DR. JOSE ANTONIO PANDO MD
NPI 1306839048
Internal Medicine - Rheumatology in Lewes, DE

Active since August 29, 2005PECOS EnrolledAccepts Medicare Assignment
82.12/100
CMS Quality Rating
20268 PLANTATIONS RD, LEWES, DE 19958(302) 644-2633(302) 644-9192 Get Directions Write a Review

NPPES record last updated: November 4, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 4, 2025, Oct 5, 2022, Feb 18, 2019 (3 updates tracked since 2019).

About Dr. Jose Antonio Pando Md NPPES

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

DR. JOSE ANTONIO PANDO MD (NPI 1306839048) is an individual rheumatology provider in Lewes, Delaware, licensed in Delaware (C1-0004876) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306839048
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameDR. JOSE ANTONIO PANDOCredential: MD
Location Address20268 PLANTATIONS RDLewes, DE 19958-4622
Mailing Address20268 Plantations RdLewes, DE 19958-4622 · (302) 644-2633 · Fax (302) 644-9192
Fax(302) 644-9192
Sole ProprietorYes
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 29, 2005
Last NPPES UpdateNovember 4, 20253 updates tracked since enumeration
NPPES CertifiedNovember 4, 2025
NPI 1306839048 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 DE · C1-0004876
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.
20268 PLANTATIONS RD, Lewes, DE 19958

Secondary Practice Locations 2

Location 1509 Lakeview AveMilford, DE 19963-2917 · Phone (302) 644-9192 · Fax (302) 644-9192
Location 235141 Atlantic AveMillville, DE 19967-6954 · Phone (302) 644-2633 · Fax (302) 644-9192

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. Jose Antonio Pando 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 ID7315940509
PECOS Enrollment IDI20060808000259
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 24

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, certolizumab pegol, 1 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0717
Certolizumab pegol is a medication injected under a doctor's supervision. It's used to treat certain inflammatory conditions like rheumatoid arthritis. The injection helps reduce symptoms like pain and swelling. Note that this drug isn't for self-administration.
155,240 services50 patients
Injection, romosozumab-aqqg, 1 mg J3111
Romosozumab-aqqg is a medication given by injection to treat osteoporosis in patients at high risk for fractures. It works by increasing bone mass and strength, reducing the risk of fractures.
59,010 services55 patients
Injection, tocilizumab, 1 mg J3262
Tocilizumab is a medication administered via injection. It's used to treat certain conditions like rheumatoid arthritis by reducing inflammation in the body. It works by blocking a substance in the body that leads to inflammation.
57,434 services19 patients
Injection, inclisiran, 1 mg J1306
Inclisiran is an injection administered to lower cholesterol levels. It works by blocking the production of LDL (bad cholesterol) in your liver. This medicine is often used when diet changes and other medications have not been effective.
24,708 services47 patients
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.
22,920 services273 patients
Injection, abatacept, 10 mg (code may be used for medicare when drug administered under the direct supervision of a physician, not for use when drug is self administered) J0129
Abatacept is a medication administered via injection under a doctor's supervision. It's used to treat conditions like rheumatoid arthritis by moderating the immune system. This code applies when the doctor administers the drug, not for self-administration.
16,025 services28 patients

Hospital Affiliations CMS Care Compare

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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.

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.

82.12/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Promoting Interoperability97
Improvement Activities40
Cost45.92

Reported Quality Measures

e-Prescribing
99%2,317 patients4/55-star benchmark: 100%
Provide Patients Electronic Access to Their Health Information
96%1,237 patients4/55-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

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier16 claims16 services$68.58 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 6

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

Nurse Practitioner
20268 PLANTATIONS RD
LEWES, DE 19958
Internal Medicine (Rheumatology)
20268 PLANTATIONS RD
LEWES, DE 19958
Nurse Practitioner (Adult Health)
20268 PLANTATIONS RD
LEWES, DE 19958
Social Worker (Clinical)
20268 PLANTATIONS RD
LEWES, DE 19958
Physician Assistant
20268 PLANTATIONS RD
LEWES, DE 19958
Physical Therapist
20268 PLANTATIONS RD, SUITE B
LEWES, DE 19958

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 Jose Pando's NPI number?

The NPI number for Jose Pando is 1306839048. It was assigned to this individual provider in the NPPES registry on August 29, 2005.

Where is Jose Pando located?

Jose Pando practices at 20268 Plantations Rd, Lewes, DE 19958. The listed phone number is (302) 644-2633.

What is Jose Pando's specialty?

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

Is Jose Pando enrolled in Medicare?

Yes. Jose Pando 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 Jose Pando accept?

Health plans from Highmark Blue Cross Blue Shield Delaware list Jose Pando 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 Jose Pando affiliated with any hospitals?

According to CMS data, Jose Pando is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Jose Pando was last updated on November 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.