DR. STEPHEN C. EPPES MD
NPI 1689765976
Pediatrics - Pediatric Infectious Diseases in Wilmington, DE

NPI Status: Active since September 28, 2006

Contact Information

A.I. DUPONT HOSPITAL FOR CHILDREN
1600 ROCKLAND ROAD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-4000
Fax: (302) 651-4945

NPI Profile Information
Primary Taxonomy
Insurance Plans Accepted
Medicare Participation & PECOS Status
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Individual
Male
Pediatrics
Pediatric Infectious Diseases
Accepts Insurance
PECOS Enrolled

About STEPHEN EPPES

This page provides the complete NPI Profile along with additional information for Stephen Eppes, a pediatrician established in Wilmington, Delaware with a medical specialization in Pediatrics, focusing in pediatric infectious diseases . The healthcare provider is registered in the NPI registry with number 1689765976 assigned on September 2006. The practitioner's primary taxonomy code is 2080P0208X with license number C10002980 (DE). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI: 1689765976
Provider Name: DR. STEPHEN C. EPPES MD
Gender: Male
Entity Type: Individual
Location Address: A.I. DUPONT HOSPITAL FOR CHILDREN 1600 ROCKLAND ROAD WILMINGTON, DE 19803
Location Phone: (302) 651-4000
Location Fax: (302) 651-4945
Mailing Address: PO BOX 191 PROVIDER ENROLLMENT DEPT ROCKLAND, DE 19732
Mailing Phone: (302) 651-6212
Mailing Fax: (302) 651-4945
Is Sole Proprietor?: No
Enumeration Date: 09-28-2006
Last Update Date: 09-15-2011
Code Navigator

A pediatrician like Stephen Eppes is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

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: Pediatrics Pediatric Infectious Diseases
Taxonomy Code: 2080P0208X
Type: Allopathic & Osteopathic Physicians
License No.: C10002980
License State: DE
Taxonomy Description: A pediatrician trained to care for children in the diagnosis, treatment and prevention of infectious diseases. This specialist can apply specific knowledge to affect a better outcome for pediatric infections with complicated courses, underlying diseases that predispose to unusual or severe infections, unclear diagnoses, uncommon diseases and complex or investigational treatments.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Ambetter from Home State Health

Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO

Ambetter from NH Healthy Families

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Silver - EPO
Clear Silver + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Complete Silver - EPO
Complete Silver + Vision + Adult Dental - EPO
Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO

Ambetter from Sunflower Health Plan

Elite Bronze - EPO
Elite Bronze + Vision + Adult Dental - EPO
Elite Gold - EPO
Elite Gold + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Everyday Gold - EPO
Everyday Gold + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

Ambetter Health

Choice Bronze HSA - EPO
Choice Bronze HSA + Vision + Adult Dental - EPO
Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - HMO
Complete Gold + Vision + Adult Dental - HMO
Elite Bronze - EPO
Elite Bronze - HMO
Elite Bronze + Vision + Adult Dental - EPO
Elite Bronze + Vision + Adult Dental - HMO

Ambetter Health of Delaware

Clear Gold - EPO
Clear Gold + Vision + Adult Dental - EPO
Complete Gold - EPO
Complete Gold + Vision + Adult Dental - EPO
Elite Silver - EPO
Elite Silver + Vision + Adult Dental - EPO
Everyday Bronze - EPO
Everyday Bronze + Vision + Adult Dental - EPO
Focused Silver - EPO
Focused Silver + Vision + Adult Dental - EPO

AmeriHealth Caritas Next

AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
AmeriHealth Caritas Next Gold Premier + No Referrals - HMO
AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
AmeriHealth Caritas Next Silver Essential + No Referrals - HMO
AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
AmeriHealth Caritas Next Silver Signature + No Referrals - HMO

Highmark Blue Cross Blue Shield Delaware

my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
my Blue Access Select PPO Bronze 3800 - PPO
my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
my Blue Access Select PPO Bronze 9200 - PPO
my Blue Access Select PPO Gold 0 - PPO
my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Gold 1700 HSA - PPO
my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

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
F49280	MEDICARE UPIN (02)
1217317	MEDICAID (05)	PA
017863T34	MEDICARE PIN (08)
510057	MEDICAID (05)	IA
7722010	MEDICAID (05)	MD
6062130	MEDICAID (05)	VA
1486171	MEDICAID (05)	NY
5032601	MEDICAID (05)	NJ
077295SAJ	MEDICARE PIN (08)

Medicare Participation & PECOS Enrollment Status

Stephen Eppes 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
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

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1689765976, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 74. The final step is to find the difference between that total and the next multiple of ten (80 - 74 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 16 → 1 + 6

Pos 4

Unchanged

Pos 5

Doubled → 14 → 1 + 4

Pos 6

Unchanged

Pos 7

Doubled → 10 → 1 + 0

Pos 8

Unchanged

Pos 9

Doubled → 14 → 1 + 4

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 7 → 14 → 5 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 6 + 1 + 6 + 9 + 1 + 4 + 6 + 1 + 0 + 9 + 1 + 4 + 24 = 74

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 74 is 80. The difference is the calculated check digit.

80 - 74 = 6

This NPI is valid

The calculated check digit is 6, which matches the last digit of 1689765976.