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

Q: 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.

Q: What is David Sowa's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(302) 731-2888

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

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Accepted Insurance

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

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.

Medicare Billing Reassignment

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

First State Orthopaedics PA

Same address

Orthopaedic Surgery

4051 OGLETOWN RD, STE 103
Newark, DE 19713

Reassigned Medicare billing, Delaware enrollment
85 clinicians in this Medicare group

NPI 1548691710 (302) 731-2888

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 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

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.

284 services284 patients

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202

This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.

178 services178 patients

X-ray of wrist, minimum of 3 views 73110

An X-ray of the wrist, minimum of 3 views, is a diagnostic procedure that uses radiation to create images of your wrist from different angles. This helps detect fractures, infections, or other abnormalities for accurate diagnosis and treatment planning.

151 services105 patients

X-ray of finger, minimum of 2 views 73140

An X-ray of the finger involves capturing images of your finger from at least two different angles. This non-invasive procedure helps in visualizing the bones and joints, aiding in the diagnosis of fractures, infections, or other abnormalities. Minimal discomfort may be experienced.

136 services96 patients

Aspiration and/or injection of fluid from medium joint 20605

This procedure involves a needle being inserted into a medium-sized joint, such as a knee or shoulder, to remove (aspirate) excess fluid. Sometimes, medication may also be injected into the joint to reduce inflammation and pain.

128 services102 patients

Incision of tendon covering of finger 26055

This procedure involves making a small cut into the protective sheath around a finger tendon. It's typically done to relieve pressure or inflammation, improve finger movement, or treat conditions like trigger finger. It's a safe, often outpatient procedure.

98 services69 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

96 services88 patients

Application of elbow to finger cast 29075

An elbow to finger cast is applied to immobilize the arm from the elbow down to the fingers. This aids in healing fractures or severe sprains. The cast, made from plaster or fiberglass, wraps around the arm, providing support and limiting movement to promote recovery.

89 services73 patients

Cast supplies, short arm cast, adult (11 years +), fiberglass Q4010

A short arm cast, made from fiberglass, is often used for fractures or injuries to the wrist or forearm in adults and children over 11. It's lightweight, durable, and can be molded to fit your arm comfortably. This cast allows for limited movement while ensuring proper healing.

87 services72 patients

Removal of bone joints between wrist and fingers 25447

This procedure involves the surgical removal of bone joints between your wrist and fingers. It's typically done to relieve pain or restore function due to conditions like arthritis. After removal, the space may be filled with a graft or artificial joint.

39 services28 patients

X-ray of upper spine, 4-5 views 72050

An X-ray of the upper spine with 4-5 views is a non-invasive imaging test. It uses radiation to capture detailed images of the bones and structures in your neck and upper back. This procedure helps identify issues like fractures, infections, or deformities.

36 services36 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.

31 services31 patients

Application of nonmoveable forearm to hand splint 29125

The application of a non-moveable forearm to hand splint is a procedure where a rigid support is placed on your forearm and hand. This is done to stabilize the area, promote healing, and prevent further injury. It restricts movement, providing rest to the injured part.

29 services24 patients

Cast supplies, short arm splint, adult (11 years +), plaster Q4021

A short arm splint, made of plaster, is a supportive device for adults and children over 11 years. It's applied to the lower part of the arm to stabilize and protect it during healing from injuries, fractures, or surgeries.

28 services24 patients

Transfer of tendon to palm 26485

A transfer of tendon to palm is a surgical procedure aimed at improving hand function. It involves moving a tendon from its original location to the palm. This can help restore movement and strength, especially if you've experienced nerve damage or muscle weakness.

27 services25 patients

X-ray of elbow, 2 views 73070

An elbow X-ray, 2 views, is a quick, painless imaging test. It uses a small amount of radiation to produce detailed images of your elbow from two different angles. This helps in diagnosing conditions like fractures, infection, or arthritis. It's a safe and effective way to monitor your elbow health.

27 services24 patients

Removal of connective tissue of palm and release of finger, first digit 26123

This procedure involves removing certain tissue in your palm to alleviate tension, and releasing the first digit (thumb) if it's constricted. It's done to improve hand function and reduce discomfort. It's a common treatment for conditions like Dupuytren's contracture.

26 services25 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.

21 services21 patients

Removal of connective tissue of palm and release of finger, each additional digit 26125

This procedure involves removing excess connective tissue in the palm that may be causing discomfort or limiting movement. It also includes the release of a finger, improving its flexibility. If more fingers are affected, they can be treated in the same procedure.

19 services11 patients

Release and/or relocation of elbow nerve 64718

This procedure involves adjusting the position of a nerve in your elbow to alleviate discomfort or improve function. The nerve is carefully moved from its original location and placed in a less strained position. This can help reduce pain and improve arm movement.

14 services13 patients

Hospital Affiliations CMS Care Compare

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

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

Quality

78.59

Promoting Interoperability

100

Improvement Activities

Cost

54.98

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.

DAVID R BACHKOSKY PA C

Physician Assistant (Surgical)

4051 OGLETOWN RD STE 103
NEWARK, DE 19713

New Castle County (302) 731-2888

RANDEEP S KAHLON MD

Orthopaedic Surgery (Hand Surgery)

4051 OGLETOWN RD STE 103
NEWARK, DE 19713

New Castle County (302) 731-2888

SETH WILLIAM CALLAHAN PA-C

Physician Assistant

4051 OGLETOWN RD STE 103
NEWARK, DE 19713

New Castle County (302) 731-2888

EVAN H CRAIN MD

Orthopaedic Surgery (Sports Medicine)

4051 OGLETOWN RD STE 103
NEWARK, DE 19713

New Castle County (302) 731-2888

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.

Which organization bills Medicare for David Sowa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), David Sowa reassigns Medicare benefits to First State Orthopaedics PA (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 David Sowa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.

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.