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TONY BIANCHETTA MD
NPI 1407827249
Internal Medicine in Newark, DE

Active since January 30, 2006PECOS EnrolledAccepts Medicare Assignment
200 HYGEIA DR, NEWARK, DE 19713(302) 623-0220(302) 623-0227 Get Directions Write a Review

NPPES record last updated: July 30, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Tony Bianchetta Md NPPES

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

TONY BIANCHETTA MD (NPI 1407827249) is an individual internal medicine provider in Newark, Delaware, licensed in Delaware (C10005223) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (1994).

NPPES Registry Identity

NPI1407827249
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameTONY BIANCHETTACredential: MD
Location Address200 HYGEIA DRNewark, DE 19713-2049
Mailing Address200 Hygeia DrNewark, DE 19713-2049 · (302) 623-0220 · Fax (302) 623-0227
Phone(302) 623-0220
Fax(302) 623-0227
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1994
Enumeration DateJanuary 30, 2006
Last NPPES UpdateJuly 30, 2008
✔ NPI 1407827249 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C10005223
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 C10005223 (DE)
200 HYGEIA DR, Newark, DE 19713
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Other Identifiers 2

Medicare UPING81648DE
Medicare PIN017328C90DE

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

Tony Bianchetta 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 ID840228920
PECOS Enrollment IDI20050729000909
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 6

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.
115 services94 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.
106 services84 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.
89 services89 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
16 services16 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.
15 services11 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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 3

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
13 suppliers26 claims61 services$5.77 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers18 claims24 services$0.90 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$39.19 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.

MRS. CRISTINA L. BONILLA-COOKE PA-C
Physician Assistant
200 HYGEIA DR
NEWARK, DE 19713
New Castle County (302) 273-1701
ANN DUCH
Physical Therapist
200 HYGEIA DR, PT PLUS
NEWARK, DE 19713
New Castle County (302) 623-0390
DR. MARC T ZUBROW MD
Internal Medicine (Pulmonary Disease)
200 HYGEIA DR, ROOM 2470
NEWARK, DE 19713
New Castle County (302) 623-0616
CHRISTIANA CARE HEALTH SERVICES INC
Dermatology
200 HYGEIA DR, HEALTH CARE CENTER AT CHRISTIANA
NEWARK, DE 19713
New Castle County (302) 623-0100
MR. JAMES ANTHONY NERI PT
Physical Therapist
200 HYGEIA DR
NEWARK, DE 19713
New Castle County (302) 623-0390
OLIVER SCHOONMAKER THRESHER JR. MD
Family Medicine
200 HYGEIA DR
NEWARK, DE 19713
New Castle County (302) 273-1701
MRS. DANIELLE N. DALLAS FNP
Nurse Practitioner
200 HYGEIA DR, SUITE 2100
NEWARK, DE 19713
New Castle County (302) 623-0188
CHRISTIANA CARE HEALTH INITIATIVES
Family Medicine
200 HYGEIA DR, SUITE 2300
NEWARK, DE 19713
New Castle County (302) 623-7362

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 Tony Bianchetta's NPI number?

The NPI number for Tony Bianchetta is 1407827249. It was assigned to this individual provider in the NPPES registry on January 30, 2006.

Where is Tony Bianchetta located?

Tony Bianchetta practices at 200 Hygeia Dr, Newark, DE 19713. The listed phone number is (302) 623-0220.

What is Tony Bianchetta's specialty?

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

Is Tony Bianchetta enrolled in Medicare?

Yes. Tony Bianchetta 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 Tony Bianchetta accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Tony Bianchetta 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 Tony Bianchetta was last updated on July 30, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.