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KERRY CAMPBELL
NPI 1053852251
Obstetrics & Gynecology in Newark, DE

Active since March 20, 2017PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
4755 OGLETOWN STANTON RD, NEWARK, DE 19718(302) 733-1042 Get Directions Write a Review

NPPES record last updated: August 30, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kerry Campbell NPPES

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

KERRY CAMPBELL (NPI 1053852251) is an individual obstetrics & gynecology provider in Newark, Delaware, licensed in Delaware (C1-0024369) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS and is a graduate of University Of Maryland School Of Medicine (2017).

NPPES Registry Identity

NPI1053852251
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameKERRY CAMPBELL
Location Address4755 OGLETOWN STANTON RDNewark, DE 19718-2122
Mailing Address4755 Ogletown Stanton RdNewark, DE 19718-2122
Phone(302) 733-1042
Sole ProprietorYes
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 2017
Enumeration DateMarch 20, 2017
Last NPPES UpdateAugust 30, 2021
NPPES CertifiedAugust 30, 2021
✔ NPI 1053852251 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in DE · C1-0024369
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
4755 OGLETOWN STANTON RD, Newark, DE 19718
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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

Kerry Campbell 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 ID6608144472
PECOS Enrollment IDI20210908000183
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 5

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.
47 services32 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
47 services47 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.
26 services24 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Complete ultrasound scan of pelvis 76856
A complete ultrasound scan of the pelvis is a safe, non-invasive imaging procedure. It uses sound waves to create pictures of your lower abdomen area, helping doctors to evaluate and diagnose any potential issues. It's painless and usually takes about 30 minutes.
11 services11 patients

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
$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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost85.33

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$82.08 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Kerry Campbell's NPI number?

The NPI number for Kerry Campbell is 1053852251. It was assigned to this individual provider in the NPPES registry on March 20, 2017.

Where is Kerry Campbell located?

Kerry Campbell practices at 4755 Ogletown Stanton Rd, Newark, DE 19718. The listed phone number is (302) 733-1042.

What is Kerry Campbell's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Kerry Campbell enrolled in Medicare?

Yes. Kerry Campbell 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 Kerry Campbell 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 2 other insurers list Kerry Campbell 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 Kerry Campbell was last updated on August 30, 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.