DR. JAMES S LEY (M.D.) – Infectious Disease Physician, NPI 1376652396
Infectious Disease Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
44 INFECTIOUS DISEASE in DE
Provider Addresses for DR. JAMES S LEY (M.D.)
537 STANTON CHRISTIANA RD
SUITE 201
NEWARK, DE 197132146
Phone: (302) 994-9692
Fax: (302) 994-9803
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $409.
Total Amount is formed as General ($409) + Research ($0) + Ownership ($0) = $409.
Last reported payment date: 2024-03-25 • Largest payer in this snapshot: BSN Medical Inc ($217).
Total Amount
$409
General + Research + Ownership
Payments
9
Total payment records
General Amount
$409
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-03-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| BSN Medical Inc | $217 |
| ABBVIE INC. | $103 |
| Gilead Sciences, Inc. | $52 |
| Smith+Nephew, Inc. | $19 |
| Organogenesis Inc. | $18 |
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: 2012-05-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
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 |
|---|---|---|---|---|
| I20110202000580 | I | Infectious Disease | DE | TBD |
| I20120518000242 | I | Infectious Disease | MD | 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 |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 1,377 | 402 | $0 |
| 99233 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 801 | 363 | $0 |
| 99223 | Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes | 353 | 321 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 293 | 155 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 167 | 152 | $0 |
Insurance plans in this area (ZIP 19713)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INFECTIOUS DISEASE | DE | 11042 | Removal of skin and tissue first 20 sq cm or less | 18 | 12 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Infectious Disease | DE | |
| Infectious Disease | DE | |
| Infectious Disease | DE | |
| Infectious Disease | NC |
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