SUSAN M DELUCA MD
NPI 1164581856
Family Medicine in Beverly, MA

NPI Status: Active since December 08, 2006

Contact Information

900 CUMMINGS CTR
SUITE 126V
BEVERLY, MA
ZIP 01915
Phone: (978) 279-0800
Fax: (978) 279-0805

Get Directions Write a Review

  • Individual
  • Female
  • Family Medicine
  • PECOS Enrolled

About SUSAN DELUCA

This page provides the complete NPI Profile along with additional information for Susan Deluca, a primary care provider established in Beverly, Massachusetts with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1164581856 assigned on December 2006. The practitioner's primary taxonomy code is 207Q00000X with license number 79174 (MA). The provider is registered as an individual and her NPI record was last updated 15 years ago.

NPI
1164581856
Provider Name
SUSAN M DELUCA MD
Gender
Female
Entity Type
Individual
Location Address
900 CUMMINGS CTR SUITE 126V BEVERLY, MA 01915
Location Phone
(978) 279-0800
Location Fax
(978) 279-0805
Mailing Address
900 CUMMINGS CTR SUITE 126V BEVERLY, MA 01915
Mailing Phone
(978) 279-0800
Mailing Fax
(978) 279-0805
Is Sole Proprietor?
No
Enumeration Date
12-08-2006
Last Update Date
10-05-2011
Code Navigator

A primary care provider (PCP) like Susan Deluca sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
79174
License State
MA
Taxonomy Description
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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
F96391MEDICARE UPIN (02) 
J30974MEDICARE ID-TYPE UNSPECIFIED (04) 

Medicare Participation & PECOS Enrollment Status

Susan Deluca is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Orthotic Devices

  • DME-Orthotic Devices (DF010N)

    Ostomy deodorant, with or without lubricant, for use in ostomy pouch, per fluid ounce (HCPCS:A4394)

    1 DME suppliers used 12 Medicare Claims 192 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, pectin-based, paste, per ounce (HCPCS:A4406)

    1 DME suppliers used 11 Medicare Claims 44 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy skin barrier, with flange (solid, flexible or accordion), extended wear, without built-in convexity, 4 x 4 inches or smaller, each (HCPCS:A4409)

    1 DME suppliers used 12 Medicare Claims 240 Services Paid

  • DME-Orthotic Devices (DF010N)

    Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each (HCPCS:A4425)

    1 DME suppliers used 11 Medicare Claims 220 Services Paid

  • DME-Orthotic Devices (DF010N)

    Skin barrier, wipes or swabs, each (HCPCS:A5120)

    1 DME suppliers used 12 Medicare Claims 300 Services Paid

Durable Medical Equipment

  • DME-Medical/Surgical Supplies (DA000N)

    Adhesive remover, wipes, any type, each (HCPCS:A4456)

    1 DME suppliers used 11 Medicare Claims 550 Services Paid

Drugs Administered Through DME

  • DME-Drugs Administered Through DME (DG000N)

    Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg (HCPCS:J7626)

    4 DME suppliers used 13 Medicare Claims 810 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Adm sarscov2 30mcg/0.3ml bst

This is an administration of a COVID-19 vaccine, specifically 30 micrograms in a 0.3 milliliter dosage. The vaccine helps your body build protection against the SARS-CoV-2 virus, which causes COVID-19.

This service was performed 26 times for 26 patients

Administration of influenza virus vaccine

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

This service was performed 40 times for 40 patients

Administration of pneumococcal vaccine

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

This service was performed 21 times for 21 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit

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.

This service was performed 64 times for 64 patients

Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit

An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.

This service was performed 11 times for 11 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

This service was performed 27 times for 27 patients

Coronavirus vaccine 13

The "Coronavirus Vaccine 13" isn't a recognized term. However, COVID-19 vaccines help protect against the virus by triggering an immune response. They teach your body how to fight the virus if exposed, reducing the risk of severe illness. It's crucial for public health and safety.

This service was performed 27 times for 27 patients

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 113 times for 88 patients

Established patient office or other outpatient visit, 30-39 minutes

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.

