CAREY A NATHAN M.D.
NPI 1609802172
Colon & Rectal Surgery in Newark, DE

Q: What is Carey Nathan's NPI number?

The NPI number for Carey Nathan is 1609802172. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Carey Nathan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Q: When was this NPI record last updated?

The NPPES record for Carey Nathan was last updated on May 3, 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.

Active since June 24, 2006PECOS Enrolled

4745 OGLETOWN STANTON RD, SUITE 216, NEWARK, DE 19713(302) 737-5444 Get Directions Write a Review

NPPES record last updated: May 3, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Carey A Nathan M.d. NPPES

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

CAREY A NATHAN M.D. (NPI 1609802172) is an individual colon & rectal surgery provider in Newark, Delaware, licensed in Delaware (C10004220) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1609802172

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameCAREY A NATHANCredential: M.D.

Location Address4745 OGLETOWN STANTON RD, SUITE 216Newark, DE 19713-2067

Mailing Address4745 Ogletown Stanton Rd, Suite 216Newark, DE 19713-2067 · (302) 737-5444

Phone(302) 737-5444

Sole ProprietorNo

Enumeration DateJune 24, 2006

Last NPPES UpdateMay 3, 2010

✔ NPI 1609802172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in DE · C10004220

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

4745 OGLETOWN STANTON RD, Newark, DE 19713

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Other Identifiers 3

Medicare PIN280000439DE

Medicare PIN424697C65DE

Medicare UPINF68998DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carey A Nathan M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Carey Nathan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Christiana Care Health Services Inc

Same address

Diagnostic Radiology

4745 OGLETOWN STANTON RD
Newark, DE 19713

Reassigned Medicare billing, Delaware enrollment
1,531 clinicians in this Medicare group

NPI 1952335556 (302) 623-7189

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 13

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.

74 services61 patients

Colorectal cancer screening; colonoscopy on individual at high risk G0105

Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.

68 services68 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.

48 services43 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.

32 services32 patients

Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121

Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.

31 services31 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.

29 services16 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.

20 services19 patients

Removal of external hemorrhoids by rubber banding 46221

Rubber band ligation is a procedure used to treat external hemorrhoids. A doctor places small rubber bands around the base of the hemorrhoids. This cuts off blood supply, causing them to shrink and fall off, typically within a week.

20 services19 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.

19 services17 patients

Diagnostic exam of large bowel using a flexible endoscope 45378

This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.

16 services16 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.

13 services12 patients

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.

13 services13 patients

Partial removal of large bowel and reattachment to rectum using an endoscope 44207

This procedure involves the partial removal of the large bowel, also known as the colon, due to disease or other health concerns. Using an endoscope, a long, flexible tube with a camera, the surgeon will then reconnect the remaining healthy parts of the bowel to the rectum.

11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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

$88.37 typical visit price

range $57.12 – $173.08

Typical copayment $22.09 (range $14.28 – $43.27)

Most-billed visit code 99203

Established Patient

$71.19 typical visit price

range $18.36 – $141.05

Typical copayment $17.79 (range $4.59 – $35.26)

Most-billed visit code 99213

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 2

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

Ostomy pouch, drainable; with barrier attached, (1 piece), each A5061

DME-Orthotic Devices · category DF010N

5 suppliers30 claims642 services$2.99 avg. paid by Medicare

Skin barrier, wipes or swabs, each A5120

DME-Orthotic Devices · category DF010N

4 suppliers15 claims660 services$0.19 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.

GABRIELLA LYNN ZACCONE

Physician Assistant

4745 OGLETOWN STANTON RD
NEWARK, DE 19713

New Castle County (302) 744-9645

TODD T MILLER PA C

Physician Assistant (Surgical)

4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713

New Castle County (302) 731-2888

GORDON J OSTRUM JR. M.D.

Obstetrics & Gynecology

4745 OGLETOWN STANTON RD, SUITE 106
NEWARK, DE 19713

New Castle County (302) 454-9800

BONNIE O OCONNOR PA C

Physician Assistant (Surgical)

4745 OGLETOWN STANTON RD, SUITE 225
NEWARK, DE 19713

New Castle County (302) 731-2888

PAULETTE HAWS NP

Nurse Practitioner (Neonatal)

4745 OGLETOWN STANTON RD, SUITE 217
NEWARK, DE 19713

New Castle County (302) 733-4387

DR. BERNARD HAIMOWITZ M.D.

Specialist

4745 OGLETOWN STANTON RD
NEWARK, DE 19713

New Castle County (302) 738-5300

FAITH A, BROSCH M.D,

Obstetrics & Gynecology

4745 OGLETOWN STANTON RD, MAP1, SUITE 207
NEWARK, DE 19713

New Castle County (302) 368-9000

ROBERT G LOCKE DO

Pediatrics (Neonatal-Perinatal Medicine)

4745 OGLETOWN STANTON RD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713

New Castle County (302) 733-2374

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 Carey Nathan's NPI number?

The NPI number for Carey Nathan is 1609802172. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Carey Nathan located?

Carey Nathan practices at 4745 Ogletown Stanton Rd Suite 216, Newark, DE 19713. The listed phone number is (302) 737-5444.

What is Carey Nathan's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Carey Nathan enrolled in Medicare?

Yes. Carey Nathan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carey Nathan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carey Nathan reassigns Medicare benefits to Christiana Care Health Services Inc (Newark, DE). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carey Nathan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carey Nathan accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next list Carey Nathan 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 Carey Nathan was last updated on May 3, 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.