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DR. JAMES PAUL RUPP M.D.
NPI 1326076811
Obstetrics & Gynecology in Georgetown, DE

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
21444 CARMEAN WAY, GEORGETOWN, DE 19947(302) 855-2020(302) 855-2025 Get Directions Write a Review

NPPES record last updated: June 25, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. James Paul Rupp M.d. NPPES

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

DR. JAMES PAUL RUPP M.D. (NPI 1326076811) is an individual obstetrics & gynecology provider in Georgetown, Delaware, licensed in Delaware (C10002432) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1980).

NPPES Registry Identity

NPI1326076811
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameDR. JAMES PAUL RUPPCredential: M.D.
Location Address21444 CARMEAN WAYGeorgetown, DE 19947
Mailing Address21444 Carmean WayGeorgetown, DE 19947 · (302) 855-2020 · Fax (302) 855-2025
Phone(302) 855-2020
Fax(302) 855-2025
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1980
Enumeration DateJune 30, 2006
Last NPPES UpdateJune 25, 2019
✔ NPI 1326076811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in DE · C10002432
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
21444 CARMEAN WAY, Georgetown, DE 19947
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Other Identifiers 11

Other35303201MD · Carefirst Md
Other4273333DE · Aetna
Other412040910DE · De Blue Cross Blue Shield
Other412040910DE · Tricare
Other2146190000DE · Amerihealth
Other26408DE · Coventry
Other000000208474DE · Unison
Other315676DE · Mamsi Plans
Other412040910DE · United Healthcare
Medicaid0000020301DE
Other2197629DE · Cigna

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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. James Paul Rupp 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 ID9133252612
PECOS Enrollment IDI20110310000201
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19947 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.

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.

DR. MARISEL SANTIAGO GONZALEZ M.D.
Pediatrics
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-2020
DR. JOHN DAVID SOHONAGE DDS
Dentist
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
TOCCARA NICOLE GODWIN
Nurse Practitioner (Psychiatric/Mental Health)
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
JONATHON COTTONE DDS
Dentist (General Practice)
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
KIMBERLY SCHAAL
Dental Hygienist
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
LA RED HEALTH CENTER
Family Medicine
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
MORGAN KELLY DMD
Dentist (General Practice)
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233
CASEY RENEE' WEST CADC
Counselor (Addiction (Substance Use Disorder))
21444 CARMEAN WAY
GEORGETOWN, DE 19947
Sussex County (302) 855-1233

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 James Rupp's NPI number?

The NPI number for James Rupp is 1326076811. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is James Rupp located?

James Rupp practices at 21444 Carmean Way, Georgetown, DE 19947. The listed phone number is (302) 855-2020.

What is James Rupp's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is James Rupp enrolled in Medicare?

Yes. James Rupp 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 James Rupp 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 James Rupp 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 James Rupp was last updated on June 25, 2019. 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.