Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICHOLAS CARROLL DESTEFANO MD
NPI 1154776755
Family Medicine in Millsboro, DE

Q: What is Nicholas Destefano's NPI number?

The NPI number for Nicholas Destefano is 1154776755. It was assigned to this individual provider in the NPPES registry on May 2, 2016.

Q: What is Nicholas Destefano's specialty?

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

Active since May 02, 2016PECOS EnrolledAccepts Medicare Assignment

32050 LONG NECK RD, MILLSBORO, DE 19966(302) 645-3150(833) 908-2232 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

Record update history: Sep 1, 2026, Dec 10, 2025, Jul 15, 2021 and 1 more (4 updates tracked since 2019).

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About Nicholas Carroll Destefano Md NPPES

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

NICHOLAS CARROLL DESTEFANO MD (NPI 1154776755) is an individual family medicine provider in Millsboro, Delaware, licensed in Delaware (C1-0028577) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains 15 additional practice locations, and is a graduate of Wayne State University School Of Medicine (2016).

NPPES Registry Identity

NPI1154776755

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameNICHOLAS CARROLL DESTEFANOCredential: MD

Location Address32050 LONG NECK RDMillsboro, DE 19966-6228

Mailing Address1515 Savannah Rd Ste 200Lewes, DE 19958-1675 · (302) 645-3499 · Fax (302) 644-4830

Phone(302) 645-3150

Fax(833) 908-2232

Sole ProprietorNo

Medical School CMSWayne State University School Of MedicineGraduated 2016

Enumeration DateMay 2, 2016

Last NPPES UpdateSeptember 1, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 1, 2026

✔ NPI 1154776755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in DE · C1-0028577

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.

Also ListedGeneral PracticeTaxonomy 208D00000X · License 30177 (NE)

32050 LONG NECK RD, Millsboro, DE 19966

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Secondary Practice Locations 15

Location 121635 Biden Ave Unit 101Georgetown, DE 19947-4575 · Phone (302) 856-9596 · Fax (302) 645-4744

Location 2300 E Hospital RdFort Gordon, GA 30905 · Phone (706) 383-5299

Location 317388 N Village Main Blvd Unit 21Lewes, DE 19958-7240 · Phone (302) 291-6050 · Fax (833) 450-5311

Location 412100 Black Swan Dr Ste 104Lewes, DE 19958-4991 · Phone (302) 645-1315 · Fax (302) 644-2739

Location 5100 Silicato Pkwy Ste 201Milford, DE 19963-1273 · Phone (302) 393-2056 · Fax (302) 422-9359

Location 628538 DuPont Blvd Unit 1Millsboro, DE 19966-4791 · Phone (302) 829-3294 · Fax (833) 314-0538

Location 7232 Mitchell St Unit 301Millsboro, DE 19966-9412 · Phone (302) 316-4190 · Fax (302) 934-1207

Location 834445 King Street RowLewes, DE 19958-4787 · Phone (302) 645-2833 · Fax (844) 640-3955

Location 936223 Farm Ln Ste 140Rehoboth Beach, DE 19971-1329 · Phone (302) 227-1268 · Fax (302) 227-1287

Location 1032550 Docs Pl Unit 2Millville, DE 19967-6975 · Phone (302) 539-4302 · Fax (302) 645-4766

Location 1123900 Milton Ellendale Hwy Ste 101Milton, DE 19968-2714 · Phone (302) 684-2033 · Fax (888) 987-4302

Location 1218947 John J Williams Hwy Unit 303Rehoboth Beach, DE 19971-4477 · Phone (302) 644-0690 · Fax (302) 644-0695

Location 1336450 Tidal Rd Unit 2Selbyville, DE 19975-4596 · Phone (302) 291-6045 · Fax (833) 449-3867

Location 141008 Kings HwyLewes, DE 19958-1932 · Phone (302) 291-6031 · Fax (833) 954-4028

Location 15424 Savannah RdLewes, DE 19958-1462 · Phone (302) 645-3150 · Fax (833) 908-2232

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

Nicholas Carroll Destefano 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 ID446542229

PECOS Enrollment IDI20251219002133

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19966 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.

Other Providers at the Same Location NPPES 9

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

DR. MARISA CONTI DO

Internal Medicine