DR. WILLIAM LENOX PFAFF III M.D.
NPI 1346415411
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Rehoboth Beach, DE

Q: What is William Pfaff's NPI number?

The NPI number for William Pfaff is 1346415411. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Q: What is William Pfaff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Q: When was this NPI record last updated?

The NPPES record for William Pfaff was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since April 29, 2008PECOS EnrolledAccepts Medicare Assignment

18947 JOHN J WILLIAMS HWY, MEDICAL ARTS BUILDING, UNIT 311, REHOBOTH BEACH, DE 19971(302) 231-4333(302) 231-4414 Get Directions Write a Review

NPPES record last updated: June 14, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 14, 2023, Jan 10, 2018 (2 updates tracked since 2018).

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About Dr. William Lenox Pfaff Iii M.d. NPPES

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

DR. WILLIAM LENOX PFAFF III M.D. (NPI 1346415411) is an individual orthopaedic surgery of the spine provider in Rehoboth Beach, Delaware, licensed in Delaware (C10008913) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2003).

NPPES Registry Identity

NPI1346415411

Entity TypeIndividualMale

Primary Taxonomy207XS0117X

Provider Legal NameDR. WILLIAM LENOX PFAFF IIICredential: M.D.

Location Address18947 JOHN J WILLIAMS HWY, MEDICAL ARTS BUILDING, UNIT 311Rehoboth Beach, DE 19971-4477

Mailing Address18947 John J Williams Hwy, Medical Arts Building, Unit 311Rehoboth Beach, DE 19971-4477 · (302) 231-4333 · Fax (302) 231-4414

Phone(302) 231-4333

Fax(302) 231-4414

Sole ProprietorNo

Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2003

Enumeration DateApril 29, 2008

Last NPPES UpdateJune 14, 20232 updates tracked since enumeration

NPPES CertifiedJune 14, 2023

✔ NPI 1346415411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOrthopaedic Surgery · Orthopaedic Surgery of the SpineAllopathic & Osteopathic Physicians

Taxonomy Code207XS0117X

License✔ Licensed in DE · C10008913

Definition

Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License MD429103 (PA), C10008913 (DE)

18947 JOHN J WILLIAMS HWY, Rehoboth Beach, DE 19971

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Other Identifiers 16

Other1346415411Union Labor Life Insurance Company

Other1346415411National Capital Ppo

OtherP00819092Medicare Railroad

Other1346415411Corvel/corcare

Other1346415411Eastern Sussex Physicians Organization

Other1346415411Community Health Plan

Other1346415411Devon Health Services

Other1346415411Perdue Farms, Inc.

Medicaid1346415411DE

Other1346415411Delaware Physicians Care

Other1346415411Great West Healthcare

Other1346415411Cigna

Other1346415411Health Net Federal Services - Tricare/champus

Other3772289000Amerihealth

Other1346415411Blue Cross Blue Shield Of Delaware

Other9083348Aetna Us Healthcare

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. William Lenox Pfaff Iii 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 ID4880746007

PECOS Enrollment IDI20090720000401

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 12

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

1,293 services74 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.

343 services118 patients

Injection of lower or sacral spine facet joint using imaging guidance, single level 64493

This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.

114 services55 patients

Injection, dexamethasone sodium phosphate, 1 mg J1100

Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.

104 services13 patients

Injection of lower or sacral spine facet joint using imaging guidance, second level 64494

This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.

100 services50 patients

Injection of substance into lower spine canal using imaging guidance 62323

This procedure involves injecting a substance into your lower spine canal, guided by real-time images. It's done to diagnose or treat various conditions. You may feel slight discomfort, but it's generally safe and can provide valuable information for your treatment plan.

50 services34 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.

33 services31 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint 64636

This procedure involves using imaging technology to locate and treat nerves in your lower spine or sacral area that may be causing pain. Each additional facet joint refers to treating more than one spinal nerve. It's a non-invasive way to manage chronic back pain.

30 services11 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

28 services28 patients

Injection of upper or middle spine facet joint using imaging guidance, single level 64490

This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.

25 services14 patients

Injection of upper or middle spine facet joint using imaging guidance, second level 64491

This procedure involves injecting medication into the upper or middle spine facet joint, a small joint in your back. This is done under imaging guidance for precision. It's a second-level procedure, meaning it's done on two separate joints. It can help reduce pain and inflammation.

22 services11 patients

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635

This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.

19 services11 patients

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 supplier11 claims11 services$69.57 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.

CATHERINE M HAUT CPNP

Nurse Practitioner (Pediatrics, Critical Care)

18947 JOHN J WILLIAMS HWY, SUITE 212
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-8212

MS. AUDREY UMSCHLAG RN

Registered Nurse

18947 JOHN J WILLIAMS HWY
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-3770

KATHRYN A MANGION NP

Nurse Practitioner (Adult Health)

18947 JOHN J WILLIAMS HWY, SUITE 210
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-3121

DR. JUDITH B GORRA MD

Pediatrics

18947 JOHN J WILLIAMS HWY, SUITE 212
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-8212

ARLENE C FELECCIA RD, CDE, LDN

Dietitian, Registered

18947 JOHN J WILLIAMS HWY, SUITE 210
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-3121

RHONDA KAY OWENS APRN

Nurse Practitioner

18947 JOHN J WILLIAMS HWY
REHOBOTH BEACH, DE 19971

Sussex County (302) 645-3770

DELAWARE SLEEP DISORDER CENTERS, LLC

Clinic/Center (Sleep Disorder Diagnostic)

18947 JOHN J WILLIAMS HWY, SUITE 213
REHOBOTH BEACH, DE 19971

Sussex County (877) 335-7533

BAYSHORE HEALTH & WELLNESS

Clinic/Center (Medical Specialty)

18947 JOHN J WILLIAMS HWY, SUITE 306
REHOBOTH BEACH, DE 19971

Sussex County (302) 703-2146

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 William Pfaff's NPI number?

The NPI number for William Pfaff is 1346415411. It was assigned to this individual provider in the NPPES registry on April 29, 2008.

Where is William Pfaff located?

William Pfaff practices at 18947 John J Williams Hwy Medical Arts Building, Unit 311, Rehoboth Beach, DE 19971. The listed phone number is (302) 231-4333.

What is William Pfaff's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Orthopaedic Surgery of the Spine, with taxonomy code 207XS0117X.

Is William Pfaff enrolled in Medicare?

Yes. William Pfaff 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 William Pfaff 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 William Pfaff 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 William Pfaff was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.