SERGIO LINO RAMIREZ MD
NPI 1669093720
Family Medicine in Kennett Square, PA

Active since April 29, 2020PECOS EnrolledAccepts Medicare Assignment
830 WEST CYPRESS STREET, KENNETT SQUARE, PA 19348(610) 444-8084(610) 444-8233 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2024, Aug 11, 2020, Jul 28, 2020 and 1 more (4 updates tracked since 2020).

About Sergio Lino Ramirez Md NPPES

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

SERGIO LINO RAMIREZ MD (NPI 1669093720) is an individual family medicine provider in Kennett Square, Pennsylvania, licensed in Pennsylvania (MD494487) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, is affiliated with Chester County Hospital, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1669093720
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameSERGIO LINO RAMIREZCredential: MD
Location Address830 WEST CYPRESS STREETKennett Square, PA 19348-2218
Mailing Address830 West Cypress StreetKennett Square, PA 19348-2218 · (610) 444-8084 · Fax (610) 444-8233
Fax(610) 444-8233
Sole ProprietorYes
Medical School CMSOtherGraduated 2019
Enumeration DateApril 29, 2020
Last NPPES UpdateJune 29, 20264 updates tracked since enumeration
NPPES CertifiedJune 29, 2026
✔ NPI 1669093720 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD494487
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.
830 WEST CYPRESS STREET, Kennett Square, PA 19348

Secondary Practice Location 1

Location 1701 N Clayton StWilmington, DE 19805-3165 · Phone (302) 575-8040 · Fax (302) 575-8005

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sergio Lino Ramirez 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 ID4284055104
PECOS Enrollment IDI20231201000033, I20260626002735
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 Reassignments

2

Medicare enrollment records show Sergio Ramirez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Obstetrics & Gynecology
532 GREENHILL AVE
Wilmington, DE 19805
  • Reassigned Medicare billing, Delaware enrollment
  • 46 clinicians in this Medicare group
Hepatology
701 E MARSHALL ST
West Chester, PA 19380
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 983 clinicians in this Medicare group

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 2

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.
60 services39 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.
24 services19 patients

Hospital Affiliations CMS Care Compare

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

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19348 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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 Sergio Ramirez's NPI number?

The NPI number for Sergio Ramirez is 1669093720. It was assigned to this individual provider in the NPPES registry on April 29, 2020.

Where is Sergio Ramirez located?

Sergio Ramirez practices at 830 West Cypress Street, Kennett Square, PA 19348. The listed phone number is (610) 444-8084.

What is Sergio Ramirez's specialty?

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

Is Sergio Ramirez enrolled in Medicare?

Yes. Sergio Ramirez 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.

Which organizations bill Medicare for Sergio Ramirez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Ramirez reassigns Medicare benefits to 2 organizations: St. Francis Hospital Inc. (Wilmington, DE) and Clinical Care Associates Of The University Of Pennsylvania Health (West Chester, PA). Each 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 Sergio Ramirez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sergio Ramirez accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Sergio Ramirez 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 Sergio Ramirez affiliated with any hospitals?

According to CMS data, Sergio Ramirez is affiliated with Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Sergio Ramirez was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.