RAYMOND A DIPRETORO JR. DPM
NPI 1568464816
Podiatrist - Foot & Ankle Surgery in Newark, DE

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
774 CHRISTIANA RD, STE 105, NEWARK, DE 19713(302) 623-4250(302) 623-4252 Get Directions Write a Review

NPPES record last updated: January 13, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Raymond A Dipretoro Jr. Dpm NPPES

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

RAYMOND A DIPRETORO JR. DPM (NPI 1568464816) is an individual foot & ankle surgery provider in Newark, Delaware, licensed in Delaware (E1000090) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1568464816
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameRAYMOND A DIPRETORO JR.Credential: DPM
Location Address774 CHRISTIANA RD, STE 105Newark, DE 19713-4236
Mailing Address774 Christiana Rd, Ste 105Newark, DE 19713-4236 · (302) 623-4250 · Fax (302) 623-4252
Fax(302) 623-4252
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateJune 1, 2005
Last NPPES UpdateJanuary 13, 2010
NPI 1568464816 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in DE · E1000090
774 CHRISTIANA RD, Newark, DE 19713

Other Identifiers 14

OtherU05931DE · Bcbs
Other1144087Cigna
Medicare UPINU05931
Medicaid0000234317DE
Other5084Elder Health
Other226168DE · Unison
Other349964Mamsi/optimum Choice
Medicare ID-Type Unspecified480028766Railroad Medicare
Medicare ID-Type Unspecified000M10A86
Other43816Coventry
Other0000234317DE · Delaware Physicians Care
Other2700771United Healthcare
Other0430506000Amerihealth/keystone/pc
Other4331907Aetna

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

Raymond A Dipretoro Jr. Dpm 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 ID8527010537
PECOS Enrollment IDI20100112000309
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 18

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.

Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
884 services94 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.
760 services424 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
285 services195 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.
210 services163 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.
134 services134 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.
108 services90 patients

Hospital Affiliations CMS Care Compare

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

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

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%807 patients5/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Peripheral Neuropathy - Neurological Evaluation
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who had a neurological examination of their lower extremities within 12 months
85%375 patients4/55-star benchmark: 100%
Diabetes Mellitus: Diabetic Foot and Ankle Care, Ulcer Prevention - Evaluation of Footwear
Percentage of patients aged 18 years and older with a diagnosis of diabetes mellitus who were evaluated for proper footwear and sizing
85%375 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%6,123 patients5/55-star benchmark: 100%
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.
83%230 patients4/55-star benchmark: 100%
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.
99%1,544 patients4/55-star benchmark: 100%
Pain Assessment and Follow-Up
Percentage of visits for patients aged 18 years and older with documentation of a pain assessment using a standardized tool(s) on each visit AND documentation of a follow-up plan when pain is present
86%5,578 patients4/55-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.
15%947 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
86%2,365 patients4/55-star benchmark: 100%
Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling
Percentage of patients aged 18 years and older who were screened for unhealthy alcohol use using a systematic screening method at least once within the last 24 months AND who received brief counseling if identified as an unhealthy alcohol user
99%1,535 patients4/55-star benchmark: 100%
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…
75%947 patients4/55-star benchmark: 100%
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

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

Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
4 suppliers27 claims27 services$239.51 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 20

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

Psychiatry & Neurology (Vascular Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Specialist
774 CHRISTIANA RD, SUITE 101
NEWARK, DE 19713
Radiology (Diagnostic Radiology)
774 CHRISTIANA RD, SUITE 1
NEWARK, DE 19713
Audiologist
774 CHRISTIANA RD, NEUROSCIENCE BLDG SUITE B4
NEWARK, DE 19713
Neurological Surgery
774 CHRISTIANA RD, STE 202
NEWARK, DE 19713
Surgery
774 CHRISTIANA RD
NEWARK, DE 19713
Psychiatry & Neurology (Neurology)
774 CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Otolaryngology
774 CHRISTIANA RD, SUITE 107
NEWARK, DE 19713

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 Raymond Dipretoro's NPI number?

The NPI number for Raymond Dipretoro is 1568464816. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Raymond Dipretoro located?

Raymond Dipretoro practices at 774 Christiana Rd Ste 105, Newark, DE 19713. The listed phone number is (302) 623-4250.

What is Raymond Dipretoro's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Raymond Dipretoro enrolled in Medicare?

Yes. Raymond Dipretoro 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 Raymond Dipretoro 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 Raymond Dipretoro 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 Raymond Dipretoro affiliated with any hospitals?

According to CMS data, Raymond Dipretoro is affiliated with Cooper University Hospital.

When was this NPI record last updated?

The NPPES record for Raymond Dipretoro was last updated on January 13, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.