STEPHEN DUGGAN (DO) – Family Medicine Physician, NPI 1225014871
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
442 FAMILY PRACTICE in DE
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Provider Addresses for STEPHEN DUGGAN (DO)
124, Sleepy Hollow Drive, Middletown, New Castle County, Delaware, 19709, United States
SUITE 203
MIDDLETOWN, DE 197098894
Phone: (302) 449-3030
Fax: (302) 449-3040
Type: Location
PO BOX 30170
WILMINGTON, DE 198057170
Phone: (302) 623-7362
Fax: (302) 623-7374
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-02-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100212000529 | I | Family Practice | DE | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 330 | 237 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 265 | 265 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 229 | 186 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 39 | 37 | $0 |
| 99495 | Transitional care management services for problem of at least moderate complexity | 27 | 25 | $0 |
Insurance plans in this area (ZIP 19709)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | DE | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 28 | 27 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | DE | |
| - | DE | |
| - | DE | |
| - | PA | |
| Internal Medicine | DE | |
| Physician Assistant | DE | |
| Nurse Practitioner | PA | |
| General Surgery | IL | |
| Diagnostic Radiology | NY | |
| Internal Medicine | NY |
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