753
- Phone
- (732) 775-1301
- Enumerated
- Mar 21, 2006
- Record last updated
- Aug 21, 2009 (not updated in 17 years: call before relying on the address or phone)
- Fax
- (732) 775-0507
- Medicaid ID
- 2003902 NJ
- Medicare enrollment
- Enrolled (PECOS I20081107000782); accepts Medicare assignment
- Medical or professional school
- Loyola University Of Chicago, Stritch School Of Medicine, 1972
- Entity
- Type 1 · individual
8 nearest otolaryngology/facial plastic surgery physician records → All 38 in New Jersey → Look up another NPI →
Also registered at 444 Neptune Blvd
A shared address usually means a shared clinic or building; it does not show who employs whom.
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- Hannah Koutishian, APNNurse Practitioner1780546903
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- Tracy McIntyre, APNAdult Health Nurse Practitioner1013204486
Verify Gerald Edward Pflum in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA032941Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
22% more Medicare Part D claims than the average otolaryngology/facial plastic surgery physician in 2024
670 Medicare Part D claims for 201 beneficiaries, against an average of 550 among the 650 providers of this specialty who prescribed in Part D. Brand-name drugs were 2% of claims.
Most prescribed
- Fluticasone Propionate201 claims
- Azelastine Hcl121 claims
- Ofloxacin59 claims
- Methylprednisolone40 claims
- Amoxicillin-Clavulanate Potass37 claims
- Lansoprazole22 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The MIPS final score for 2023 (Medicare payment program): 78.5 of 100
The Merit-based Incentive Payment System score is reported for this clinician. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023; category weights for 2023 (qpp.cms.gov).
Gerald Edward Pflum among 38 otolaryngology/facial plastic surgery physician records in New Jersey
Gerald Edward Pflum, M.D. is one of 38 otolaryngology/facial plastic surgery physician records with a practice address in New Jersey. 95% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 18% of them.
- NPI issued2006 · 18% of these records are older, 24% newer
- In a Medicare fileYes · 95% of these records are
- In the CMS Doctors and Clinicians fileYes · 79% of these records are
- Graduated1972 · median 1994 among the 30 with a school on file
- Record last updated2009 · 82% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207YX0905X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
Otolaryngology/Facial Plastic Surgery Physician providers in New Jersey
There are 38 otolaryngology/facial plastic surgery physician records in New Jersey.
All 38 in New Jersey → Every provider in Neptune → Otolaryngology/Facial Plastic Surgery Physician nationwide →
The 8 otolaryngology/facial plastic surgery physician records with the nearest ZIP codes
- Sigmund Sattenspiel, M.D.Freehold, NJ 077281730177676
- Arvind Prabhat, MDShrewsbury, NJ 077021003910472
- Eric Winarsky, MDShrewsbury, NJ 077021144303421
- Frank Scaccia, M.D.Red Bank, NJ 077011891793204
- James Lee, M.D.Westwood, NJ 076751457335564
- Victor Gentile, M.D.Hackettstown, NJ 078401821060187
- Robin Brody, MDHackensack, NJ 076011841239423
- David Liao, MDHackensack, NJ 076011578007753
Common questions
What is Gerald Edward Pflum, M.D.'s NPI number?
Gerald Edward Pflum, M.D.'s National Provider Identifier (NPI) is 1386603066, issued on Mar 21, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Gerald Edward Pflum, M.D. located?
The NPPES record lists a practice address at 444 Neptune Blvd, Neptune, NJ, 07753. Phone: (732) 775-1301. Providers update this record themselves, so call before visiting.
How can I verify Gerald Edward Pflum, M.D.'s license?
NPPES lists New Jersey license number 25MA032941, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Gerald Edward Pflum, M.D. prescribe under Medicare Part D?
In 2024, Gerald Edward Pflum, M.D. had 670 Medicare Part D claims for 201 beneficiaries; the average among otolaryngology/facial plastic surgery physician prescribers was 550. Part D covers Medicare prescriptions only.
What is Gerald Edward Pflum, M.D.'s MIPS final score?
The 2023 MIPS final score is 78.5 of 100. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.