BRUCE MICHAEL DOPLER MD
NPI 1992860027
Psychiatry & Neurology - Neurology in Seaford, DE

Active since December 27, 2006PECOS EnrolledAccepts Medicare Assignment
75/100
CMS Quality Rating
24488 SUSSEX HWY, UNIT 6, SEAFORD, DE 19973(302) 628-7730(302) 628-7791 Get Directions Write a Review

NPPES record last updated: June 17, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bruce Michael Dopler Md NPPES

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

BRUCE MICHAEL DOPLER MD (NPI 1992860027) is an individual neurology provider in Seaford, Delaware, licensed in Delaware (C10005068) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and is a graduate of Eastern Virginia Medical School (1989).

NPPES Registry Identity

NPI1992860027
Entity TypeIndividualMale
Primary Taxonomy2084N0400X
Provider Legal NameBRUCE MICHAEL DOPLERCredential: MD
Location Address24488 SUSSEX HWY, UNIT 6Seaford, DE 19973-8470
Mailing Address24488 Sussex Hwy, Unit 6Seaford, DE 19973-8470 · (302) 628-7730 · Fax (302) 628-7791
Fax(302) 628-7791
Sole ProprietorNo
Medical School CMSEastern Virginia Medical SchoolGraduated 1989
Enumeration DateDecember 27, 2006
Last NPPES UpdateJune 17, 2010
NPI 1992860027 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084N0400X
License Licensed in DE · C10005068
Definition
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.
24488 SUSSEX HWY, Seaford, DE 19973

Other Identifiers 11

Medicare ID-Type Unspecified959762Grp Provider Number
Other522044472DE · Blue Cross Blue Shield
Other250692United Healthcare
Medicare UPING35999
Other54817001MD · Carefirst
Other130016959Railroad Medicare
Other522044472Cigna
Other47373Coventry Health Care
Other000000207458Unison
Other2099910Aetna
Medicaid0000927202DE

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

Bruce Michael Dopler 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 ID3072653732
PECOS Enrollment IDI20100830000164
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 13

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 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.
1,498 services676 patients
Measurement of brain wave activity (eeg), awake and asleep 95819
The measurement of brain wave activity, known as an EEG, records the brain's electrical signals. It's performed when you're awake and asleep to monitor your brain's functioning. It helps in diagnosing conditions like epilepsy, sleep disorders, and other neurological issues.
305 services295 patients
Assessment of and care planning for patient with impaired thought processing, typically 60 minutes 99483
This service involves a thorough evaluation of your thought processes, which may be impacting your daily life. In a typical 50-minute session, a healthcare professional will assess your cognitive abilities, identify any areas of concern, and develop a personalized care plan to help improve your mental function.
212 services197 patients
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.
141 services141 patients
Administration of psychological or neuropsychological test, first 30 minutes 96136
This procedure involves a health professional conducting a psychological or neuropsychological test. The first 30 minutes typically involve understanding your mental health or brain function through various assessments. This helps in diagnosing and treating mental health disorders effectively.
134 services127 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
116 services110 patients

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, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19973 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.

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.

75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice

Referred Medical Equipment & Supplies CMS DME claims 12

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
3 suppliers19 claims19 services$39.28 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers35 claims35 services$98.45 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
6 suppliers39 claims104 services$37.25 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers12 claims55 services$18.08 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers17 claims89 services$14.45 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
6 suppliers28 claims28 services$53.00 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 4

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

Audiologist
24488 SUSSEX HWY, STE 4
SEAFORD, DE 19973
Psychiatry & Neurology (Neurology)
24488 SUSSEX HWY, UNIT 6
SEAFORD, DE 19973
Audiologist (Assistive Technology Practitioner)
24488 SUSSEX HWY, STE. #4
SEAFORD, DE 19973
Psychiatry & Neurology (Neurology)
24488 SUSSEX HWY, UNIT 6
SEAFORD, DE 19973

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 Bruce Dopler's NPI number?

The NPI number for Bruce Dopler is 1992860027. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Bruce Dopler located?

Bruce Dopler practices at 24488 Sussex Hwy Unit 6, Seaford, DE 19973. The listed phone number is (302) 628-7730.

What is Bruce Dopler's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Bruce Dopler enrolled in Medicare?

Yes. Bruce Dopler 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 Bruce Dopler 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 Bruce Dopler 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 Bruce Dopler affiliated with any hospitals?

According to CMS data, Bruce Dopler is affiliated with Tidalhealth Peninsula Regional, Inc.

When was this NPI record last updated?

The NPPES record for Bruce Dopler was last updated on June 17, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.