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DOUGLAS LIENESCH MD
NPI 1124129747
Internal Medicine - Rheumatology in Newark, DE

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
4735 OGLETOWN STANTON RD STE 2201, NEWARK, DE 19713(302) 623-4390 Get Directions Write a Review

NPPES record last updated: September 5, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Douglas Lienesch Md NPPES

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

DOUGLAS LIENESCH MD (NPI 1124129747) is an individual rheumatology provider in Newark, Delaware, licensed in Delaware (C1-0013313) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Md Shore Medical Ctr At Chestertown, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1124129747
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDOUGLAS LIENESCHCredential: MD
Location Address4735 OGLETOWN STANTON RD STE 2201Newark, DE 19713-8000
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049
Phone(302) 623-4390
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateSeptember 26, 2006
Last NPPES UpdateSeptember 5, 2019
✔ NPI 1124129747 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses✔ Licensed in DE · C1-0013313✔ Licensed in PA · MD428000
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
4735 OGLETOWN STANTON RD STE 2201, Newark, DE 19713
Open in Google Maps ↗

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

Douglas Lienesch 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 ID5890746499
PECOS Enrollment IDI20190925000077, I20211117000288
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 12

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 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.
369 services255 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.
104 services93 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.
69 services59 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.
64 services64 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
52 services40 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients

Hospital Affiliations CMS Care Compare 3

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

University Of MD Shore Medical Ctr At Chestertown

Acute Care Hospitals · Chestertown, MD
OwnershipVoluntary non-profit - Private
CMS Certification Number210030
Location100 Brown StreetChestertown, MD 21620 · Kent County
Emergency services

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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 3

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

CHRISTIANA CARE HEALTH SERVICES INC.
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 320-2490
DEVANSHU VERMA MD
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 623-4390
DR. AMY ZHANG M.D.
Internal Medicine (Rheumatology)
4735 OGLETOWN STANTON RD STE 2201
NEWARK, DE 19713
New Castle County (302) 623-4390

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 Douglas Lienesch's NPI number?

The NPI number for Douglas Lienesch is 1124129747. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Douglas Lienesch located?

Douglas Lienesch practices at 4735 Ogletown Stanton Rd Ste 2201, Newark, DE 19713. The listed phone number is (302) 623-4390.

What is Douglas Lienesch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Douglas Lienesch enrolled in Medicare?

Yes. Douglas Lienesch 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 Douglas Lienesch 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 Douglas Lienesch 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 Douglas Lienesch affiliated with any hospitals?

According to CMS data, Douglas Lienesch is affiliated with University Of MD Shore Medical Ctr At Chestertown, Union Hospital Of Cecil County and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Lienesch was last updated on September 5, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.