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DR. MICHAEL K CONWAY M.D.
NPI 1881705309
Surgery in Wilmington, DE

Active since August 31, 2006PECOS EnrolledAccepts Medicare Assignment
27.35/100
CMS Quality Rating
1941 LIMESTONE RD, SUITE 213, WILMINGTON, DE 19808(302) 892-2100(302) 992-9017 Get Directions Write a Review

NPPES record last updated: October 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Michael K Conway M.d. NPPES

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

DR. MICHAEL K CONWAY M.D. (NPI 1881705309) is an individual surgery provider in Wilmington, Delaware, licensed in Delaware (C10003901) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1989).

NPPES Registry Identity

NPI1881705309
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL K CONWAYCredential: M.D.
Location Address1941 LIMESTONE RD, SUITE 213Wilmington, DE 19808-5434
Mailing Address1941 Limestone Rd, Suite 213Wilmington, DE 19808-5434 · (302) 892-2100 · Fax (302) 992-9017
Phone(302) 892-2100
Fax(302) 992-9017
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1989
Enumeration DateAugust 31, 2006
Last NPPES UpdateOctober 16, 2024
NPPES CertifiedOctober 16, 2024
✔ NPI 1881705309 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in DE · C10003901
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1941 LIMESTONE RD, Wilmington, DE 19808
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware.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. Michael K Conway 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 ID3870641798
PECOS Enrollment IDI20090504000355
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 6

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.

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services75 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
75 services75 patients
Repair of groin hernia using an endoscope 49650
This procedure involves the use of an endoscope, a thin tube with a camera, to repair a hernia in the groin area. The surgeon makes small incisions, inserts the endoscope, and uses special tools to fix the hernia. This minimally invasive technique often results in quicker recovery times.
34 services33 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.
32 services29 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.
27 services26 patients
Creation of muscle graft to trunk 15734
The creation of a muscle graft to the trunk is a surgical procedure where healthy muscle tissue is moved from one part of the body to another. This helps to repair damaged areas, improve function, and enhance appearance. It's a common procedure in reconstructive surgery.
25 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19808 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
$71.19 typical visit price
range $18.36 – $141.05
Typical copayment $17.79 (range $4.59 – $35.26)
Most-billed visit code 99213
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.

27.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost91.18

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.

MRS. CLAIRE TR SHELTON ATC
Physical Medicine & Rehabilitation (Sports Medicine)
1941 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 655-9494
TIM MURPHY OT
Occupational Therapist
1941 LIMESTONE RD, STE 209
WILMINGTON, DE 19808
New Castle County (302) 894-1600
JOSEPH MARTIN BELGRADE M.D.
Surgery
1941 LIMESTONE RD, STE 213
WILMINGTON, DE 19808
New Castle County (302) 890-2100
MRS. JUDY R SEELIG
Audiologist
1941 LIMESTONE RD
WILMINGTON, DE 19808
New Castle County (302) 998-0300
DR. MICHAEL B PETERS M.D.
Internal Medicine
1941 LIMESTONE RD, SUITE 114
WILMINGTON, DE 19808
New Castle County (302) 992-0500
SETH GREGORY MAHAN P.A.-C
Orthopaedic Surgery
1941 LIMESTONE RD, SUITE 101
WILMINGTON, DE 19808
New Castle County (302) 442-6365
DR. NICHOLAS F QUERCETTI III D.O.
Orthopaedic Surgery
1941 LIMESTONE RD, STE 101
WILMINGTON, DE 19808
New Castle County (302) 633-3555
SURGICAL CARE ASSOCIATES, PA
Surgery
1941 LIMESTONE RD, SUITE 201
WILMINGTON, DE 19808
New Castle County (302) 633-0114

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 Michael Conway's NPI number?

The NPI number for Michael Conway is 1881705309. It was assigned to this individual provider in the NPPES registry on August 31, 2006.

Where is Michael Conway located?

Michael Conway practices at 1941 Limestone Rd Suite 213, Wilmington, DE 19808. The listed phone number is (302) 892-2100.

What is Michael Conway's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Conway enrolled in Medicare?

Yes. Michael Conway 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 Michael Conway accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list Michael Conway 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 Michael Conway was last updated on October 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.