JOHN BENJAMIN MCINTIRE M.D.
NPI 1942644489
Otolaryngology in Newark, DE

Active since April 27, 2013PECOS EnrolledAccepts Medicare Assignment
75.55/100
CMS Quality Rating
537 STANTON CHRISTIANA RD, NEWARK, DE 19713(302) 633-7550 Get Directions Write a Review

NPPES record last updated: June 23, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2021, May 7, 2018 (2 updates tracked since 2018).

About John Benjamin Mcintire M.d. NPPES

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

JOHN BENJAMIN MCINTIRE M.D. (NPI 1942644489) is an individual otolaryngology provider in Newark, Delaware, licensed in Delaware (C1-0013135) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with Union Hospital Of Cecil County, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1942644489
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameJOHN BENJAMIN MCINTIRECredential: M.D.
Location Address537 STANTON CHRISTIANA RDNewark, DE 19713-2146
Mailing Address1072 Troy Schenectady RdLatham, NY 12110-1019 · (518) 786-7000 · Fax (518) 786-1160
Sole ProprietorYes
Medical School CMSLouisiana State University School Of Medicine In New OrleansGraduated 2013
Enumeration DateApril 27, 2013
Last NPPES UpdateJune 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 23, 2021
NPI 1942644489 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in DE · C1-0013135 Licensed in NY · 292784 Licensed in TX · BP10047052
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
537 STANTON CHRISTIANA RD, Newark, DE 19713

Secondary Practice Locations 2

Location 1Utmb Department Of Otolaryngology, 301 University Blvd.Galveston, TX 77555-0521 · Phone (409) 772-4688 · Fax (409) 772-1715
Location 21072 Troy Schenectady RdLatham, NY 12110-1019 · Phone (518) 786-7000 · Fax (518) 786-1160

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

John Benjamin Mcintire 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 ID5395009575
PECOS Enrollment IDI20190723002540
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.

Preparation of skin graft site of face, scalp, eyelids, mouth, neck, ears, around eyes, genitals, hands, feet, fingers, or toes, 100.0 sq cm or 1% body area for infants and children, or less 15004
This procedure involves preparing a specific area of your body, such as the face, scalp, neck, or extremities, for a skin graft. A skin graft is a surgical procedure where healthy skin is transferred to an area of the body that has lost skin. This preparation ensures the graft will take hold effectively.
210 services199 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.
148 services130 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.
120 services114 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.
59 services59 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.
51 services51 patients
Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.1-30.0 sq cm 14041
This procedure involves repairing a wound on specified body areas by transferring skin from another part of the body. The transferred skin, measuring between 10.1 to 30.0 square cm, aids in healing the wound and restoring the skin's normal function.
47 services42 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Union Hospital Of Cecil County

Acute Care Hospitals · Elkton, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210032
Location106 Bow StreetElkton, MD 21921 · Cecil County
Birthing friendly

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
$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.

75.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality98.38
Promoting Interoperability99
Improvement Activities40
Cost20.97

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.

Dermatology
537 STANTON CHRISTIANA RD, SUITE # 207
NEWARK, DE 19713
Physician Assistant
537 STANTON CHRISTIANA RD
NEWARK, DE 19713
Nurse Practitioner (Family)
537 STANTON CHRISTIANA RD, SUITE 201
NEWARK, DE 19713
Physician Assistant (Medical)
537 STANTON CHRISTIANA RD, SUITES 107,111,207 & 209
NEWARK, DE 19713
Dentist (General Practice)
537 STANTON CHRISTIANA RD, SUITE 211
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
NEWARK, DE 19713
Internal Medicine (Rheumatology)
537 STANTON CHRISTIANA RD, SUITE 212
NEWARK, DE 19713
Surgery
537 STANTON CHRISTIANA RD, SUITE 102
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 John Mcintire's NPI number?

The NPI number for John Mcintire is 1942644489. It was assigned to this individual provider in the NPPES registry on April 27, 2013.

Where is John Mcintire located?

John Mcintire practices at 537 Stanton Christiana Rd, Newark, DE 19713. The listed phone number is (302) 633-7550.

What is John Mcintire's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is John Mcintire enrolled in Medicare?

Yes. John Mcintire 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 John Mcintire accept?

Health plans from AmeriHealth Caritas Next and Highmark Blue Cross Blue Shield Delaware list John Mcintire 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 John Mcintire affiliated with any hospitals?

According to CMS data, John Mcintire is affiliated with Union Hospital Of Cecil County.

When was this NPI record last updated?

The NPPES record for John Mcintire was last updated on June 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.