This service was performed 250 times for 147 patients

Established patient office or other outpatient visit, 40-54 minutes

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.

This service was performed 59 times for 46 patients

Fee covid-19 vac 13 res

The "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.

This service was performed 27 times for 27 patients

Influenza vaccine split virus, preservative free

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

This service was performed 39 times for 39 patients

Insertion of needle into vein for collection of blood sample

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

This service was performed 280 times for 188 patients

New patient office or other outpatient visit, 45-59 minutes

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.

This service was performed 35 times for 35 patients

New patient office or other outpatient visit, 60-74 minutes

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.

This service was performed 12 times for 12 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

This service was performed 13 times for 13 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

This service was performed 14 times for 14 patients

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 01915 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $90.7
  • Minimum New Patient Price $58.86
  • Maximum New Patient Price $177.36
  • Average New Patient Copayment $22.67
  • Minimum New Patient Copayment $14.71
  • Maximum New Patient Copayment $44.34

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $103.48
  • Minimum Established Patient Price $19.11
  • Maximum Established Patient Price $144.84
  • Average Established Patient Copayment $25.87
  • Minimum Established Patient Copayment $4.77
  • Maximum Established Patient Copayment $36.21

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for SUSAN M DELUCA MD

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1164581856, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
6
Doubled → 12 → 1 + 2
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
8
Unchanged
Pos 7
1
Doubled → 2
Pos 8
8
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 6 → 12 → 3 5 → 10 → 1 1 → 2 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 1 + 2 + 4 + 1 + 0 + 8 + 2 + 8 + 1 + 0 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1164581856.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Social Worker (Clinical)
900 CUMMINGS CTR, SUITE 417U
BEVERLY, MA 01915
Social Worker (Clinical)
900 CUMMINGS CTR, SUITE 409U
BEVERLY, MA 01915
Family Medicine
900 CUMMINGS CTR, SUITE 126V
BEVERLY, MA 01915
Anesthesiology
900 CUMMINGS CTR, SUITE 221U
BEVERLY, MA 01915
Anesthesiology (Pain Medicine)
900 CUMMINGS CTR, SUITE 221U
BEVERLY, MA 01915
Family Medicine
900 CUMMINGS CTR, 107W
BEVERLY, MA 01915
Family Medicine
900 CUMMINGS CTR, SUITE 107-T
BEVERLY, MA 01915
Counselor (Mental Health)
900 CUMMINGS CTR, SUITE 204-U
BEVERLY, MA 01915
Podiatrist
900 CUMMINGS CTR, SUITE 109U
BEVERLY, MA 01915
Social Worker (Clinical)
900 CUMMINGS CTR, SUITE 412-U
BEVERLY, MA 01915
Physician Assistant (Medical)
900 CUMMINGS CTR, SUITE 117 T
BEVERLY, MA 01915
Occupational Therapy Assistant
900 CUMMINGS CTR, SUITE 310U
BEVERLY, MA 01915
Urology
900 CUMMINGS CTR, SUITE 117T
BEVERLY, MA 01915
Surgery (Vascular Surgery)
900 CUMMINGS CTR, SUITE 118T
BEVERLY, MA 01915
Dentist
900 CUMMINGS CTR, SUITE 106T
BEVERLY, MA 01915
Dietitian, Registered
900 CUMMINGS CTR, SUITE 218-U
BEVERLY, MA 01915
Clinic/Center (Dental)
900 CUMMINGS CTR, SUITE 116-T
BEVERLY, MA 01915
Marriage & Family Therapist
900 CUMMINGS CTR, SUITE 409-T
BEVERLY, MA 01915
Social Worker (Clinical)
900 CUMMINGS CTR
BEVERLY, MA 01915
Community/Behavioral Health
900 CUMMINGS CTR, SUITE 408-S
BEVERLY, MA 01915

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164581856, enumerated as an "individual" on December 08, 2006.

The provider is located at 900 CUMMINGS CTR SUITE 126V BEVERLY, MA 01915 and the phone number is (978) 279-0800.

Family Medicine with taxonomy code 207Q00000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.