BRIAN A. DELVECCHIO D.O.
NPI 1215993613
Internal Medicine - Rheumatology in Wilkes Barre, PA

Active since April 25, 2006PECOS EnrolledAccepts Medicare Assignment
675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-6111(570) 808-6348 Get Directions Write a Review

NPPES record last updated: January 3, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jan 3, 2024, Aug 12, 2020 (2 updates tracked since 2020).

About Brian A. Delvecchio D.o. NPPES

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

BRIAN A. DELVECCHIO D.O. (NPI 1215993613) is an individual rheumatology provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS012233) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Allentown.

NPPES Registry Identity

NPI1215993613
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameBRIAN A. DELVECCHIOCredential: D.O.
Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900
Mailing Address100 N Academy AveDanville, PA 17822-4093 · (570) 271-6144 · Fax (570) 271-6578
Fax(570) 808-6348
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateApril 25, 2006
Last NPPES UpdateJanuary 3, 20242 updates tracked since enumeration
NPPES CertifiedJanuary 3, 2024
✔ NPI 1215993613 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · OS012233
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.
675 BALTIMORE DR, Wilkes Barre, PA 18702

Secondary Practice Location 1

Location 1798 Hausman Rd Fl 1Allentown, PA 18104-9108 · Phone (610) 776-5038

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Brian A. Delvecchio D.o. 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 ID5597776245
PECOS Enrollment IDI20060510000146
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Brian Delvecchio reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hematology & Oncology
1000 E MOUNTAIN DR
Wilkes Barre, PA 18711
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
Occupational Medicine
1120 OAK ST
Pittston, PA 18640
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,895 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
175 S WILKES BARRE BLVD
Wilkes Barre, PA 18702
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 88 clinicians in this Medicare group
General Practice
564 W BROAD ST, SUITE 2
Hazleton, PA 18201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Hazleton Professional Services
  • 305 clinicians in this Medicare group
Internal Medicine
205 E LAUREL BLVD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 399 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

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.
232 services172 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.
136 services119 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.
127 services127 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.
49 services49 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
30 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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 20

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

Dentist (Oral and Maxillofacial Surgery)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner (Adult Health)
675 BALTIMORE DR
WILKES BARRE, PA 18702
Optometrist
675 BALTIMORE DR
WILKES BARRE, PA 18702
Nurse Practitioner
675 BALTIMORE DR
WILKES BARRE, PA 18702
Physician Assistant
675 BALTIMORE DR
WILKES BARRE, PA 18702
Internal Medicine (Rheumatology)
675 BALTIMORE DR
WILKES BARRE, PA 18702

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 Brian Delvecchio's NPI number?

The NPI number for Brian Delvecchio is 1215993613. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Where is Brian Delvecchio located?

Brian Delvecchio practices at 675 Baltimore Dr, Wilkes Barre, PA 18702. The listed phone number is (570) 808-6111.

What is Brian Delvecchio's specialty?

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

Is Brian Delvecchio enrolled in Medicare?

Yes. Brian Delvecchio 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.

Which organizations bill Medicare for Brian Delvecchio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Brian Delvecchio reassigns Medicare benefits to 5 organizations: Geisinger Clinic (Wilkes Barre, PA), Lehigh Valley Physician Group (Pittston, PA), Caring Community Health Center (Wilkes Barre, PA), Lehigh Valley Physician Group (Hazleton, PA) and Schuylkill Health System Medical Group, Inc. (Pottsville, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Brian Delvecchio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Brian Delvecchio accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brian Delvecchio 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 Brian Delvecchio affiliated with any hospitals?

According to CMS data, Brian Delvecchio is affiliated with Geisinger Medical Center, Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, St Luke's Miners Memorial Hospital and Lehigh Valley Hospital - Hazleton.

When was this NPI record last updated?

The NPPES record for Brian Delvecchio was last updated on January 3, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.