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STEPHEN DUGGAN DO
NPI 1225014871
Family Medicine in Middletown, DE

Active since December 15, 2005PECOS EnrolledAccepts Medicare Assignment
124 SLEEPY HOLLOW DR, SUITE 203, MIDDLETOWN, DE 19709(302) 449-3030(302) 449-3040 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Stephen Duggan Do NPPES

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

STEPHEN DUGGAN DO (NPI 1225014871) is an individual family medicine provider in Middletown, Delaware, licensed in Delaware (C20004393) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).

NPPES Registry Identity

NPI1225014871
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSTEPHEN DUGGANCredential: DO
Location Address124 SLEEPY HOLLOW DR, SUITE 203Middletown, DE 19709-8894
Mailing AddressPo Box 30170Wilmington, DE 19805-7170 · (302) 623-7362 · Fax (302) 623-7374
Phone(302) 449-3030
Fax(302) 449-3040
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992
Enumeration DateDecember 15, 2005
Last NPPES UpdateJune 20, 2008
✔ NPI 1225014871 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 · C20004393
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.
124 SLEEPY HOLLOW DR, Middletown, DE 19709
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Other Identifiers 2

Medicare UPING01903DE
Medicare PIN671597C90DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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

Stephen Duggan Do 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 ID941344089
PECOS Enrollment IDI20100212000529
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 7

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.
325 services246 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.
215 services215 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.
169 services150 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
27 services27 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
25 services24 patients
Transitional care management services for problem of high complexity 99496
Transitional care management services are designed to ensure a smooth transition from a hospital to home or another care setting for patients with complex health issues. These services include medication management, patient education, and coordination with healthcare providers.
17 services17 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 12

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
18 suppliers75 claims180 services$5.19 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers32 claims34 services$1.02 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
1 supplier11 claims1,650 services$1.67 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
4 suppliers16 claims16 services$59.06 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
4 suppliers14 claims42 services$23.86 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers12 claims12 services$13.44 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 13

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

TODD EVERETT
Physical Therapist
124 SLEEPY HOLLOW DR, SUITE 100
MIDDLETOWN, DE 19709
New Castle County (302) 378-6111
KIRSTEN PRZYWARA OPALACH PA-C
Physician Assistant
124 SLEEPY HOLLOW DR
MIDDLETOWN, DE 19709
New Castle County (302) 449-3100
DIAMOND STATE SURGICAL ASSOCIATES,LLC
Surgery
124 SLEEPY HOLLOW DR, SUITE 201
MIDDLETOWN, DE 19709
New Castle County (302) 449-9660
MS. SHIRLINE BEVERLY JOHNSON FNP-BC
Nurse Practitioner (Family)
124 SLEEPY HOLLOW DR
MIDDLETOWN, DE 19709
New Castle County (302) 449-3030
PATRICK SALLAY MASSAQUOI N.P.
Nurse Practitioner (Family)
124 SLEEPY HOLLOW DR
MIDDLETOWN, DE 19709
New Castle County (302) 623-0188
MR. TODD STUART CUMMING PT
Physical Therapist (Orthopedic)
124 SLEEPY HOLLOW DR, SUITE 101
MIDDLETOWN, DE 19709
New Castle County (302) 449-3050
GLASGOW MEDICAL CENTER, LLC
Clinic/Center (Urgent Care)
124 SLEEPY HOLLOW DR, SUITE 100
MIDDLETOWN, DE 19709
New Castle County (303) 449-3100
BETH FISHER DO
Family Medicine
124 SLEEPY HOLLOW DR, SUITE 203
MIDDLETOWN, DE 19709
New Castle County (302) 449-3030

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 Stephen Duggan's NPI number?

The NPI number for Stephen Duggan is 1225014871. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Where is Stephen Duggan located?

Stephen Duggan practices at 124 Sleepy Hollow Dr Suite 203, Middletown, DE 19709. The listed phone number is (302) 449-3030.

What is Stephen Duggan's specialty?

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

Is Stephen Duggan enrolled in Medicare?

Yes. Stephen Duggan 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 Stephen Duggan accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Stephen Duggan 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 Stephen Duggan was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.