DR. STEPHEN J. FALCHEK MD
NPI 1932290228
Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology in Wilmington, DE
About Dr. Stephen J. Falchek Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. STEPHEN J. FALCHEK MD (NPI 1932290228) is an individual neurology with special qualifications in child neurology provider in Wilmington, Delaware, licensed in Delaware (C10005765) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Temple University School Of Medicine (1992).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 9
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Stephen J. Falchek 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.
Medicare Billing Reassignments
4Medicare enrollment records show Stephen Falchek reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilmington, DE 19803
- Reassigned Medicare billing, Delaware enrollment
- 526 clinicians in this Medicare group
Deptford, NJ 08096
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Nemours New Jersey Physician Practice PC
- 183 clinicians in this Medicare group
Camden, NJ 08103
- Reassigned Medicare billing, New Jersey enrollment
- 132 clinicians in this Medicare group
Salisbury, MD 21801
- Reassigned Medicare billing, Delaware and Maryland enrollments
- 58 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Tidalhealth Peninsula Regional, Inc
Acute Care Hospitals · Salisbury, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
WILMINGTON, DE 19803
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 Stephen Falchek's NPI number?
The NPI number for Stephen Falchek is 1932290228. It was assigned to this individual provider in the NPPES registry on September 28, 2006.
Where is Stephen Falchek located?
Stephen Falchek practices at A.I. Dupont Hospital For Children 1600 Rockland Road, Wilmington, DE 19803. The listed phone number is (302) 651-4000.
What is Stephen Falchek's specialty?
The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology with Special Qualifications in Child Neurology, with taxonomy code 2084N0402X.
Is Stephen Falchek enrolled in Medicare?
Yes. Stephen Falchek 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.
Which organizations bill Medicare for Stephen Falchek's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Stephen Falchek reassigns Medicare benefits to 4 organizations: The Nemours Foundation (Wilmington, DE), Nemours New Jersey Physician Practice, P.C. (Deptford, NJ), Cooper Pediatric Specialists, PC (Camden, NJ) and Tidalhealth Specialty Care, LLC (Salisbury, MD). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Stephen Falchek's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Stephen Falchek accept?
Health plans from AmeriHealth Caritas Next, Highmark Blue Cross Blue Shield Delaware and Oscar Health list Stephen Falchek 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.
Is Stephen Falchek affiliated with any hospitals?
According to CMS data, Stephen Falchek is affiliated with Tidalhealth Peninsula Regional, Inc.
When was this NPI record last updated?
The NPPES record for Stephen Falchek was last updated on September 15, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.
# Dr. Stephen J. Falchek, MD · NPI 1932290228
Neurology with Special Qualifications in Child Neurology physician in Wilmington, Delaware. Individual provider, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1932290228 (Entity type: Individual)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Psychiatry & Neurology - Neurology with Special Qualifications in Child Neurology · taxonomy 2084N0402X
- **State license:** C10005765 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** A.I. DUPONT HOSPITAL FOR CHILDREN, 1600 ROCKLAND ROAD, Wilmington, DE 19803-3607
- **Phone:** (302) 651-4000 · **Fax:** (302) 651-4945
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): The Nemours Foundation (NPI 1366594699, Wilmington, DE); Nemours New Jersey Physician Practice, P.C. (NPI 1265874713, Deptford, NJ); Cooper Pediatric Specialists, PC (NPI 1306867585, Camden, NJ); Tidalhealth Specialty Care, LLC (NPI 1619504735, Salisbury, MD) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 1992
## Record status
- **NPPES last updated:** September 15, 2011
- **Other identifiers:** Medicaid 6717217 (VA); Medicaid 7788011 (MD); Medicare UPIN H05195; and 6 more
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Source: [NPI Profile](https://npiprofile.com/npi/1932290228) · Data from the CMS NPPES public registry.