DAVID T SOWA MD
NPI 1679553580
Orthopaedic Surgery - Hand Surgery in Newark, DE

Active since January 18, 2006PECOS EnrolledAccepts Medicare Assignment
80.07/100
CMS Quality Rating
4051 OGLETOWN RD STE 103, NEWARK, DE 19713(302) 731-2888(302) 731-7049 Get Directions Write a Review

NPPES record last updated: January 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About David T Sowa Md NPPES

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

DAVID T SOWA MD (NPI 1679553580) is an individual hand surgery provider in Newark, Delaware, licensed in Delaware (CI0002928) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and is a graduate of Johns Hopkins University School Of Medicine (1981).

NPPES Registry Identity

NPI1679553580
Entity TypeIndividualMale
Primary Taxonomy207XS0106X
Provider Legal NameDAVID T SOWACredential: MD
Location Address4051 OGLETOWN RD STE 103Newark, DE 19713-3101
Mailing Address211 Executive Dr Ste 11Newark, DE 19702-3358 · (302) 731-2888 · Fax (302) 731-7049
Fax(302) 731-7049
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1981
Enumeration DateJanuary 18, 2006
Last NPPES UpdateJanuary 25, 2024
NPPES CertifiedJanuary 25, 2024
NPI 1679553580 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOrthopaedic Surgery · Hand SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207XS0106X
License Licensed in DE · CI0002928
Definition
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist.
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License CI0002928 (DE)
4051 OGLETOWN RD STE 103, Newark, DE 19713

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

David T Sowa 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 ID6305819947
PECOS Enrollment IDI20050914000114
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 26

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, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
3,226 services647 patients
Aspiration and/or injection of fluid from small joint 20600
This procedure involves inserting a thin needle into a small joint to remove (aspirate) or inject fluid. It can help diagnose conditions, relieve discomfort, or administer medication directly into the joint. It's generally safe with minimal discomfort.
500 services343 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.
495 services336 patients
X-ray of hand, minimum of 3 views 73130
An X-ray of the hand, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones in your hand from different angles. This helps in diagnosing fractures, infections, arthritis, or other abnormalities. It's quick and painless.
407 services303 patients
Injection into tendon at attachment to bone or muscle 20551
This procedure involves injecting medicine into a tendon where it attaches to bone or muscle. It's done to alleviate pain or inflammation. The injection may contain a local anesthetic or a corticosteroid to reduce swelling. It's a common treatment for various orthopedic conditions.
404 services304 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.
361 services315 patients

Hospital Affiliations CMS Care Compare 2

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

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

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 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.

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.

80.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.59
Promoting Interoperability100
Improvement Activities40
Cost54.98

Referred Medical Equipment & Supplies CMS DME claims 3

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

Wrist hand orthosis, wrist extension control cock-up, non molded, prefabricated, off-the-shelf L3908
DME-Orthotic Devices · category DF000N
1 supplier88 claims92 services$51.49 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, custom fabricated, includes fitting and adjustment L3913
DME-Orthotic Devices · category DF000N
4 suppliers23 claims23 services$200.29 avg. paid by Medicare
Hand finger orthosis, without joints, may include soft interface, straps, prefabricated, off-the-shelf L3924
DME-Orthotic Devices · category DF000N
1 supplier34 claims35 services$70.72 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 4

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

Physician Assistant (Surgical)
4051 OGLETOWN RD STE 103
NEWARK, DE 19713
Orthopaedic Surgery (Hand Surgery)
4051 OGLETOWN RD STE 103
NEWARK, DE 19713
Physician Assistant
4051 OGLETOWN RD STE 103
NEWARK, DE 19713
Orthopaedic Surgery (Sports Medicine)
4051 OGLETOWN RD STE 103
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 David Sowa's NPI number?

The NPI number for David Sowa is 1679553580. It was assigned to this individual provider in the NPPES registry on January 18, 2006.

Where is David Sowa located?

David Sowa practices at 4051 Ogletown Rd Ste 103, Newark, DE 19713. The listed phone number is (302) 731-2888.

What is David Sowa's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Hand Surgery, with taxonomy code 207XS0106X.

Is David Sowa enrolled in Medicare?

Yes. David Sowa 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 David Sowa accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list David Sowa 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 David Sowa affiliated with any hospitals?

According to CMS data, David Sowa is affiliated with Union Hospital Of Cecil County and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for David Sowa was last updated on January 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.