ANDREW L HIMELSTEIN MD
NPI 1841269966
Internal Medicine - Hematology & Oncology in Newark, DE

Active since March 14, 2006PECOS Enrolled
91.38/100
CMS Quality Rating
4701 OGLETOWN STANTON RD, SUITE 3400, NEWARK, DE 19713(302) 366-1200(302) 366-1700 Get Directions Write a Review

NPPES record last updated: February 28, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew L Himelstein Md NPPES

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

ANDREW L HIMELSTEIN MD (NPI 1841269966) is an individual hematology & oncology provider in Newark, Delaware, licensed in Delaware (CI0003651) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1841269966
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameANDREW L HIMELSTEINCredential: MD
Location Address4701 OGLETOWN STANTON RD, SUITE 3400Newark, DE 19713
Mailing Address4701 Ogletown Stanton Rd, Suite 3400Newark, DE 19713 · (302) 366-1200 · Fax (302) 366-1700
Fax(302) 366-1700
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateFebruary 28, 2020
NPI 1841269966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License Licensed in DE · CI0003651
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedFamily Medicine · Hospice and Palliative MedicineTaxonomy 207QH0002X · License CI0003651 (DE)
4701 OGLETOWN STANTON RD, Newark, DE 19713

Other Identifiers 1

Medicaid0000323201DE

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 (PECOS)

Andrew L Himelstein Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 22

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.

Injection, pembrolizumab, 1 mg J9271
Pembrolizumab is a medication given via injection to help your body's immune system fight certain types of cancer. It's typically administered in a hospital or clinic by a healthcare professional.
11,400 services12 patients
Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
4,320 services14 patients
Injection, dexamethasone sodium phosphate, 1 mg J1100
Dexamethasone sodium phosphate is a medication given via injection. It is a type of steroid that helps reduce inflammation and immune responses. It can be used to treat a variety of conditions, such as allergies, skin conditions, arthritis, and more.
1,307 services41 patients
Injection, ferric derisomaltose, 10 mg J1437
Ferric derisomaltose is an iron replacement product. It's given as an injection to treat iron deficiency anemia, a condition where the body lacks enough iron. The injection helps increase iron in your body to healthy levels.
1,200 services11 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.
756 services300 patients
Injection, granisetron hydrochloride, 100 mcg J1626
Granisetron hydrochloride is an anti-nausea medication given by injection. It helps prevent nausea and vomiting often caused by cancer treatments like chemotherapy. Its dosage is measured in micrograms (mcg).
570 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19713 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
$173.08 typical visit price
range $57.12 – $173.08
Typical copayment $43.27 (range $14.28 – $43.27)
Most-billed visit code 99205
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.

91.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality80
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Advance Care Plan
96%489 patients4/55-star benchmark: 100%
Oncology: Advance Care Planning in Metastatic Cancer Patients
65%23 patients4/55-star benchmark: 85%
Oncology: Medical and Radiation - Pain Intensity Quantified
99%314 patients4/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
91%755 patients4/55-star benchmark: 97%
Provide Patients Electronic Access to Their Health Information
98%371 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 20

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

Surgery
4701 OGLETOWN STANTON RD, SUITE 1500
NEWARK, DE 19713
Internal Medicine (Hematology)
4701 OGLETOWN STANTON RD, STE 4200
NEWARK, DE 19713
Nurse Practitioner
4701 OGLETOWN STANTON RD, HELEN GRAHAM CANCER CENTER SUITE 1109
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, STE 2400
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, SUITE 3400
NEWARK, DE 19713
Nurse Practitioner (Adult Health)
4701 OGLETOWN STANTON RD, SUITE 2400
NEWARK, DE 19713
Physician Assistant (Medical)
4701 OGLETOWN STANTON RD, SUITE 2300
NEWARK, DE 19713
Internal Medicine (Hematology & Oncology)
4701 OGLETOWN STANTON RD, SUITE 2400
NEWARK, DE 19713

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 Andrew Himelstein's NPI number?

The NPI number for Andrew Himelstein is 1841269966. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Andrew Himelstein located?

Andrew Himelstein practices at 4701 Ogletown Stanton Rd Suite 3400, Newark, DE 19713. The listed phone number is (302) 366-1200.

What is Andrew Himelstein's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Andrew Himelstein enrolled in Medicare?

Yes. Andrew Himelstein is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Himelstein accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Andrew Himelstein 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 Andrew Himelstein was last updated on February 28, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.