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TODD A BRANDT PA-C
NPI 1033342969
Physician Assistant in Dover, DE

Active since August 26, 2009PECOS EnrolledAccepts Medicare Assignment
640 S. STATE STREET, MAIL CODE 3055, DOVER, DE 19901(302) 480-1688(302) 480-9807 Get Directions Write a Review

NPPES record last updated: October 1, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Todd A Brandt Pa-c NPPES

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

TODD A BRANDT PA-C (NPI 1033342969) is an individual physician assistant in Dover, Delaware, licensed in Delaware (C50000678) and active in the NPI registry since August 2009. He is enrolled in Medicare PECOS and is a graduate of Other (2009).

NPPES Registry Identity

NPI1033342969
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameTODD A BRANDTCredential: PA-C
Location Address640 S. STATE STREET, MAIL CODE 3055Dover, DE 19901-3530
Mailing Address540 S Governors AveDover, DE 19904-3530 · (302) 744-7980
Phone(302) 480-1688
Fax(302) 480-9807
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateAugust 26, 2009
Last NPPES UpdateOctober 1, 2021
NPPES CertifiedSeptember 15, 2021
✔ NPI 1033342969 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in DE · C50000678
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
640 S. STATE STREET, Dover, DE 19901
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Other Identifiers 2

OtherMA053873PA · Pennsylvania Pa License
OtherC50000678DE · De License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Todd A Brandt Pa-c 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 ID9638205990
PECOS Enrollment IDI20100326000177
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
70 services63 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
62 services59 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
62 services59 patients
Telephone medical discussion with physician, 21-30 minutes 99443
This service involves a 21-30 minute phone conversation with a physician. It's a chance for you to discuss your health concerns, symptoms or treatment plans. It's similar to an in-person consultation, but conducted over the phone for your convenience and safety.
44 services42 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
19 services19 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
17 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19901 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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 7

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

NWANDO TONY-ONUGU MD
Internal Medicine
640 S. STATE STREET, MAIL CODE: 3007
DOVER, DE, DE 19901
Kent County (302) 612-2924
KELLY RYAN APRN, FNP-C
Nurse Practitioner
640 S. STATE STREET, BAYHEALTH WOUND CARE CENTER, 2ND FLOOR
DOVER, DE 19901
Kent County (302) 744-7500
DR. COURTNEY WILCZYNSKI D.O.
Emergency Medicine
640 S. STATE STREET, BAYHEALTH EMERGENCY PHYSICIANS, ,LLC
DOVER, DE 19901
Kent County (302) 744-6156
KENNETH KENECHUKWU OKONKWO
Emergency Medicine
640 S. STATE STREET
DOVER, DE 19901
Kent County (302) 744-6999
ROBERT S FUMENTO MD
Emergency Medicine
640 S. STATE STREET
DOVER, DE 19901
Kent County (302) 744-6156
HAMDAN KHALID MALLICK
Surgery
640 S. STATE STREET, MAILCODE: 3007
DOVER, DE 19901
Kent County (302) 744-6999
YEN TING CHEN MD
Emergency Medicine
640 S. STATE STREET, MAILCODE : 3007
DOVER, DE 19901
Kent County (302) 744-6999

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 Todd Brandt's NPI number?

The NPI number for Todd Brandt is 1033342969. It was assigned to this individual provider in the NPPES registry on August 26, 2009.

Where is Todd Brandt located?

Todd Brandt practices at 640 S. State Street Mail Code 3055, Dover, DE 19901. The listed phone number is (302) 480-1688.

What is Todd Brandt's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Todd Brandt enrolled in Medicare?

Yes. Todd Brandt 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 Todd Brandt accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Todd Brandt 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.

When was this NPI record last updated?

The NPPES record for Todd Brandt was last updated on October 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.