1. Home
  2. Directory
  3. Delaware
  4. Wilmington
  5. Internal Medicine
  6. NPI Profile

JOHN FREDERICK DECARLI D.O.
NPI 1063404044
Internal Medicine in Wilmington, DE

Active since August 17, 2005PECOS EnrolledAccepts Medicare Assignment
700 W LEA BLVD, SUITE 306, WILMINGTON, DE 19802(302) 761-9620 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Frederick Decarli D.o. NPPES

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

JOHN FREDERICK DECARLI D.O. (NPI 1063404044) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C2-0002853) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Philadelphia College Of Osteopathic Medicine (1985).

NPPES Registry Identity

NPI1063404044
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN FREDERICK DECARLICredential: D.O.
Location Address700 W LEA BLVD, SUITE 306Wilmington, DE 19802-2500
Mailing Address2405 Landon DrWilmington, DE 19810-3511 · (302) 761-9620
Phone(302) 761-9620
Sole ProprietorYes
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1985
Enumeration DateAugust 17, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1063404044 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 · C2-0002853
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.
700 W LEA BLVD, Wilmington, DE 19802
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE21828DE
Medicaid0000022903DE
Medicare ID-Type Unspecified424813DE

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

John Frederick Decarli D.o. 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 ID7214076223
PECOS Enrollment IDI20091222000226, I20221202001010
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.
96 services60 patients
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.
71 services38 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.
51 services37 patients
Application of vein wound compression bandages on lower leg, ankle, and foot 29581
Compression bandages are applied to your lower leg, ankle, and foot to promote healing of vein wounds. The bandages apply pressure to improve blood flow, reduce swelling, and accelerate wound healing. It's a safe, non-invasive treatment.
40 services16 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.
38 services37 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
24 services14 patients

Hospital Affiliations CMS Care Compare

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19802 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.

Referred Medical Equipment & Supplies CMS DME claims 6

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

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
2 suppliers22 claims1,040 services$0.10 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
2 suppliers15 claims413 services$0.92 avg. paid by Medicare
Specialty absorptive dressing, wound cover, sterile, pad size more than 16 sq. in. but less than or equal to 48 sq. in., without adhesive border, each dressing A6252
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims582 services$3.16 avg. paid by Medicare
Conforming bandage, non-elastic, knitted/woven, sterile, width greater than or equal to three inches and less than five inches, per yard A6446
DME-Medical/Surgical Supplies · category DA023N
2 suppliers20 claims2,280 services$0.38 avg. paid by Medicare
Tubular dressing with or without elastic, any width, per linear yard A6457
DME-Medical/Surgical Supplies · category DA023N
2 suppliers17 claims198 services$1.10 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$162.09 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 11

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

DR. FRANCIS NJEUMA MASE M.D.
Pediatrics
700 W LEA BLVD, SUITE 209
WILMINGTON, DE 19802
New Castle County (302) 762-5656
ALLEGIANT COMPREHENSIVE CARE, LLC
Obstetrics & Gynecology (Gynecology)
700 W LEA BLVD, SUITE 209
WILMINGTON, DE 19802
New Castle County (302) 384-7639
CADIA HEALTHCARE RIVERSIDE
Skilled Nursing Facility
700 W LEA BLVD
WILMINGTON, DE 19802
New Castle County (302) 765-4400
BIO-MEDICAL APPLICATIONS OF DELAWARE, INC.
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
700 W LEA BLVD
WILMINGTON, DE 19802
New Castle County (302) 762-8585
RENAL TREATMENT CENTERS NORTHEAST INC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
700 W LEA BLVD, G-2
WILMINGTON, DE 19802
New Castle County (302) 762-8585
MS. CYNTHIA L GUY LPC
Social Worker
700 W LEA BLVD
WILMINGTON, DE 19802
New Castle County (302) 320-5690
MRS. AMY HITCHENS FNP
Nurse Practitioner (Family)
700 W LEA BLVD
WILMINGTON, DE 19802
New Castle County (302) 764-9347
MARGARET SELFRIDGE PROCTOR M.D.
Pediatrics
700 W LEA BLVD, SUITE 209
WILMINGTON, DE 19802
New Castle County (302) 762-5656

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 John Decarli's NPI number?

The NPI number for John Decarli is 1063404044. It was assigned to this individual provider in the NPPES registry on August 17, 2005.

Where is John Decarli located?

John Decarli practices at 700 W Lea Blvd Suite 306, Wilmington, DE 19802. The listed phone number is (302) 761-9620.

What is John Decarli's specialty?

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

Is John Decarli enrolled in Medicare?

Yes. John Decarli 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 John Decarli 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 John Decarli 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 John Decarli affiliated with any hospitals?

According to CMS data, John Decarli is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for John Decarli was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.