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JUSTIN P. ELDRIDGE M.D.
NPI 1295937365
Internal Medicine in Wilmington, DE

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment
501 W 14TH ST, WILMINGTON, DE 19801(302) 320-4410 Get Directions Write a Review

NPPES record last updated: November 29, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin P. Eldridge M.d. NPPES

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

JUSTIN P. ELDRIDGE M.D. (NPI 1295937365) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0009675) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2007).

NPPES Registry Identity

NPI1295937365
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN P. ELDRIDGECredential: M.D.
Location Address501 W 14TH STWilmington, DE 19801-1013
Mailing Address200 Hygeia Dr Ste 2300Newark, DE 19713-2049
Phone(302) 320-4410
Sole ProprietorYes
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2007
Enumeration DateJune 1, 2007
Last NPPES UpdateNovember 29, 2018
✔ NPI 1295937365 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0009675
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License LP01077 (RI)
Also ListedHospitalistTaxonomy 208M00000X · License C1-0009675 (DE)
501 W 14TH ST, Wilmington, DE 19801
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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

Justin P. Eldridge M.d. 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 ID6901075548
PECOS Enrollment IDI20110816000359
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 3

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.
108 services77 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.
72 services66 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.
36 services36 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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
$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 9

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
10 suppliers22 claims69 services$6.14 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
5 suppliers11 claims66 services$1.53 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
3 suppliers20 claims600 services$4.83 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
3 suppliers21 claims8,102 services$0.27 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
2 suppliers11 claims3,903 services$1.05 avg. paid by Medicare
Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630
DME-Other DME · category DE000N
1 supplier11 claims11 services$33.87 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 20

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

CHRISTIANA CARE HEALTH SERVICES, INC
Rehabilitation Unit
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 623-7000
TERRY L HORTON MD
Internal Medicine
501 W 14TH ST, ROOM 5236
WILMINGTON, DE 19801
New Castle County (302) 428-4574
MR. KRISTOPHER STARR APN
Nurse Practitioner (Family)
501 W 14TH ST, EMERGENCY DEPARTMENT
WILMINGTON, DE 19801
New Castle County (302) 320-4180
REGAN LEE MASSEY
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 733-1000
MS. GINGER LYNNE COWELL NP
Nurse Practitioner
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 320-4410
DR. MELISSA D. MORGAN-GOUVEIA MD
Internal Medicine
501 W 14TH ST, WILMINGTON HOSPITAL - ADULT MEDICINE OFFICE
WILMINGTON, DE 19801
New Castle County (302) 428-4411
MS. KATHRYN MARGARET CURTIS NP
Nurse Practitioner (Adult Health)
501 W 14TH ST, WILMINGTON HOSPITAL RM 2244
WILMINGTON, DE 19801
New Castle County (302) 428-2285
YOUSEF SHEIKH
Student in an Organized Health Care Education/Training Program
501 W 14TH ST
WILMINGTON, DE 19801
New Castle County (302) 733-1000

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 Justin Eldridge's NPI number?

The NPI number for Justin Eldridge is 1295937365. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Where is Justin Eldridge located?

Justin Eldridge practices at 501 W 14th St, Wilmington, DE 19801. The listed phone number is (302) 320-4410.

What is Justin Eldridge's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Eldridge enrolled in Medicare?

Yes. Justin Eldridge 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 Justin Eldridge accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Justin Eldridge 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 Justin Eldridge was last updated on November 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.