Dr. Gerald Pflum, MD
444 Neptune Blvd, Unit 12, Neptune, NJ 07753 • +1-342-555-9742
Medical Education: Accredited U.S. Medical School (Class of 2014)
What This Doctor Actually Performs: CMS Medicare Utilization & Neptune Percentiles
NPI #1386603066 • CBSA Regional • Otolaryngology
Anchored in Neptune, NJ 07753, Dr. Gerald Pflum, MD (NPI 1386603066) logged 910 annual procedures (focused low-volume boutique caseload (0th Neptune percentile), 11.76th NJ percentile, -0.79σ) with sub-specialty concentration in 19 Active CMS HCPCS Codes.
Among 5 tracked CMS fee-schedule codes for Dr. Pflum (averaging 2.7 services per beneficiary), 99213 (Focused Ear, Nose, Sinus & Throat Examination) represents 34% of tracked volume (309 encounters), paired with 31231 (228x).
For out-of-network patients contacting +1-342-555-9742, Dr. Pflum's practice posts a $209.00 GPCI self-pay consult estimate ($209.00 patient-logged median, 4.69/5 composite reality score over 4 submissions).
Spanning 12 years of clinical practice following 2014 graduation from medical training, Dr. Gerald Pflum integrates 19 Active CMS HCPCS Codes diagnostics for Neptune metro patients.
Compared against Neptune, NJ Otolaryngology peers
910 annual services across 333 beneficiaries
Standard deviations from NJ Otolaryngology mean utilization
Top Billed HCPCS/CPT Procedures & GPCI Self-Pay Cash Benchmarks
| HCPCS | Clinical Procedure Description | Annual Volume | Local Pct | Est. Cash Range |
|---|---|---|---|---|
| 99213 | Focused Ear, Nose, Sinus & Throat Examination | 309 | 12th | $128 – $176 |
| 31231 | Diagnostic Rigid/Flexible Nasal & Sinus Endoscopy | 228 | 12th | $258 – $354 |
| 31575 | Flexible Fiberoptic Laryngoscopy Vocal Cord Inspection | 173 | 12th | $188 – $258 |
| 92557 | Comprehensive Pure-Tone Audiometry & Speech Recognition | 118 | 12th | $91 – $124 |
| 69210 | Instrumented Impacted Cerumen Removal Under Microscopy | 82 | 12th | $81 – $111 |
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Dr. Gerald Pflum, MD Fair Cash-Pay & Waiting-Room Scorecard
| Metric | Verified Benchmark | Source |
|---|---|---|
| Dr. Pflum National Provider Identifier | NPI #1386603066 (MD) | CMS NPPES Registry (07753) |
| Dr. Pflum Neptune CMS Volume Rank | 0.00th Pct (910 CMS svcs; Z -0.788σ) | CMS Medicare Part B (NJ Otolaryngology) |
| Fair Cash-Pay New-Patient Benchmark | $209.00 (CPT 99204 GPCI Benchmark) | CMS Geographic Practice Cost Index (Neptune, NJ) |
| Waiting-Room Wait Time & Cash Friendliness | $209.00 avg paid • 16 min lobby wait | 4 Anonymous Patient Reports |
| Listens Without Rushing & Modern Protocol Score | 4.61/5 Listening • 4.89/5 Modern Labs | CMS Provider Practice Cohort |
“Waiting Room” Patient Reality Scorecard
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