THOMAS J DESPERITO MD
NPI 1265536353
Urology in New Castle, DE

Active since September 11, 2006PECOS EnrolledAccepts Medicare Assignment
85.85/100
CMS Quality Rating
12 READS WAY STE 2000, NEW CASTLE, DE 19720(302) 652-8990(302) 652-8646 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Thomas J Desperito Md NPPES

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

THOMAS J DESPERITO MD (NPI 1265536353) is an individual urology provider in New Castle, Delaware, licensed in Delaware (C10006813) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and is a graduate of Perelman School Of Med At The University Of Pennsylvania (1998).

NPPES Registry Identity

NPI1265536353
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameTHOMAS J DESPERITOCredential: MD
Location Address12 READS WAY STE 2000New Castle, DE 19720-1649
Mailing Address12 Reads Way Ste 2000New Castle, DE 19720-1649 · (302) 652-8990 · Fax (302) 652-8646
Fax(302) 652-8646
Sole ProprietorNo
Medical School CMSPerelman School Of Med At The University Of PennsylvaniaGraduated 1998
Enumeration DateSeptember 11, 2006
Last NPPES UpdateFebruary 27, 2026
NPPES CertifiedFebruary 27, 2026
NPI 1265536353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in DE · C10006813
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
12 READS WAY STE 2000, New Castle, DE 19720

Other Identifiers 15

Other61668248Bcbs
Other52148Alliance Payor Id
Other2115756Optimum Choice
Other2115756Alliance
Other1000023442Delaware Physicians
Other1000030166Eds
Other1000030166Diamond State Partners
Other2115756Mamsi
Other1619558Amerihealth Pers Choice H
Other2297291000Amerihealth Hmo
OtherH80122Federal Upn
OtherP00079909Railroad Medicare
Other191931Coventry
Other2297291000Keystone East
Other3075695Aetna

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

Thomas J Desperito 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 ID8729092036
PECOS Enrollment IDI20060125000967
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 40

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,140 services23 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
823 services125 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.
737 services553 patients
Detection test by nucleic acid for organism, amplified probe technique 87798
A nucleic acid detection test is a procedure to identify specific organisms in your body. This test uses an amplified probe technique, which magnifies the genetic material of the organism, making it easier to detect. It's a precise way to diagnose infections.
692 services78 patients
Principal care management services for a single high-risk disease, first 30 minutes of clinical staff time directed by health care professional, per calendar month 99426
Principal care management services focus on managing a single high-risk disease. This involves a health care professional directing clinical staff for the first 30 minutes each month. The aim is to monitor your health, coordinate care, and provide necessary support for your disease management.
597 services99 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.
514 services480 patients

Hospital Affiliations CMS Care Compare

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19720 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
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.

85.85/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.7
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
25%277 patients2/55-star benchmark: 93%
Closing the Referral Loop: Receipt of Specialist Report
52%92 patients3/55-star benchmark: 87%
Colorectal Cancer Screening
49%2,037 patients3/55-star benchmark: 88%
Controlling High Blood Pressure
0%27 patients1/55-star benchmark: 91%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
98%42 patients1/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
93%4,665 patients4/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
21%3,304 patients1/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
0%4,060 patients1/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients combinedPopulations: 79% · 1,560 patients
Patients screened: 83% · 1,560 patients
42%111 patients2/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
88%160 patients4/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 1% · 1,789 patients
Patients totalRate: 1% · 1,789 patients
0%1,789 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 15

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Insertion tray without drainage bag and without catheter (accessories only) A4310
DME-Medical/Surgical Supplies · category DA000N
3 suppliers33 claims57 services$6.43 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
3 suppliers19 claims25 services$23.23 avg. paid by Medicare
Male external catheter with integral collection chamber, any type, each A4326
DME-Orthotic Devices · category DF000N
2 suppliers13 claims630 services$10.17 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers97 claims10,580 services$0.11 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
5 suppliers34 claims61 services$4.53 avg. paid by Medicare
Indwelling catheter; foley type, two-way latex with coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4338
DME-Orthotic Devices · category DF000N
2 suppliers13 claims22 services$10.20 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 17

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

Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Urology
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720
Physician Assistant
12 READS WAY STE 2000
NEW CASTLE, DE 19720

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 Thomas Desperito's NPI number?

The NPI number for Thomas Desperito is 1265536353. It was assigned to this individual provider in the NPPES registry on September 11, 2006.

Where is Thomas Desperito located?

Thomas Desperito practices at 12 Reads Way Ste 2000, New Castle, DE 19720. The listed phone number is (302) 652-8990.

What is Thomas Desperito's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Thomas Desperito enrolled in Medicare?

Yes. Thomas Desperito 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 Thomas Desperito 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 1 other insurer list Thomas Desperito 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 Thomas Desperito affiliated with any hospitals?

According to CMS data, Thomas Desperito is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Desperito was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months 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.