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MARY DUPPERT
NPI 1053288555
Physician Assistant in Darby, PA

Active since October 20, 2025PECOS Enrolled
1500 LANSDOWNE AVE, DARBY, PA 19023(610) 237-4814 Get Directions Write a Review

NPPES record last updated: October 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mary Duppert NPPES

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

MARY DUPPERT (NPI 1053288555) is an individual physician assistant in Darby, Pennsylvania, licensed in Pennsylvania (MA067295) and active in the NPI registry since October 2025. She is enrolled in Medicare PECOS, maintains a secondary practice location in Wilmington, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1053288555
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMARY DUPPERT
Location Address1500 LANSDOWNE AVEDarby, PA 19023-1200
Mailing Address112 Chesley DrMedia, PA 19063-1762 · (610) 871-8154
Phone(610) 237-4814
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 20, 2025
NPPES CertifiedOctober 20, 2025
✔ NPI 1053288555 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in PA · MA067295✔ Licensed in DE · C5-0012364
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.
1500 LANSDOWNE AVE, Darby, PA 19023
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Secondary Practice Location 1

Location 1701 N Clayton StWilmington, DE 19805-3165 · Phone (610) 237-4814

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Duppert is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2668965419
PECOS Enrollment IDI20251202002357
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19023 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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 20

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

MICHAEL FORD CRNA
Nurse Anesthetist, Certified Registered
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4500
TUBA ANWAR KHAN MD
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
CEP AMERICA - ANESTHESIA PC
Anesthesiology
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
CRAIG CARPENTER CRNA
Nurse Anesthetist, Certified Registered
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (856) 423-7700
LAURA SOFIA DE LEON BENEDETTI MD
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4684
DR. JOHN RUSSELL GOOCH M.D,
Emergency Medicine
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
JABILI ANGINA
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000
AYAAT KHAN
Student in an Organized Health Care Education/Training Program
1500 LANSDOWNE AVE
DARBY, PA 19023
Delaware County (610) 237-4000

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 Mary Duppert's NPI number?

The NPI number for Mary Duppert is 1053288555. It was assigned to this individual provider in the NPPES registry on October 20, 2025.

Where is Mary Duppert located?

Mary Duppert practices at 1500 Lansdowne Ave, Darby, PA 19023. The listed phone number is (610) 237-4814.

What is Mary Duppert's specialty?

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

Is Mary Duppert enrolled in Medicare?

Yes. Mary Duppert is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mary Duppert was last updated on October 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.