DR. NICHOLAS F QUERCETTI III D.O.
NPI 1235384561
Orthopaedic Surgery in Wilmington, DE

Active since December 01, 2008PECOS EnrolledAccepts Medicare Assignment
70.68/100
CMS Quality Rating
1941 LIMESTONE RD, STE 101, WILMINGTON, DE 19808(302) 633-3555(302) 633-3559 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Nicholas F Quercetti Iii D.o. NPPES

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

DR. NICHOLAS F QUERCETTI III D.O. (NPI 1235384561) is an individual orthopaedic surgery provider in Wilmington, Delaware, licensed in Delaware (C2-0010961) and active in the NPI registry since December 2008. He is enrolled in Medicare PECOS and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2008).

NPPES Registry Identity

NPI1235384561
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. NICHOLAS F QUERCETTI IIICredential: D.O.
Location Address1941 LIMESTONE RD, STE 101Wilmington, DE 19808-5413
Mailing Address1941 Limestone Rd, Ste 101Wilmington, DE 19808-5413 · (302) 633-3555 · Fax (302) 633-3559
Fax(302) 633-3559
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2008
Enumeration DateDecember 1, 2008
Last NPPES UpdateNovember 25, 2014
NPI 1235384561 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in DE · C2-0010961
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1941 LIMESTONE RD, Wilmington, DE 19808

Other Identifiers 3

OtherP01348209DE · Railroad
Medicaid1235384561DE
Medicare PIN360440ZC2LDE

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

Dr. Nicholas F Quercetti Iii 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 ID9537398193
PECOS Enrollment IDI20140828002219
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 19

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.

Imaging guidance for procedure, 60 minutes or less 76000
Imaging guidance is a procedure where real-time images are used to direct medical tools during a treatment. This technique helps to improve accuracy and safety. The procedure typically lasts 60 minutes or less.
134 services121 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.
117 services93 patients
X-ray of pelvis, minimum of 3 views 72190
An X-ray of the pelvis with a minimum of 3 views is a diagnostic procedure that uses radiation to create images of your lower body area. This helps in detecting issues like fractures, arthritis, or other abnormalities. It's quick, non-invasive, and typically painless.
97 services46 patients
X-ray of thigh bone, minimum 2 views 73552
An X-ray of the thigh bone is a non-invasive imaging test. It involves passing a small amount of radiation through the thigh to produce images of the bone structure. At least two different angles are captured for a comprehensive view. This helps detect fractures, infections, or other abnormalities.
82 services34 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.
82 services69 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
72 services72 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

70.68/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.9
Promoting Interoperability100
Improvement Activities30
Cost40.86

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.

Physical Medicine & Rehabilitation (Sports Medicine)
1941 LIMESTONE RD
WILMINGTON, DE 19808
Occupational Therapist
1941 LIMESTONE RD, STE 209
WILMINGTON, DE 19808
Surgery
1941 LIMESTONE RD, STE 213
WILMINGTON, DE 19808
Audiologist
1941 LIMESTONE RD
WILMINGTON, DE 19808
Internal Medicine
1941 LIMESTONE RD, SUITE 114
WILMINGTON, DE 19808
Orthopaedic Surgery
1941 LIMESTONE RD, SUITE 101
WILMINGTON, DE 19808
Surgery
1941 LIMESTONE RD, SUITE 201
WILMINGTON, DE 19808
Ophthalmology
1941 LIMESTONE RD, SUITE 200
WILMINGTON, DE 19808

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 Nicholas Quercetti's NPI number?

The NPI number for Nicholas Quercetti is 1235384561. It was assigned to this individual provider in the NPPES registry on December 1, 2008.

Where is Nicholas Quercetti located?

Nicholas Quercetti practices at 1941 Limestone Rd Ste 101, Wilmington, DE 19808. The listed phone number is (302) 633-3555.

What is Nicholas Quercetti's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Nicholas Quercetti enrolled in Medicare?

Yes. Nicholas Quercetti 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 Nicholas Quercetti accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Nicholas Quercetti 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 Nicholas Quercetti was last updated on November 25, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.