Doctor profile · Federal record
Dr. Edgar Bigornia, M.D.
Gastroenterology Physician (CMS: Gastroenterology) · Toms River, NJ
- NPI 1639116973
- Accepts Medicare
- MIPS 97.5 / 100 · 2023
- 39 yrs in practice
- Male
- No sanctions
Practice & contact
- Primary practice
-
477 Lakehurst RD
Toms River, NJ 087556342
(732) 349-4422
fax (732) 349-8126 - Mailing address
-
1417 Cortland Dr
Manasquan, NJ 087364024
Credentials & registration
- NPI registered
- June 2006 — 20 yrs on file
- Profile last updated
- July 8, 2007
- Year of graduation
- 1987 — 39 yrs since
- Specialty taxonomy
- 207RG0100X — NUCC code
- State license (1)
- New Jersey #25MA06983100
- Medicaid
- NE #8689407
Federal sanctions & exclusions
No sanctions, exclusions or revocations on file
Checked against OIG LEIE on NPI 1639116973. Last verified May 11, 2026.Medicare procedures · 2023
Top services delivered
Total services
1,181
Distinct HCPCS
10
Medicare allowed
$152,829
| HCPCS | Description | Services | Patients | Avg allowed | |
|---|---|---|---|---|---|
99214 |
Established patient office or other outpatient visit, 30-39 minutes | 256 | 201 | $136 | |
99232 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 144 | 102 | $83 | |
43239 |
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope | 116 | 116 | $119 | |
99213 |
Established patient office or other outpatient visit, 20-29 minutes | 100 | 86 | $97 | |
99222 |
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 81 | 78 | $135 | |
45385 |
Removal of polyps or growths of large bowel using an endoscope with mechanical snare | 80 | 79 | $246 | |
76981 |
Ultrasound scan of organ tissue for measuring elasticity | 77 | 75 | $116 | |
99204 |
New patient office or other outpatient visit, 45-59 minutes | 73 | 73 | $177 | |
99203 |
New patient office or other outpatient visit, 30-44 minutes | 58 | 58 | $120 | |
99233 |
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 54 | 31 | $122 |
In context: peer comparison
Among 12 peers in this city , average services per provider: 113. This provider delivers 10× the peer median.Open Payments
Industry payments received
All-time total
$213
Transactions
5
Manufacturers
4
| Payer (manufacturer) | Industry | Txns | Amount |
|---|---|---|---|
| Laborie Medical Technologies Corp. | 2 | $88.68 | |
| Medtronic, Inc. | 1 | $87.49 | |
| ABBVIE INC. | 1 | $20.00 | |
| Janssen Biotech, Inc. | 1 | $17.31 |
By nature of payment
Medicare Part D · 2023
Top prescriptions
Total claims
2,003
Patients
519
Total drug cost
$379,530
| Drug | Type | Claims | Patients | Total cost |
|---|---|---|---|---|
| Pantoprazole Sodium | Generic | 1,139 | 296 | $15,051 |
| Dexlansoprazole Dr (Dexlansoprazole) | Brand | 158 | 44 | $60,244 |
| Dicyclomine Hcl | Generic | 106 | 50 | $3,913 |
| Rabeprazole Sodium | Generic | 102 | 27 | $3,660 |
| Linzess (Linaclotide) | Brand | 93 | 16 | $56,917 |
| Sucralfate | Generic | 64 | 17 | $11,492 |
| Mesalamine | Generic | 58 | 16 | $50,390 |
| Creon (Lipase/Protease/Amylase) | Brand | 57 | 11 | $162,628 |
| Omeprazole | Generic | 55 | 18 | $1,068 |
| Colestipol Hcl | Generic | 38 | 13 | $4,091 |
Hospital affiliations
Frequently asked questions
What is Dr. Edgar Bigornia's medical specialty?
Dr. Edgar Bigornia practices Gastroenterology Physician in Toms River, NJ.
Where does Dr. Edgar Bigornia practice?
Dr. Edgar Bigornia practices at 477 Lakehurst RD, Toms River, NJ 087556342. Office phone: 7323494422.
What is Dr. Edgar Bigornia's NPI?
Dr. Edgar Bigornia's National Provider Identifier (NPI) is 1639116973, issued by NPPES.
Does Dr. Edgar Bigornia accept Medicare assignment?
Yes. Dr. Edgar Bigornia accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.
What procedures does Dr. Edgar Bigornia commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214); Subsequent hospital care with moderate levelof medical decision making (HCPCS 99232); Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS 43239). Source: CMS Medicare Physician & Other Practitioners file.