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JACQUES R CONAWAY M.D.
NPI 1437245362
Internal Medicine - Pulmonary Disease in Berlin, MD

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
11107 CATHAGE RD UNIT 201, BERLIN, MD 21811(410) 912-6825(410) 912-6827 Get Directions Write a Review

NPPES record last updated: September 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 29, 2022, Jul 2, 2020, Jun 16, 2017 (3 updates tracked since 2017).

About Jacques R Conaway M.d. NPPES

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

JACQUES R CONAWAY M.D. (NPI 1437245362) is an individual pulmonary disease provider in Berlin, Maryland, licensed in Maryland (D0055034) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Seaford.

NPPES Registry Identity

NPI1437245362
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameJACQUES R CONAWAYCredential: M.D.
Location Address11107 CATHAGE RD UNIT 201Berlin, MD 21811-2156
Mailing Address100 E Carroll StSalisbury, MD 21801-5493 · (410) 546-6400
Phone(410) 912-6825
Fax(410) 912-6827
Sole ProprietorNo
Medical School CMSUniversity Of Maryland School Of MedicineGraduated 1992
Enumeration DateOctober 5, 2006
Last NPPES UpdateSeptember 29, 20223 updates tracked since enumeration
NPPES CertifiedSeptember 29, 2022
✔ NPI 1437245362 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in MD · D0055034
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License D0055034 (MD)
Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License D0055034 (MD)
11107 CATHAGE RD UNIT 201, Berlin, MD 21811
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Secondary Practice Location 1

Location 1100 Rawlins DrSeaford, DE 19973-5881 · Phone (302) 990-3300 · Fax (302) 990-3229

Other Identifiers 6

Other0017 E554MD · Blue Choice/fep
Other4800365United Healthcare Mco
Other290012458Railroad Medicare
Other76926302 420AMD · Blue Shield
Other1937706United Healthcare
Other296540Mamsi

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

Jacques R Conaway 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 ID2769519701
PECOS Enrollment IDI20100422000400, I20211130000033
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 10

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 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.
834 services598 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.
185 services185 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
158 services156 patients
Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
148 services146 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
126 services123 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
99 services86 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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 26

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
22 suppliers305 claims307 services$35.08 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers14 claims33 services$1.19 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
22 suppliers311 claims314 services$83.82 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
21 suppliers296 claims784 services$32.35 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
20 suppliers200 claims1,090 services$18.10 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
16 suppliers88 claims458 services$13.59 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 3

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

TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Endocrinology, Diabetes & Metabolism)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6023
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Cardiovascular Disease)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6726
TIDALHEALTH SPECIALTY CARE, LLC
Internal Medicine (Pulmonary Disease)
11107 CATHAGE RD UNIT 201
BERLIN, MD 21811
Worcester County (410) 912-6825

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 Jacques Conaway's NPI number?

The NPI number for Jacques Conaway is 1437245362. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Jacques Conaway located?

Jacques Conaway practices at 11107 Cathage Rd Unit 201, Berlin, MD 21811. The listed phone number is (410) 912-6825.

What is Jacques Conaway's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Jacques Conaway enrolled in Medicare?

Yes. Jacques Conaway 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 Jacques Conaway 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 Jacques Conaway 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 Jacques Conaway affiliated with any hospitals?

According to CMS data, Jacques Conaway is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Jacques Conaway was last updated on September 29, 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.