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PAOLO L PEGHINI MD
NPI 1558379446
Internal Medicine - Gastroenterology in Lewes, DE

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
400 SAVANNAH RD, SUITE B, LEWES, DE 19958(302) 645-3555(302) 644-3560 Get Directions Write a Review

NPPES record last updated: February 6, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paolo L Peghini Md NPPES

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

PAOLO L PEGHINI MD (NPI 1558379446) is an individual gastroenterology provider in Lewes, Delaware, licensed in Delaware (C10005923) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Medstar Southern Maryland Hospital Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1558379446
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NamePAOLO L PEGHINICredential: MD
Location Address400 SAVANNAH RD, SUITE BLewes, DE 19958-1499
Mailing Address33663 Bayview Medical Dr, Unit 2Lewes, DE 19958-1663 · (302) 645-3555 · Fax (302) 644-3560
Phone(302) 645-3555
Fax(302) 644-3560
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateAugust 4, 2006
Last NPPES UpdateFebruary 6, 2014
✔ NPI 1558379446 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in DE · C10005923
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
400 SAVANNAH RD, Lewes, DE 19958
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified005622E77
Medicare UPINH22086
Medicaid0001053201DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.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

Paolo L Peghini Md 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 ID1759430911
PECOS Enrollment IDI20230925002113, I20241024004589
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.

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.
142 services139 patients
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.
83 services56 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.
69 services59 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.
61 services61 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
54 services54 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
53 services53 patients

Hospital Affiliations CMS Care Compare

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

Medstar Southern Maryland Hospital Center

Acute Care Hospitals · Clinton, MD
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210062
Location7503 Surratts RoadClinton, MD 20735 · Prince Georges County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19958 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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%1,236 patients4/55-star benchmark: 99%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%458 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
63%968 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%968 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
23%968 patients2/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
31%968 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 5

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

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385
DME-Orthotic Devices · category DF010N
2 suppliers11 claims150 services$4.90 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with non-locking flange, with filter (2 piece system), each A4425
DME-Orthotic Devices · category DF010N
2 suppliers15 claims180 services$3.44 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims372 services$5.68 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims4,515 services$0.31 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
1 supplier15 claims705 services$0.35 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 9

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

VANESSA ADAMS
Nurse Practitioner
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-3555
HARRY J ANAGNOSTAKOS DO
Internal Medicine (Gastroenterology)
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-3555
SCOTT D. OLEWILER M.D.
Internal Medicine (Infectious Disease)
400 SAVANNAH RD, SUITE A
LEWES, DE 19958
Sussex County (302) 645-3555
DR. MARK NATHANIEL WILKINSON MD
Internal Medicine (Gastroenterology)
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-9325
DR. MICHAEL A SALVATORE M.D.
Internal Medicine (Pulmonary Disease)
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-3232
CHRISTIANA CARE HEALTH SERVICES, INC.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
400 SAVANNAH RD, LEWES PROFESSIONAL BUILDING, SUITE C
LEWES, DE 19958
Sussex County (302) 623-7362
TERRY ELEANOR HESS NNP-BC
Nurse Practitioner (Neonatal)
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-3555
ERCILIA E ARIAS M.D.
Internal Medicine (Pulmonary Disease)
400 SAVANNAH RD, SUITE B
LEWES, DE 19958
Sussex County (302) 645-3555

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 Paolo Peghini's NPI number?

The NPI number for Paolo Peghini is 1558379446. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Paolo Peghini located?

Paolo Peghini practices at 400 Savannah Rd Suite B, Lewes, DE 19958. The listed phone number is (302) 645-3555.

What is Paolo Peghini's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Paolo Peghini enrolled in Medicare?

Yes. Paolo Peghini 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 Paolo Peghini accept?

Health plans from AmeriHealth Caritas Next list Paolo Peghini 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 Paolo Peghini affiliated with any hospitals?

According to CMS data, Paolo Peghini is affiliated with Medstar Southern Maryland Hospital Center.

When was this NPI record last updated?

The NPPES record for Paolo Peghini was last updated on February 6, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.