JACOB EDWARD HANLON DPM
NPI 1831196831
Podiatrist - Foot & Ankle Surgery in Dover, DE

Active since July 05, 2005PECOS EnrolledAccepts Medicare Assignment
0/100
CMS Quality Rating
22 OLD RUDNICK LN, DOVER, DE 19901(302) 674-9255(302) 674-9255 Get Directions Write a Review

NPPES record last updated: September 29, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jacob Edward Hanlon Dpm NPPES

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

JACOB EDWARD HANLON DPM (NPI 1831196831) is an individual foot & ankle surgery provider in Dover, Delaware, licensed in Delaware (E10000168) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of New York College Of Podiatric Medicine (2001).

NPPES Registry Identity

NPI1831196831
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameJACOB EDWARD HANLONCredential: DPM
Location Address22 OLD RUDNICK LNDover, DE 19901-4912
Mailing Address22 Old Rudnick LnDover, DE 19901-4912 · (302) 674-9255 · Fax (302) 674-9096
Fax(302) 674-9255
Sole ProprietorNo
Medical School CMSNew York College Of Podiatric MedicineGraduated 2001
Enumeration DateJuly 5, 2005
Last NPPES UpdateSeptember 29, 2014
NPI 1831196831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in DE · E10000168
22 OLD RUDNICK LN, Dover, DE 19901

Other Identifiers 3

Medicare NSC3976320001DE
Medicare UPIN98423DE
Medicare ID-Type Unspecified491668DE

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

Jacob Edward Hanlon Dpm 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 ID3870585151
PECOS Enrollment IDI20040330001064
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 29

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.

Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
2,373 services1,159 patients
Removal of noncancer thickened skin growth, 2-4 growths 11056
This procedure involves the safe removal of 2-4 noncancerous thickened skin growths. It's typically done under local anesthesia. The process helps to alleviate discomfort and prevent potential complications. It's a standard, low-risk procedure.
2,155 services1,085 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.
1,513 services812 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.
1,422 services805 patients
Removal of noncancer thickened skin growth, 1 growth 11055
This procedure involves the removal of a thickened skin growth that is not cancerous. A healthcare professional will safely extract the growth, usually under local anesthesia. This process helps maintain skin health and prevent potential complications.
697 services342 patients
Removal of fingernails or toenails, 1-5 nails 11720
This procedure involves the careful removal of 1-5 nails from fingers or toes. It's typically done to treat conditions like ingrown nails, fungal infections, or damaged nails. Local anesthesia is used for comfort, and the area heals over time with appropriate care.
678 services320 patients

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.

0/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
1 supplier97 claims194 services$60.00 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
1 supplier18 claims108 services$24.90 avg. paid by Medicare
For diabetics only, multiple density insert, made by direct carving with cam technology from a rectified cad model created from a digitized scan of the patient, total contact with patient's foot, including arch, base layer minimum of 3/16 inch material of shore a 35 durometer (or higher), includes arch filler and other shaping material, custom fabricated, each A5514
DME-Orthotic Devices · category DF000N
1 supplier78 claims462 services$37.36 avg. paid by Medicare
Ankle orthosis, ankle gauntlet or similar, with or without joints, prefabricated, off-the-shelf L1902
DME-Orthotic Devices · category DF003N
1 supplier89 claims91 services$71.38 avg. paid by Medicare
Foot, insert, removable, molded to patient model, longitudinal/ metatarsal support, each L3020
DME-Orthotic Devices · category DF000N
1 supplier13 claims26 services$152.58 avg. paid by Medicare
Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated, off-the-shelf L4361
DME-Orthotic Devices · category DF003N
1 supplier49 claims49 services$233.71 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 5

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

Specialist
22 OLD RUDNICK LN
DOVER, DE 19901
Podiatrist
22 OLD RUDNICK LN
DOVER, DE 19901
Podiatrist (Foot & Ankle Surgery)
22 OLD RUDNICK LN
DOVER, DE 19901
Specialist
22 OLD RUDNICK LN
DOVER, DE 19901
Podiatrist (Foot & Ankle Surgery)
22 OLD RUDNICK LN
DOVER, DE 19901

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 Jacob Hanlon's NPI number?

The NPI number for Jacob Hanlon is 1831196831. It was assigned to this individual provider in the NPPES registry on July 5, 2005.

Where is Jacob Hanlon located?

Jacob Hanlon practices at 22 Old Rudnick Ln, Dover, DE 19901. The listed phone number is (302) 674-9255.

What is Jacob Hanlon's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jacob Hanlon enrolled in Medicare?

Yes. Jacob Hanlon 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 Jacob Hanlon accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Jacob Hanlon 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 Jacob Hanlon was last updated on September 29, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.