DR. JOHN A DELUCA M.D.
NPI 1407942345
Surgery in Charleston, WV

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
90.11/100
CMS Quality Rating
1220 LEE ST E STE 208, CHARLESTON, WV 25301(304) 388-7270(304) 388-7280 Get Directions Write a Review

NPPES record last updated: September 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 14, 2022, Apr 6, 2022, Jan 7, 2021 (3 updates tracked since 2021).

About Dr. John A Deluca M.d. NPPES

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

DR. JOHN A DELUCA M.D. (NPI 1407942345) is an individual surgery provider in Charleston, West Virginia, licensed in West Virginia (17201) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Thomas Memorial Hospital, and is a graduate of West Virginia University School Of Medicine (1989).

NPPES Registry Identity

NPI1407942345
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. JOHN A DELUCACredential: M.D.
Location Address1220 LEE ST E STE 208Charleston, WV 25301-1864
Mailing Address1220 Lee St E Ste 208Charleston, WV 25301-1864 · (304) 388-7270 · Fax (304) 388-7280
Fax(304) 388-7280
Sole ProprietorNo
Medical School CMSWest Virginia University School Of MedicineGraduated 1989
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 14, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 14, 2022
NPI 1407942345 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License Licensed in WV · 17201
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1220 LEE ST E STE 208, Charleston, WV 25301

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. John A Deluca 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 ID4880628130
PECOS Enrollment IDI20050926000593, I20130720000170
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
58 services27 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
45 services28 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
18 services17 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Thomas Memorial Hospital

Acute Care Hospitals · South Charleston, WV
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number510029
Location4605 Maccorkle Avenue SWSouth Charleston, WV 25309 · Kanawha County
Emergency services Birthing friendly

Boone Memorial Hospital

Critical Access Hospitals · Madison, WV
OwnershipGovernment - Local
CMS Certification Number511313
Location701 Madison AvenueMadison, WV 25130 · Boone County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25301 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
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$66.84 typical visit price
range $16.47 – $133.29
Typical copayment $16.71 (range $4.11 – $33.32)
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.

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.

90.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality66.96
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Surgery
1220 LEE ST E STE 208
CHARLESTON, WV 25301
Nurse Practitioner (Family)
1220 LEE ST E STE 208
CHARLESTON, WV 25301
Surgery
1220 LEE ST E STE 208
CHARLESTON, WV 25301
Surgery
1220 LEE ST E STE 208
CHARLESTON, WV 25301
Surgery
1220 LEE ST E STE 208
CHARLESTON, WV 25301

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 John Deluca's NPI number?

The NPI number for John Deluca is 1407942345. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is John Deluca located?

John Deluca practices at 1220 Lee St E Ste 208, Charleston, WV 25301. The listed phone number is (304) 388-7270.

What is John Deluca's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is John Deluca enrolled in Medicare?

Yes. John Deluca 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 John Deluca accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list John Deluca 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 John Deluca affiliated with any hospitals?

According to CMS data, John Deluca is affiliated with Thomas Memorial Hospital and Boone Memorial Hospital.

When was this NPI record last updated?

The NPPES record for John Deluca was last updated on September 14, 2022. 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.