NPPES file of Aug 9, 2026

Kevin Thomas Gioia, MD

Urology Physician · Rumson, NJ

Kevin Thomas Gioia, MD is a urology physician with a practice address in Rumson, New Jersey, and NPI 1053578831, issued on May 20, 2008. Check the license (New Jersey 25MA09916800, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1053578831
Name
Kevin Thomas Gioia
Credential
MD
Primary taxonomy
Urology Physician 208800000X
License numbers
25MA09916800 NJ
MD60453256 WA
Self-reported in NPPES; status is on the state search
Practice location
108 Avenue OF Two Rivers, Rumson, NJ 07760
Phone
(732) 263-7903
Enumerated
May 20, 2008
Record last updated
Jun 17, 2019 (not updated in 7 years: call before relying on the address or phone)
Fax
(732) 263-7905
Medicare enrollment
Enrolled (PECOS I20160809001274); accepts Medicare assignment
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Verify Kevin Thomas Gioia in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
    Search for license 25MA09916800
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the New Jersey license search

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80% fewer Medicare Part D claims than the average urology physician in 2024

271 Medicare Part D claims for 131 beneficiaries, against an average of 1,340 among the 10,782 providers of this specialty who prescribed in Part D. Brand-name drugs were 56% of claims. 55 claims were for opioids.

  1. Kevin Gioia271
  2. Specialty average1,340

Most prescribed

  1. Myrbetriq72 claims
  2. Gemtesa70 claims
  3. Tramadol Hcl55 claims
  4. Estradiol13 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 practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score68.7
  2. Costout of 100 · 30%50.7
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Industry payments in 2024: $18,889.78

43 payments; by number, the most common kind was food and beverage; the largest payer was Intuitive Surgical, Inc. The 9,340 providers of this specialty with any payment received $3,800.04 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.

  1. Kevin Gioia$18,890
  2. Specialty average$3,800

Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.

Bills Medicare through one group practice

  1. Hackensack Meridian Health Medical Group - Specialty Care PCRed Bank, NJ

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Kevin Thomas Gioia among 443 urology physician records in New Jersey

Kevin Thomas Gioia, MD is one of 443 urology physician records with a practice address in New Jersey. 81% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2008, is newer than 70% of them.

  • NPI issued2008 · 70% of these records are older, 24% newer
  • In a Medicare fileYes · 81% of these records are
  • In the CMS Doctors and Clinicians fileYes · 67% of these records are
  • Graduated2008 · median 1998 among the 298 with a school on file
  • Record last updated2019 · 48% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208800000X and a New Jersey practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

1 urology physician record lists a practice address in Rumson

They are 1 of the 59 NPPES records with a practice address in Rumson, and 443 urology physician records in New Jersey.

The 8 urology physician records with the nearest ZIP codes

  1. Jack Ebani, MDNeptune, NJ 077531962563932
  2. Matthew Tobin, MDNeptune, NJ 077531366425332
  3. Richard Cohen, MDLong Branch, NJ 077401013996602
  4. Vincent Lanteri, MDLong Branch, NJ 077401528036670
  5. Saad Antoun, M.D.Holmdel, NJ 077331386655348
  6. William Jow, MDHolmdel, NJ 077331164424057
  7. Jovencio Marcelino, M.D.Holmdel, NJ 077331093086027
  8. Nathaniel Peardon, D.O.Holmdel, NJ 077331417996604

Common questions

What is Kevin Thomas Gioia, MD's NPI number?

Kevin Thomas Gioia, MD's National Provider Identifier (NPI) is 1053578831, issued on May 20, 2008. An NPI identifies a provider in billing; it is not a license.

Where is Kevin Thomas Gioia, MD located?

The NPPES record lists a practice address at 108 Avenue OF Two Rivers, Rumson, NJ, 07760. Phone: (732) 263-7903. Providers update this record themselves, so call before visiting.

How can I verify Kevin Thomas Gioia, MD's license?

NPPES lists New Jersey license number 25MA09916800, 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 Kevin Thomas Gioia, MD prescribe under Medicare Part D?

In 2024, Kevin Thomas Gioia, MD had 271 Medicare Part D claims for 131 beneficiaries; the average among urology physician prescribers was 1,340. Part D covers Medicare prescriptions only.

What is Kevin Thomas Gioia, MD's MIPS final score?

The 2023 MIPS final score is 75.8 of 100, reported for the practice group. 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.