RYAN SCOTT HOLTON M.D.
NPI 1083075360
Internal Medicine in Wilmington, DE

Q: What is Ryan Holton's NPI number?

The NPI number for Ryan Holton is 1083075360. It was assigned to this individual provider in the NPPES registry on March 14, 2016.

Q: What is Ryan Holton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ryan Holton was last updated on August 25, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since March 14, 2016PECOS EnrolledAccepts Medicare Assignment

1600 ROCKLAND RD, WILMINGTON, DE 19803(302) 651-4200(302) 651-4945 Get Directions Write a Review

NPPES record last updated: August 25, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 25, 2020, Jun 16, 2020, Nov 22, 2016 and 2 more (5 updates tracked since 2016).

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About Ryan Scott Holton M.d. NPPES

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

RYAN SCOTT HOLTON M.D. (NPI 1083075360) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0013756) and active in the NPI registry since March 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Newark, and is a graduate of University Of Minnesota Medical School (2016).

NPPES Registry Identity

NPI1083075360

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameRYAN SCOTT HOLTONCredential: M.D.

Location Address1600 ROCKLAND RDWilmington, DE 19803-3607

Mailing Address4755 Ogletown Stanton Rd Ste 5a43Newark, DE 19718-2200 · (302) 623-0188 · Fax (302) 733-5640

Phone(302) 651-4200

Fax(302) 651-4945

Sole ProprietorNo

Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2016

Enumeration DateMarch 14, 2016

Last NPPES UpdateAugust 25, 20205 updates tracked since enumeration

NPPES CertifiedAugust 25, 2020

✔ NPI 1083075360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in DE · C1-0013756

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.

Also ListedPediatricsTaxonomy 208000000X · License C1-0013756 (DE)

1600 ROCKLAND RD, Wilmington, DE 19803

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Secondary Practice Location 1

Location 14755 Ogletown Stanton Rd Ste 5A43Newark, DE 19718-2200 · Phone (302) 623-0188 · Fax (302) 733-5640

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

Ryan Scott Holton M.d. 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 ID4284927740

PECOS Enrollment IDI20200618002140

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

172 services82 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

167 services87 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

43 services42 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

20 services20 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19803 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 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$59.35 avg. paid by Medicare

Portable oxygen concentrator, rental E1392

DME-Oxygen and Supplies · category DC002N

1 supplier12 claims12 services$31.69 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.

JOANNA COSTA MD

Pediatrics (Neonatal-Perinatal Medicine)