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DR. CAROL ALVARADO-BARRANTES M.D.
NPI 1740487099
Internal Medicine in Wilmington, DE

Active since June 29, 2007PECOS Enrolled
62.02/100
CMS Quality Rating
2500 W 4TH ST STE 6, WILMINGTON, DE 19805(302) 482-3388(302) 482-3389 Get Directions Write a Review

NPPES record last updated: October 4, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Carol Alvarado-barrantes M.d. NPPES

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

DR. CAROL ALVARADO-BARRANTES M.D. (NPI 1740487099) is an individual internal medicine provider in Wilmington, Delaware, licensed in Delaware (C1-0008479) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1740487099
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. CAROL ALVARADO-BARRANTESCredential: M.D.
Location Address2500 W 4TH ST STE 6Wilmington, DE 19805-3352
Mailing Address2500 W 4th St Ste 6Wilmington, DE 19805-3352 · (302) 482-3388 · Fax (302) 482-3389
Phone(302) 482-3388
Fax(302) 482-3389
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateJune 29, 2007
Last NPPES UpdateOctober 4, 2017
✔ NPI 1740487099 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in DE · C1-0008479
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
2500 W 4TH ST STE 6, Wilmington, DE 19805
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Other Names 1

Other Name (5)Dr. Carol Alvarado M.d.

Other Identifiers 2

Medicare PING02723I23DE
Medicare PIN276727ZE6DE

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carol Alvarado-barrantes M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204918394
PECOS Enrollment IDI20080129000070
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 5

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.

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.
108 services41 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.
34 services22 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
27 services25 patients
Manual urinalysis test with examination using microscope, non-automated 81000
A manual urinalysis test involves studying a urine sample under a microscope. This non-automated method helps identify any abnormal substances present. It's a useful tool for detecting potential health concerns early. The process is simple and non-invasive.
20 services20 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.
20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19805 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
$131.15 typical visit price
range $57.12 – $173.08
Typical copayment $32.78 (range $14.28 – $43.27)
Most-billed visit code 99204
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.

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.

62.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality81.03
Promoting Interoperability0
Improvement Activities40

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 Carol Alvarado-barrantes's NPI number?

The NPI number for Carol Alvarado-barrantes is 1740487099. It was assigned to this individual provider in the NPPES registry on June 29, 2007. The provider is also known as Dr. Carol Alvarado M.D..

Where is Carol Alvarado-barrantes located?

Carol Alvarado-barrantes practices at 2500 W 4th St Ste 6, Wilmington, DE 19805. The listed phone number is (302) 482-3388.

What is Carol Alvarado-barrantes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Carol Alvarado-barrantes enrolled in Medicare?

Yes. Carol Alvarado-barrantes is registered in the Medicare PECOS enrollment system.

What insurance does Carol Alvarado-barrantes accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 3 other insurers list Carol Alvarado-barrantes 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 Carol Alvarado-barrantes was last updated on October 4, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.