LYNNAE H DUFFALO MD
NPI 1881857761
Internal Medicine in Newark, DE

Active since July 09, 2008PECOS EnrolledAccepts Medicare Assignment
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220, NEWARK, DE 19713(617) 638-4860(617) 536-8093 Get Directions Write a Review

NPPES record last updated: August 14, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Lynnae H Duffalo Md NPPES

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

LYNNAE H DUFFALO MD (NPI 1881857761) is an individual internal medicine provider in Newark, Delaware, licensed in Pennsylvania (MD433919) and active in the NPI registry since July 2008. She is enrolled in Medicare PECOS and is a graduate of Temple University School Of Medicine (2005).

NPPES Registry Identity

NPI1881857761
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameLYNNAE H DUFFALOCredential: MD
Location Address4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220Newark, DE 19713-2074
Mailing Address200 Hygeia Dr, Suite 2300Newark, DE 19713-2049 · (617) 638-4860 · Fax (617) 536-8093
Fax(617) 536-8093
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2005
Enumeration DateJuly 9, 2008
Last NPPES UpdateAugust 14, 2013
NPI 1881857761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD433919
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.

Also ListedHospitalistTaxonomy 208M00000X · License MD433919 (PA)
4745 OGLETOWN-STANTON ROAD, Newark, DE 19713

Other Names 1

Former Name (1)Lynnae D Hyatt

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

Lynnae H Duffalo Md 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 ID5799839361
PECOS Enrollment IDI20131011000366
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 7

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, 20-29 minutes 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.
316 services261 patients
Follow-up hospital inpatient care per day, typically 25 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
184 services96 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
160 services122 patients
Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
101 services96 patients
New patient office or other outpatient visit, 30-44 minutes 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.
43 services43 patients
Follow-up hospital inpatient care per day, typically 15 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
25 services22 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 26

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
8 suppliers43 claims43 services$34.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers26 claims26 services$77.19 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers24 claims66 services$28.99 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers21 claims115 services$15.55 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
5 suppliers15 claims89 services$12.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
7 suppliers43 claims43 services$43.75 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 6

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

Internal Medicine (Pulmonary Disease)
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN-STANTON ROAD, MAP 1, SUITE 220
NEWARK, DE 19713
Internal Medicine (Pulmonary Disease)
4745 OGLETOWN-STANTON ROAD, SUITE 220
NEWARK, DE 19713
Pediatrics (Neonatal-Perinatal Medicine)
4745 OGLETOWN-STANTON ROAD, SUITE 217 MEDICAL ARTS PAVILION ONE
NEWARK, DE 19713
Counselor (Mental Health)
4745 OGLETOWN-STANTON ROAD, SUITE 124 MEDICAL ARTS PAVILLION
NEWARK, DE 19713
Internal Medicine (Infectious Disease)
4745 OGLETOWN-STANTON ROAD, MEDICAL ARTS PAVILION ONE #138
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 Lynnae Duffalo's NPI number?

The NPI number for Lynnae Duffalo is 1881857761. It was assigned to this individual provider in the NPPES registry on July 9, 2008.

Where is Lynnae Duffalo located?

Lynnae Duffalo practices at 4745 Ogletown-Stanton Road Map 1, Suite 220, Newark, DE 19713. The listed phone number is (617) 638-4860.

What is Lynnae Duffalo's specialty?

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

Is Lynnae Duffalo enrolled in Medicare?

Yes. Lynnae Duffalo 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 Lynnae Duffalo 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 2 other insurers list Lynnae Duffalo 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 Lynnae Duffalo was last updated on August 14, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.