DR. EUGIDE KASONGO OTHEPA MD
NPI 1639819212
Family Medicine in Berlin, MD

Q: What is Eugide Othepa's NPI number?

The NPI number for Eugide Othepa is 1639819212. It was assigned to this individual provider in the NPPES registry on March 31, 2022. The provider is also known as Dr. Eugide Kasongo-Othepa MD.

Q: What is Eugide Othepa's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Eugide Othepa was last updated on July 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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 March 31, 2022PECOS EnrolledAccepts Medicare Assignment

10614 RACETRACK RD UNIT 5, BERLIN, MD 21811(410) 208-9761 Get Directions Write a Review

NPPES record last updated: July 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Eugide Kasongo Othepa Md NPPES

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

DR. EUGIDE KASONGO OTHEPA MD (NPI 1639819212) is an individual family medicine provider in Berlin, Maryland, licensed in Maryland (D0102990) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1639819212

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. EUGIDE KASONGO OTHEPACredential: MD

Location Address10614 RACETRACK RD UNIT 5Berlin, MD 21811-3383

Mailing Address7045 Antebellum WayFrederick, MD 21703-7479 · (571) 458-9569

Phone(410) 208-9761

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMarch 31, 2022

Last NPPES UpdateJuly 9, 2025

NPPES CertifiedJuly 9, 2025

✔ NPI 1639819212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in MD · D0102990

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

10614 RACETRACK RD UNIT 5, Berlin, MD 21811

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Other Names 1

Former Name (1)Dr. Eugide Kasongo-othepa Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Highmark Blue Cross Blue Shield Delaware.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

Dr. Eugide Kasongo Othepa 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 ID1658886676

PECOS Enrollment IDI20250717000589

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.

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210019

Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County

Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number210061

Location9733 Healthway DriveBerlin, MD 21811 · Worcester County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21811 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

$89.75 typical visit price

range $57.99 – $175.57

Typical copayment $22.43 (range $14.49 – $43.89)

Most-billed visit code 99203

Established Patient

$102.11 typical visit price

range $18.66 – $143.02

Typical copayment $25.52 (range $4.66 – $35.75)

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.

Other Providers at the Same Location NPPES 5

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

TIDALHEALTH SPECIALTY CARE, LLC

Internal Medicine (Pulmonary Disease)