DR. RICARDO M MENDOZA JR. M.D.
NPI 1417104936
Pathology - Cytopathology in Dover, DE

Q: What is Ricardo Mendoza's NPI number?

The NPI number for Ricardo Mendoza is 1417104936. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Q: What is Ricardo Mendoza's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Cytopathology, with taxonomy code 207ZC0500X.

Q: When was this NPI record last updated?

The NPPES record for Ricardo Mendoza was last updated on April 5, 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 August 27, 2008PECOS EnrolledAccepts Medicare Assignment

64.88/100

CMS Quality Rating

1253 COLLEGE PARK DR, DOVER, DE 19904(302) 677-0000 Get Directions Write a Review

NPPES record last updated: April 5, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Dr. Ricardo M Mendoza Jr. M.d. NPPES

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

DR. RICARDO M MENDOZA JR. M.D. (NPI 1417104936) is an individual cytopathology provider in Dover, Delaware, licensed in Virginia (0101254435) and active in the NPI registry since August 2008. He is enrolled in Medicare PECOS and is a graduate of Eastern Virginia Medical School (2003).

NPPES Registry Identity

NPI1417104936

Entity TypeIndividualMale

Primary Taxonomy207ZC0500X

Provider Legal NameDR. RICARDO M MENDOZA JR.Credential: M.D.

Location Address1253 COLLEGE PARK DRDover, DE 19904-8713

Mailing Address5700 Southwyck BlvdToledo, OH 43614-1509 · (800) 288-8325 · Fax (419) 866-5453

Phone(302) 677-0000

Sole ProprietorNo

Medical School CMSEastern Virginia Medical SchoolGraduated 2003

Enumeration DateAugust 27, 2008

Last NPPES UpdateApril 5, 2019

✔ NPI 1417104936 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · CytopathologyAllopathic & Osteopathic Physicians

Taxonomy Code207ZC0500X

License✔ Licensed in VA · 0101254435

Definition

A cytopathologist is an anatomic pathologist trained in the diagnosis of human disease by means of the study of cells obtained from body secretions and fluids, by scraping, washing, or sponging the surface of a lesion, or by the aspiration of a tumor mass or body organ with a fine needle. A major aspect of a cytopathologist's practice is the interpretation of Papanicolaou-stained smears of cells from the female reproductive systems, the Pap test. However, the cytopathologist's expertise is applied to the diagnosis of cells from all systems and areas of the body. He/she is a consultant to all medical specialists.

Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License MD455991 (PA)

1253 COLLEGE PARK DR, Dover, DE 19904

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ricardo M Mendoza Jr. 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 ID42451080

PECOS Enrollment IDI20150930000503

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.

Medicare Billing Reassignment

Medicare enrollment records show Ricardo Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Doctors Pathology Services, Inc

Same address

Anatomic Pathology

1253 COLLEGE PARK DR
Dover, DE 19904

Reassigned Medicare billing, Delaware enrollment
2 clinicians in this Medicare group

NPI 1972503811 (302) 677-0000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305

A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.

411 services299 patients

Special stained specimen slides to examine tissue, each additional procedure 88341

Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.

250 services61 patients

Evaluation of fine needle aspirate 88172

Evaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).

199 services143 patients

Evaluation of fine needle aspirate with interpretation and report 88173

This procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.

199 services143 patients

Pap test, evaluation of fine needle aspirate, immediate, each additional evaluation episode 88177

A Pap test is a procedure that checks for abnormal cells in the body, which could indicate a serious condition. The evaluation of a fine needle aspirate is a process where a small sample is taken with a thin needle for examination. This can be done multiple times for a thorough analysis.

192 services118 patients

Ultrasound scan of head and neck soft tissue 76536

An ultrasound scan of the head and neck soft tissue is a non-invasive procedure that uses sound waves to create images of the soft tissues in these areas. It helps identify any abnormalities or issues, such as tumors, cysts, or infections. It's painless and doesn't involve radiation.

115 services115 patients

Fine needle aspiration biopsy using ultrasound guidance, first growth 10005

Fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is inserted into a growth to extract a small sample. Ultrasound helps accurately locate the growth. This sample is then analyzed to determine the nature of the growth.

113 services113 patients

Special stained specimen slides to examine tissue, initial procedure 88342

This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.

72 services66 patients

Pap test, automated thin layer preparation; automated system and manual rescreening 88175

A Pap test is a screening tool that helps detect unusual cells. The automated thin layer preparation involves placing your cell sample in a thin layer on a slide. An automated system then scans the slide, and experts manually review any areas flagged by the system. This method enhances the accuracy of the results.

67 services64 patients

Fine needle aspiration biopsy using ultrasound guidance, each additional growth 10006

A fine needle aspiration biopsy with ultrasound guidance is a procedure where a thin needle is used to collect cells from a growth. Ultrasound helps accurately locate the growth. If there's more than one growth, each one is biopsied separately.

51 services43 patients

Pathology examination of specimen during surgery, first tissue block 88331

A pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.

44 services35 patients

Special stained specimen slides to identify organisms including interpretation and report 88312

This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.

41 services18 patients

Pathology examination of tissue using a microscope, moderately low complexity 88304

A pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.

26 services26 patients

Infectious agent detection by nucleic acid (dna or rna); human papillomavirus (hpv), high-risk types (e.g., 16, 18, 31, 33, 35, 39, 45, 51, 52, 56, 58, 59, 68) for cervical cancer screening, must be performed in addition to pap test G0476

This service detects high-risk types of HPV, a common virus, by analyzing DNA or RNA. It's an essential part of cervical cancer screening, performed alongside the Pap test. This dual approach enhances accuracy, aiding early detection and treatment.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19904 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.

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.

64.88/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

29.77

Improvement Activities

Other Providers at the Same Location NPPES 4

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

VENKATARAMAN R SUKUMAR M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1253 COLLEGE PARK DR
DOVER, DE 19904

Kent County (302) 677-0000

DR. WARREN GILLETTE JR. MD

Pathology (Anatomic Pathology & Clinical Pathology)

1253 COLLEGE PARK DR
DOVER, DE 19904

Kent County (302) 677-0000

ZOHREH ZAKI M.D.

Pathology (Anatomic Pathology & Clinical Pathology)

1253 COLLEGE PARK DR
DOVER, DE 19904

Kent County (302) 677-0000

DOCTORS PATHOLOGY SERVICES, INC

Pathology (Anatomic Pathology)

1253 COLLEGE PARK DR
DOVER, DE 19904

Kent County (302) 677-0000

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 Ricardo Mendoza's NPI number?

The NPI number for Ricardo Mendoza is 1417104936. It was assigned to this individual provider in the NPPES registry on August 27, 2008.

Where is Ricardo Mendoza located?

Ricardo Mendoza practices at 1253 College Park Dr, Dover, DE 19904. The listed phone number is (302) 677-0000.

What is Ricardo Mendoza's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Cytopathology, with taxonomy code 207ZC0500X.

Is Ricardo Mendoza enrolled in Medicare?

Yes. Ricardo Mendoza 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.

Which organization bills Medicare for Ricardo Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Mendoza reassigns Medicare benefits to Doctors Pathology Services, Inc (Dover, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ricardo Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ricardo Mendoza accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan list Ricardo Mendoza 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 Ricardo Mendoza was last updated on April 5, 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.