John D. Gumina, M.D.
NPI 1831169515ActiveIndividual· Family Medicine· Freehold, NJ
Family Medicine (M.D.) with Hackensack Meridian Health Medical Group - Primary Care PC, practicing in Freehold, New Jersey. Their prescriptions cost Medicare Part D more than their services did: $999,750 for 8,528 claims, against $141,265 paid for services in 2024. Abbvie Inc. was the largest of 24 companies reporting payments in 2025, $1,503 in all, mostly food and beverage. Lists Centrastate Medical Center and 2 other hospitals as hospital affiliations.
Overview
| NPI | 1831169515 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jan 25, 2006 |
| Last updated in NPPES | May 26, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MA30356 | NJ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Family Practice (NJ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 323 |
|---|---|
| Services billed | 3,258 across 60 procedure codes |
| Paid by Medicare | $141,265 |
Part D prescriptions in 2024
| Prescriptions (claims) | 8,528 · 19,412 30-day fills |
|---|---|
| Patients | 832 |
| Total drug cost | $999,750 |
| Generic share | 83% of claims |
Education and affiliations
| Graduation year | 1970 |
|---|---|
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Hackensack Meridian Health Medical Group - Primary Care PCOld Bridge, NJ · 358 clinicians
Hospital affiliations
- Centrastate Medical CenterFreehold, NJ
- Jersey Shore University Medical CenterNeptune, NJ
- Ocean Medical CenterBrick, NJ
Other facilities
- Hackensack Meridian at Home Monmouth CountyHome health agency · Neptune, NJ
- Hackensack Meridian at Home Ocean CountyHome health agency · Brick, NJ
- Visiting Nurse Association of Central Jersey Home Care and HospiceHome health agency · Toms River, NJ
Industry payments (Open Payments)
- 2025$1,503 · 98 payments from 24 companies
- 2024$2,402 · 152 payments from 21 companies
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Abbvie Inc. | $271.33 | 18 |
| Novo Nordisk Inc | $225.03 | 15 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $144.86 | 9 |
| Astrazeneca Pharmaceuticals LP | $139.36 | 14 |
| Lilly USA, LLC | $102.45 | 6 |
What the 2025 payments were for
- Food and Beverage$1,503 · 98 payments
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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