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DR. ALFONSO PAUL CIARLO MD
NPI 1043372857
Internal Medicine in Wilmington, DE

Active since December 15, 2006PECOS EnrolledAccepts Medicare Assignment
5311 LIMESTONE ROAD, SUITE 100, WILMINGTON, DE 19808(302) 234-2200(302) 234-2262 Get Directions Write a Review

NPPES record last updated: February 28, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Alfonso Paul Ciarlo Md NPPES

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

DR. ALFONSO PAUL CIARLO MD (NPI 1043372857) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (CI0000332) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1965).

NPPES Registry Identity

NPI1043372857
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ALFONSO PAUL CIARLOCredential: MD
Location Address5311 LIMESTONE ROAD, SUITE 100Wilmington, DE 19808
Mailing Address2101 Foulk RdWilmington, DE 19810-4710 · (302) 475-2535 · Fax (302) 475-2720
Phone(302) 234-2200
Fax(302) 234-2262
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1965
Enumeration DateDecember 15, 2006
Last NPPES UpdateFebruary 28, 2011
✔ NPI 1043372857 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 · CI0000332
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.
5311 LIMESTONE ROAD, Wilmington, DE 19808
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Other Identifiers 3

Medicare UPINB66338
Medicaid0000107001DE
Medicare ID-Type Unspecified00B479D60DE

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. Alfonso Paul Ciarlo 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 ID6608910690
PECOS Enrollment IDI20100215000011
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 3

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.
131 services57 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.
109 services58 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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 2

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

STONEY BATTER FAMILY MEDICINE ASSOCIATES, P.A.
Family Medicine
5311 LIMESTONE ROAD, SUITE 201
WILMINGTON, DE 19808
New Castle County (302) 234-9109
SARAH SCAVIA MULLINS MD
Family Medicine
5311 LIMESTONE ROAD, SUITE 201
WILMINGTON, DE 19808
New Castle County (302) 234-9109

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 Alfonso Ciarlo's NPI number?

The NPI number for Alfonso Ciarlo is 1043372857. It was assigned to this individual provider in the NPPES registry on December 15, 2006.

Where is Alfonso Ciarlo located?

Alfonso Ciarlo practices at 5311 Limestone Road Suite 100, Wilmington, DE 19808. The listed phone number is (302) 234-2200.

What is Alfonso Ciarlo's specialty?

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

Is Alfonso Ciarlo enrolled in Medicare?

Yes. Alfonso Ciarlo 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 Alfonso Ciarlo accept?

Health plans from AmeriHealth Caritas Next list Alfonso Ciarlo 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 Alfonso Ciarlo was last updated on February 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.