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WENDY NEWELL M.D.
NPI 1447254073
Specialist in Dover, DE

Active since June 10, 2005PECOS EnrolledAccepts Medicare Assignment
90.48/100
CMS Quality Rating
103 WOLF CREEK BLVD, SUITE 1, DOVER, DE 19901(302) 674-2420(302) 674-4473 Get Directions Write a Review

NPPES record last updated: February 24, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Wendy Newell M.d. NPPES

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

WENDY NEWELL M.D. (NPI 1447254073) is an individual specialist in Dover, Delaware, licensed in Delaware (C1-0004392) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of University Of Pittsburgh School Of Medicine (1989).

NPPES Registry Identity

NPI1447254073
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameWENDY NEWELLCredential: M.D.
Location Address103 WOLF CREEK BLVD, SUITE 1Dover, DE 19901-4915
Mailing Address103 Wolf Creek Blvd, Suite 1Dover, DE 19901-4915 · (302) 674-2420 · Fax (302) 674-4473
Phone(302) 674-2420
Fax(302) 674-4473
Sole ProprietorYes
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1989
Enumeration DateJune 10, 2005
Last NPPES UpdateFebruary 24, 2010
✔ NPI 1447254073 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in DE · C1-0004392
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
103 WOLF CREEK BLVD, Dover, DE 19901
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Other Identifiers 3

Medicare ID-Type Unspecified00A780H59
Medicare UPINF86308
Medicaid0001156301DE

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

Wendy Newell 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 ID5496855074
PECOS Enrollment IDI20100521000818
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 12

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.
1,044 services605 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.
245 services192 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.
136 services136 patients
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.
83 services48 patients
Partial removal of breast 19301
A partial removal of the breast, also known as a lumpectomy, involves taking out a portion of the breast tissue to eliminate concerning cells. It's typically performed when the problem area is limited in size. This procedure helps to preserve most of the breast's appearance while aiming to remove all the unhealthy cells.
62 services62 patients
Biopsy of breast and placement of locating device using x-ray with needle, first growth 19081
A biopsy of the breast involves extracting a small sample of tissue for examination. A locating device placement, guided by x-ray, aids in identifying the exact spot of the first growth. A needle is used in both processes to ensure precision and minimal discomfort.
45 services45 patients

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.

90.48/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.93
Promoting Interoperability100
Improvement Activities40
Cost85.33

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.

Skin barrier, wipes or swabs, each A5120
DME-Orthotic Devices · category DF010N
3 suppliers20 claims775 services$0.21 avg. paid by Medicare
Breast prosthesis, mastectomy bra, without integrated breast prosthesis form, any size, any type L8000
DME-Orthotic Devices · category DF000N
1 supplier35 claims105 services$28.61 avg. paid by Medicare
Breast prosthesis, silicone or equal, without integral adhesive L8030
DME-Orthotic Devices · category DF000N
1 supplier14 claims18 services$266.54 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 6

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

DR. TRACEY MARSHALL-UNDERWOOD O.D.
Optometrist
103 WOLF CREEK BLVD, SUITE 2
DOVER, DE 19901
Kent County (302) 678-3932
MR. ROBERT HARRY ISAKOFF CADC
Counselor (Addiction (Substance Use Disorder))
103 WOLF CREEK BLVD
DOVER, DE 19901
Kent County (302) 744-8474
SYNERGY RECOVERY SOLUTIONS INC
Counselor
103 WOLF CREEK BLVD
DOVER, DE 19901
Kent County (302) 603-5607
BRUCE BOLASNY M.D.
Specialist
103 WOLF CREEK BLVD, SUITE 1
DOVER, DE 19901
Kent County (302) 674-2420
EYE TO EYE OPTOMETY, LLC
Optometrist
103 WOLF CREEK BLVD, SUITE 2
DOVER, DE 19901
Kent County (302) 678-3932
WOLF CREEK SURGEONS, P.A.
Specialist
103 WOLF CREEK BLVD, SUITE 1
DOVER, DE 19901
Kent County (302) 674-2420

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 Wendy Newell's NPI number?

The NPI number for Wendy Newell is 1447254073. It was assigned to this individual provider in the NPPES registry on June 10, 2005.

Where is Wendy Newell located?

Wendy Newell practices at 103 Wolf Creek Blvd Suite 1, Dover, DE 19901. The listed phone number is (302) 674-2420.

What is Wendy Newell's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Wendy Newell enrolled in Medicare?

Yes. Wendy Newell 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 Wendy Newell 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 1 other insurer list Wendy Newell 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 Wendy Newell was last updated on February 24, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.