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DR. JAMES ROBINSON MCNINCH IV MD
NPI 1013412527
Internal Medicine in Newark, DE

Active since March 27, 2018PECOS EnrolledAccepts Medicare Assignment
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1148 Get Directions Write a Review

NPPES record last updated: June 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 25, 2021, Mar 27, 2018 (2 updates tracked since 2018).

About Dr. James Robinson Mcninch Iv Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JAMES ROBINSON MCNINCH IV MD (NPI 1013412527) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C1-0024249) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Rutland Regional Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2018).

NPPES Registry Identity

NPI1013412527
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JAMES ROBINSON MCNINCH IVCredential: MD
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2200
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2200 · (302) 733-1148
Phone(302) 733-1148
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2018
Enumeration DateMarch 27, 2018
Last NPPES UpdateJune 25, 20212 updates tracked since enumeration
NPPES CertifiedJune 25, 2021
✔ NPI 1013412527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0024249
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4755 OGLETOWN STANTON RD, Newark, DE 19718
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. James Robinson Mcninch Iv Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840555132
PECOS Enrollment IDI20250825001179
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rutland Regional Medical Center

Acute Care Hospitals · Rutland, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number470005
Location160 Allen StRutland, VT 05701 · Rutland County
Emergency services Birthing friendly

Porter Hospital, Inc

Critical Access Hospitals · Middlebury, VT
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number471307
Location115 Porter DriveMiddlebury, VT 05753 · Addison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19718 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ALICIA RENEE EDELBLUTE PA-C
Physician Assistant (Medical)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (610) 406-7662
ADEYOYIN R ESAKA FNP
Nurse Practitioner
4755 OGLETOWN STANTON RD, ROOM E1070 CENTER FOR HEART & VASCULAR HEALTH AT CHRIST
NEWARK, DE 19718
New Castle County (302) 623-1929
DR. SEPEHR SEDIGH HAGHIGHAT MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-3901
ZAID A AMMARI M.D. M.P.H.
Internal Medicine (Cardiovascular Disease)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MURIEL P JURASEVICH CRNP
Nurse Practitioner (Acute Care)
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
JOHN ANDREW POLLOCK
Student in an Organized Health Care Education/Training Program
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (800) 693-2273
MATTHEW JOSEPH HOMISHAK CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000
MR. THOMAS MICHAEL CARLSON MSN, CRNA
Nurse Anesthetist, Certified Registered
4755 OGLETOWN STANTON RD
NEWARK, DE 19718
New Castle County (302) 733-1000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Mcninch's NPI number?

The NPI number for James Mcninch is 1013412527. It was assigned to this individual provider in the NPPES registry on March 27, 2018.

Where is James Mcninch located?

James Mcninch practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1148.

What is James Mcninch's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is James Mcninch enrolled in Medicare?

Yes. James Mcninch is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Mcninch accept?

Health plans from AmeriHealth Caritas Next list James Mcninch as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Mcninch affiliated with any hospitals?

According to CMS data, James Mcninch is affiliated with Rutland Regional Medical Center and Porter Hospital, Inc.

When was this NPI record last updated?

The NPPES record for James Mcninch was last updated on June 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.