DR. MARY VIRGINIA IACOCCA MD
NPI 1689670119
Pathology - Anatomic Pathology & Clinical Pathology in Newark, DE
NPI Status: Active since June 21, 2005
Contact Information
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
Phone: (302) 454-9830
Fax: (302) 454-1445
- Individual
- Female
- Years of Experience 36
- Pathology
- Anatomic Pathology & Clinical Pathology
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MARY IACOCCA
This page provides the complete NPI Profile along with additional information for Mary Iacocca, a provider established in Newark, Delaware with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology and more than 36 years of experience. She graduated from Virginia Commonwealth University, School Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1689670119 assigned on June 2005. The practitioner's primary taxonomy code is 207ZP0102X with license number C10006014 (DE). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1689670119
- Provider Name
- DR. MARY VIRGINIA IACOCCA MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 4755 OGLETOWN STANTON RD NEWARK, DE 19718
- Location Phone
- (302) 454-9830
- Location Fax
- (302) 454-1445
- Mailing Address
- PO BOX 12210 WILMINGTON, DE 19850
- Mailing Phone
- (302) 454-9830
- Mailing Fax
- (302) 454-1445
- Medical School Name
- VIRGINIA COMMONWEALTH UNIVERSITY, SCHOOL OF MEDICINE
- Graduation Year
- 1990
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-21-2005
- Last Update Date
- 03-09-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C10006014
- License State
- DE
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
G16621 | MEDICARE UPIN (02) | DE |
Medicare Participation & PECOS Enrollment Status
Mary Iacocca is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Mary Iacocca is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 2466531314
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20110616000628
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate
Evaluation of fine needle aspirate with interpretation and report
Microscopic genetic analysis of tumor, manual
Pathology examination of specimen during surgery, first tissue block
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 81 times for 75 patientsEvaluation of fine needle aspirate is a diagnostic procedure where a thin needle is used to collect cells from a lump or mass. This sample is then examined under a microscope to determine the nature of the lump, whether it's benign (non-cancerous) or malignant (cancerous).
This service was performed 17 times for 17 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 101 times for 69 patientsMicroscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
This service was performed 54 times for 32 patientsA pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
This service was performed 31 times for 23 patientsA high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
This service was performed 13 times for 12 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 328 times for 220 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 131 times for 79 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 20 times for 20 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 12 times for 12 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 29 times for 21 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 346 times for 80 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 132 times for 99 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 63 times for 43 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $25.17 for an established patient copayment.
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19718 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.15
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Completion of CDC Training on Antibiotic Stewardship | Yes | N/A |
Completion of all modules of the Centers for Disease Control and Prevention antibiotic stewardship course. Note: This activity may be selected once every 4 years, to avoid duplicative information given that some of the modules may change on a year by year basis but over 4 years there would be a reasonable expectation for the set of modules to have undergone substantive change, for the improvement activities performance category score. | ||
TCPI Participation | Yes | N/A |
Participation in the CMS Transforming Clinical Practice Initiative |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 6 | 8 | 9 | 6 | 7 | 0 | 1 | 1 | 9 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 6 | 16 | 9 | 12 | 7 | 0 | 1 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 6 + 1 + 6 + 9 + 1 + 2 + 7 + 0 + 1 + 2 + 24 = 61 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 61 = 9 | 9 |
The NPI number 1689670119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
DR. CYNTHIA ELLEN FLYNN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. MICHAEL DOUGLAS KANZER MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. GARY BRUCE WITKIN MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. MARK L MITCHELL MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
DR. WILLIAM MACLEOD KIRBY MD
Pathology
(Anatomic Pathology & Clinical Pathology)
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
MATTHEW K HOFFMAN MD
Obstetrics & Gynecology
4755 OGLETOWN STANTON RD
DEPT. OF OB/GYN
NEWARK, DE
ZIP 19718
DIANE C BOHNER MD
Internal Medicine
4755 OGLETOWN STANTON RD
NEWARK
NEWARK, DE
ZIP 19718
PAUL R SIERZENSKI MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
STEVEN KUSHNER MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JASON E NACE MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JAMES M CARROLL MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
ANITA H HODSON MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
CORY T CARPENTER MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
LAURA A LAWLER MD
Pediatrics
4755 OGLETOWN STANTON RD
CHRISTIANA HOSPITAL, DEPT OF PEDIATRICS
NEWARK, DE
ZIP 19718
DR. CEM SOYKAN MD
Pediatrics
(Neonatal-Perinatal Medicine)
4755 OGLETOWN STANTON RD
DEPT. OF PEDIATRICS
NEWARK, DE
ZIP 19718
THOMAS A SWEENEY MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
BRIAN J LEVINE MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
SUNANDA NABHA MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JEREMIAH L DRISCOLL PAC
Physician Assistant
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
JOHN F MADDEN MD
Emergency Medicine
4755 OGLETOWN STANTON RD
NEWARK, DE
ZIP 19718
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1689670119, enumerated as an "individual" on June 21, 2005.
The provider is located at 4755 OGLETOWN STANTON RD NEWARK, DE 19718 and the phone number is (302) 454-9830.
Pathology with taxonomy code 207ZP0102X and a focus in Anatomic Pathology & Clinical Pathology.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.