JOSEFINA LUISA CANCINO MD
NPI 1154404143
Family Medicine in Middletown, DE

Active since October 23, 2006PECOS EnrolledAccepts Medicare Assignment
114 SANDHILL DR, STE 101, MIDDLETOWN, DE 19709(302) 378-4779(302) 378-4789 Get Directions Write a Review

NPPES record last updated: May 21, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 21, 2021, Feb 17, 2017 (2 updates tracked since 2017).

About Josefina Luisa Cancino Md NPPES

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

JOSEFINA LUISA CANCINO MD (NPI 1154404143) is an individual family medicine provider in Middletown, Delaware, licensed in Delaware (G0005169) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1984).

NPPES Registry Identity

NPI1154404143
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameJOSEFINA LUISA CANCINOCredential: MD
Location Address114 SANDHILL DR, STE 101Middletown, DE 19709-5805
Mailing Address114 Sandhill Dr, Ste 101Middletown, DE 19709-5805 · (302) 378-4779 · Fax (302) 378-4789
Fax(302) 378-4789
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 23, 2006
Last NPPES UpdateMay 21, 20212 updates tracked since enumeration
NPPES CertifiedMay 21, 2021
NPI 1154404143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · G0005169
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
114 SANDHILL DR, Middletown, DE 19709

Other Identifiers 8

Other7291525DE · Aetna
Other1000016022DE · Dpci
Other260067159DE · United Healthcare
Other2119993DE · Alliance, Optchoice, Mams
Other2284181000DE · Amerihealth
Other260067159DE · Coventry
OtherE92293DE · Bcbs De
OtherP00101290DE · Railroad Medicare

Accepted 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

Josefina Luisa Cancino 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 ID3779483516
PECOS Enrollment IDI20040109000472
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 10

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.
290 services150 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.
222 services126 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
75 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
67 services67 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
62 services62 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.
43 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19709 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
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 5

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers28 claims74 services$6.01 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier16 claims16 services$56.88 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers21 claims21 services$21.88 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers29 claims29 services$8.87 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers15 claims15 services$172.85 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 12

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

Occupational Therapist
114 SANDHILL DR, SUITE 103, KETLAY PLAZA
MIDDLETOWN, DE 19709
Physician Assistant
114 SANDHILL DR, SUITE 101
MIDDLETOWN, DE 19709
Nurse Practitioner (Family)
114 SANDHILL DR, MIDDLETOWN FAMILY CARE ASSOCIATE,SUITE101, KETLAY PLAZA
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103 KETLAY PLAZA
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103 KETKAY PLAZA
MIDDLETOWN, DE 19709
Nurse Practitioner (Family)
114 SANDHILL DR, SUITE 101
MIDDLETOWN, DE 19709
Physical Therapist
114 SANDHILL DR, SUITE 103
MIDDLETOWN, DE 19709
Family Medicine
114 SANDHILL DR, STE 101
MIDDLETOWN, DE 19709

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 Josefina Luisa Cancino's NPI number?

The NPI number for Josefina Luisa Cancino is 1154404143. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is Josefina Luisa Cancino located?

Josefina Luisa Cancino practices at 114 Sandhill Dr Ste 101, Middletown, DE 19709. The listed phone number is (302) 378-4779.

What is Josefina Luisa Cancino's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Josefina Luisa Cancino enrolled in Medicare?

Yes. Josefina Luisa Cancino 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 Josefina Luisa Cancino accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Josefina Luisa Cancino 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 Josefina Luisa Cancino was last updated on May 21, 2021. 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.