DR. CHERYL BOLINGER M.D.
NPI 1689682965
Family Medicine in Wilmington, DE

Active since August 03, 2006PECOS EnrolledAccepts Medicare Assignment
601 NEW CASTLE AVE, WILMINGTON, DE 19801(302) 655-6187(302) 655-6606 Get Directions Write a Review

NPPES record last updated: January 30, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Cheryl Bolinger M.d. NPPES

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

DR. CHERYL BOLINGER M.D. (NPI 1689682965) is an individual family medicine provider in Wilmington, Delaware, licensed in Delaware (MD1775) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1986).

NPPES Registry Identity

NPI1689682965
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. CHERYL BOLINGERCredential: M.D.
Location Address601 NEW CASTLE AVEWilmington, DE 19801-5821
Mailing Address601 New Castle AveWilmington, DE 19801-5821 · (302) 655-6187 · Fax (302) 655-6606
Fax(302) 655-6606
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateAugust 3, 2006
Last NPPES UpdateJanuary 30, 2017
NPI 1689682965 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in DE · MD1775
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.
601 NEW CASTLE AVE, Wilmington, DE 19801

Other Identifiers 4

Medicare PIN016533D45DE
Medicare UPIN821833
Medicare PINP00631316DE
Medicaid000089601DE

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

Dr. Cheryl Bolinger M.d. 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 ID5193770139
PECOS Enrollment IDI20050314000191
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 7

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.

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
165 services64 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.
120 services58 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
91 services33 patients
Complex chronic care management services for two or more chronic conditions, each additional 60 minutes of clinical staff time directed by health care professional, per calendar month 99489
Complex chronic care management is a service for patients with multiple chronic conditions. It involves an additional 60 minutes per month of clinical staff time directed by a healthcare professional. This service assists in managing your health conditions effectively.
54 services19 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.
51 services43 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
32 services32 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19801 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
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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 16

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

Dentist (General Practice)
601 NEW CASTLE AVE, DENTAL CLINIC
WILMINGTON, DE 19801
Dentist
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Counselor (Mental Health)
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Dentist (General Practice)
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Pharmacy (Community/Retail Pharmacy)
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Pediatrics
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Nurse Practitioner (Family)
601 NEW CASTLE AVE
WILMINGTON, DE 19801
Physician Assistant
601 NEW CASTLE AVE
WILMINGTON, DE 19801

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 Cheryl Bolinger's NPI number?

The NPI number for Cheryl Bolinger is 1689682965. It was assigned to this individual provider in the NPPES registry on August 3, 2006.

Where is Cheryl Bolinger located?

Cheryl Bolinger practices at 601 New Castle Ave, Wilmington, DE 19801. The listed phone number is (302) 655-6187.

What is Cheryl Bolinger's specialty?

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

Is Cheryl Bolinger enrolled in Medicare?

Yes. Cheryl Bolinger 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 Cheryl Bolinger accept?

Health plans from AmeriHealth Caritas Next list Cheryl Bolinger 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.

When was this NPI record last updated?

The NPPES record for Cheryl Bolinger was last updated on January 30, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.