DANIEL EFFIONG UKPONG D.O
NPI 1376805192
Internal Medicine in Chester, PA

Q: What is Daniel Ukpong's NPI number?

The NPI number for Daniel Ukpong is 1376805192. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Q: What is Daniel Ukpong's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Daniel Ukpong was last updated on May 1, 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.

Active since June 08, 2012PECOS EnrolledAccepts Medicare Assignment

30 MEDICAL CENTER BLVD, SUITE 404, CHESTER, PA 19013(610) 619-8590(610) 619-8591 Get Directions Write a Review

NPPES record last updated: May 1, 2019. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Daniel Effiong Ukpong D.o NPPES

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

DANIEL EFFIONG UKPONG D.O (NPI 1376805192) is an individual internal medicine provider in Chester, Pennsylvania, licensed in Georgia (77573) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Atrium Health Navicent The Medical Center, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2012).

NPPES Registry Identity

NPI1376805192

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDANIEL EFFIONG UKPONGCredential: D.O

Location Address30 MEDICAL CENTER BLVD, SUITE 404Chester, PA 19013-3955

Mailing Address30 Medical Center Blvd, Suite 404Chester, PA 19013-3955 · (610) 619-8590 · Fax (610) 619-8591

Phone(610) 619-8590

Fax(610) 619-8591

Sole ProprietorYes

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 2012

Enumeration DateJune 8, 2012

Last NPPES UpdateMay 1, 2019

✔ NPI 1376805192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in GA · 77573✔ Licensed in PA · OT014444✔ Licensed in PA · OS017152

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.

30 MEDICAL CENTER BLVD, Chester, PA 19013

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Daniel Effiong Ukpong D.o 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 ID2567683410

PECOS Enrollment IDI20170908002926

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 11

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.

331 services101 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

214 services98 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

164 services20 patients

Management using the results of remote vital sign monitoring per calendar month, each additional 20 minutes 99458

This service involves analyzing your vital signs, like heart rate and blood pressure, remotely collected over a month. Each additional 20 minutes spent on management refers to extra time spent reviewing, interpreting your data, and planning your care. It's a critical part of ensuring your wellbeing.

152 services24 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

99 services25 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.

82 services20 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.

79 services79 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

63 services18 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

30 services30 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

21 services19 patients

Remote monitoring of physiologic parameters, initial set-up and patient education on use of equipment 99453

Remote monitoring of physiologic parameters involves using special equipment to track vital signs like heart rate and blood pressure from a distance. The initial set-up includes installing the device and teaching the patient how to use it correctly for accurate readings.

17 services17 patients

Hospital Affiliations CMS Care Compare 3

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

Atrium Health Navicent The Medical Center

Acute Care Hospitals · Macon, GA

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number110107

Location777 Hemlock StreetMacon, GA 31201 · Bibb County

Emergency services Birthing friendly

Coliseum Medical Centers, LLC, Dba

Acute Care Hospitals · Macon, GA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110164

Location350 Hospital DriveMacon, GA 31217 · Bibb County

Emergency services Birthing friendly

Piedmont Macon North Hospital

Acute Care Hospitals · Macon, GA

4/5 CMS rating

OwnershipProprietary

CMS Certification Number110201

Location400 Charter BoulevardMacon, GA 31210 · Bibb County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19013 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

$137.17 typical visit price

range $59.88 – $180.99

Typical copayment $34.29 (range $14.97 – $45.24)

Most-billed visit code 99204

Established Patient

$105.21 typical visit price

range $19.30 – $147.29

Typical copayment $26.30 (range $4.82 – $36.82)

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

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

9 suppliers15 claims42 services$6.84 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.

JESSICA FUNARI

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD
CHESTER, PA 19013

Delaware County (610) 874-6448

KEANU KALANI LAPOT BA

Counselor (Addiction (Substance Use Disorder))

30 MEDICAL CENTER BLVD
CHESTER, PA 19013

Delaware County (856) 404-4044

PHYLLIS GARBERMAN SCHAPIRE MD

Anesthesiology

30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013

Delaware County (610) 874-6448

CYNTHIA FOORE CRNA

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD, SUITE 305
CHESTER, PA 19013

Delaware County (610) 874-6448

MRS. JESSICA ELIZABETH MATHIESON P.A.

Physician Assistant (Medical)

30 MEDICAL CENTER BLVD, POB #1 - SUITE 305
CHESTER, PA 19013

Delaware County (610) 447-6021

RAMBABU THALLAPANENI M.D

Hospitalist

30 MEDICAL CENTER BLVD, SUITE 404
UPLAND, PA 19013

Delaware County (610) 619-8590

PATRICIA KIDWELL CRNA

Nurse Anesthetist, Certified Registered

30 MEDICAL CENTER BLVD, SUITE 305
UPLAND, PA 19013

Delaware County (610) 874-6448

GEORGE RANDOLPH WESTBY M.D.

Internal Medicine (Nephrology)

30 MEDICAL CENTER BLVD, SUITE 303
UPLAND, PA 19013

Delaware County (610) 872-8501

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 Daniel Ukpong's NPI number?

The NPI number for Daniel Ukpong is 1376805192. It was assigned to this individual provider in the NPPES registry on June 8, 2012.

Where is Daniel Ukpong located?

Daniel Ukpong practices at 30 Medical Center Blvd Suite 404, Chester, PA 19013. The listed phone number is (610) 619-8590.

What is Daniel Ukpong's specialty?

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

Is Daniel Ukpong enrolled in Medicare?

Yes. Daniel Ukpong 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 Daniel Ukpong accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Daniel Ukpong 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 Daniel Ukpong affiliated with any hospitals?

According to CMS data, Daniel Ukpong is affiliated with Atrium Health Navicent The Medical Center, Coliseum Medical Centers, LLC, Dba and Piedmont Macon North Hospital.

When was this NPI record last updated?

The NPPES record for Daniel Ukpong was last updated on May 1, 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.