RENE O. BADILLO M.D.
NPI 1487651741
Internal Medicine in Bear, DE

Active since July 01, 2005PECOS EnrolledAccepts Medicare Assignment
62.02/100
CMS Quality Rating
121 BECKS WOODS DR, SUITE 100, BEAR, DE 19701(302) 261-5600(302) 836-4302 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 10, 2023, Apr 29, 2022 (2 updates tracked since 2022).

About Rene O. Badillo M.d. NPPES

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

RENE O. BADILLO M.D. (NPI 1487651741) is an individual internal medicine provider in Bear, Delaware, licensed in Delaware (C1-0006141) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1487651741
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRENE O. BADILLOCredential: M.D.
Location Address121 BECKS WOODS DR, SUITE 100Bear, DE 19701-3851
Mailing Address121 Becks Woods Dr, Suite 100Bear, DE 19701-3851 · (302) 261-5600 · Fax (302) 836-4302
Fax(302) 836-4302
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateJuly 1, 2005
Last NPPES UpdateApril 10, 20232 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1487651741 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in DE · C1-0006141
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.
121 BECKS WOODS DR, Bear, DE 19701

Other Identifiers 1

Medicaid0001081501DE

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

Rene O. Badillo 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 ID7416950480
PECOS Enrollment IDI20060811000074
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 11

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.
589 services290 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.
195 services195 patients
Annual alcohol misuse screening, 5 to 15 minutes G0442
An annual alcohol misuse screening is a 15-minute check-up to assess your drinking habits. It helps identify if you're consuming alcohol in a way that could harm your health. This is not a judgment, but a tool to promote your wellbeing.
172 services172 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
160 services160 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.
153 services119 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
144 services101 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19701 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.

62.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.03
Promoting Interoperability0
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 4

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
17 suppliers49 claims124 services$6.26 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
11 suppliers20 claims30 services$1.12 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
2 suppliers15 claims15 services$23.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
3 suppliers26 claims26 services$204.88 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 13

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

Dietitian, Registered
121 BECKS WOODS DR
BEAR, DE 19701
Internal Medicine
121 BECKS WOODS DR, SUITE 200
BEAR, DE 19701
Dietitian, Registered
121 BECKS WOODS DR
BEAR, DE 19701
Physician Assistant (Medical)
121 BECKS WOODS DR, SUITE 100
BEAR, DE 19701
Internal Medicine (Cardiovascular Disease)
121 BECKS WOODS DR
BEAR, DE 19701
Durable Medical Equipment & Medical Supplies
121 BECKS WOODS DR, STE 201
BEAR, DE 19701
Family Medicine
121 BECKS WOODS DR, SUITE 100
BEAR, DE 19701
Internal Medicine (Cardiovascular Disease)
121 BECKS WOODS DR, SUITE 200
BEAR, DE 19701

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 Rene Badillo's NPI number?

The NPI number for Rene Badillo is 1487651741. It was assigned to this individual provider in the NPPES registry on July 1, 2005.

Where is Rene Badillo located?

Rene Badillo practices at 121 Becks Woods Dr Suite 100, Bear, DE 19701. The listed phone number is (302) 261-5600.

What is Rene Badillo's specialty?

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

Is Rene Badillo enrolled in Medicare?

Yes. Rene Badillo 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 Rene Badillo 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 Rene Badillo 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 Rene Badillo was last updated on April 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.