ANTOINETTE M PTAK (M.D.) – Urology Physician, NPI 1396748943

ANTOINETTE M PTAK (M.D.) is a healthcare provider. based in Dover, Delaware. specializing in UROLOGY. They hold the professional credentials M.D.. They hold a License No. C1-0004804 (DE). The NPI Number for ANTOINETTE M PTAK (M.D.) is 1396748943

Main info

Female
37 Years Of Experience
Accepts Medicare Assignment
Name
ANTOINETTE M PTAK (M.D.)
NPI
1396748943
Phone
(302) 480-1688
Address
640 S STATE ST
Enumeration Date
27 May 2005
Last Update Date
11 May 2023

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NY UPSTATE MEDICAL UNIVERSITY
Secondary Phone
3025032460
Graduation Year
1989 (37 years ago)
PAC ID
4385542372
Group Practice PAC ID
1658364740
Professional Enrollment ID
I20100319000025
Address ID
DE199634366MI101XXWAYX304
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:21State licenses:1Digital endpointsOther names

35 UROLOGY in DE

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Provider Addresses for ANTOINETTE M PTAK (M.D.)

  • Bayhealth Kent General, 640, South State Street, Morris Estates, Dover, Kent County, Delaware, 19901, United States

    MAIL CODE 3055

    DOVER, DE 199013530

    Phone: (302) 480-1688

    Fax: (302) 480-9807

    Type: Mailing

  • Wellness Way, White Oak Mobile Home Park, Milford, Sussex County, Delaware, United States

    MILFORD, DE 199634366

    Phone: (302) 503-2460

    Fax: (302) 424-9162

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 15 Open Payments records for all available years, with a total value of $1,223.

Total Amount is formed as General ($1,223) + Research ($0) + Ownership ($0) = $1,223.

Last reported payment date: 2024-10-30 • Largest payer in this snapshot: Bayer Healthcare Pharmaceuticals Inc. ($661).

Total Amount

$1,223

General + Research + Ownership

Payments

15

Total payment records

General Amount

$1,223

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-30

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2010-03-19

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100319000025IUrologyDETBD

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.

Verify on CMS Revalidation Lookup Tool

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J9155Injection, degarelix, 1 mg3,36014$0
51798Ultrasound measurement of bladder capacity after voiding605481$0
99213Established patient office or other outpatient visit, 20-29 minutes420354$0
81002Urinalysis, manual test381337$0
51741Electronic assessment of bladder emptying362305$0
View full utilization report →

Insurance plans in this area (ZIP 19901)

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Provider's Procedures

ANTOINETTE M PTAK (M.D.) performs procedures in UROLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
UROLOGYDE51798Ultrasound measurement of bladder capacity after voiding982775
UROLOGYDE76872Ultrasound of rectum1818
UROLOGYDE81002Urinalysis, manual test16971069

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1658364740View full group profile
NameSpecialtyState
Nurse PractitionerMD
H E M A T O L O G Y/ O N C O L O G YDE
Internal Medicine, Infectious DiseaseDE
-DE
Certified Nurse Midwife (Cnm)DE
O B S T E T R I C S/ G Y N E C O L O G YDE
Medical OncologyDE
Physician AssistantDE
Certified Nurse Midwife (Cnm)DE
Internal MedicineNY

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Frequently asked questions

What is the registry number for ANTOINETTE M PTAK (M.D.)?
The registry entry for ANTOINETTE M PTAK (M.D.) shows NPI 1396748943.
Is ANTOINETTE M PTAK (M.D.)'s NPI status active today?
Active status means ANTOINETTE M PTAK (M.D.)'s NPI record is not deactivated in the public file.
Which specialty label fits ANTOINETTE M PTAK (M.D.)?
NPPES ties ANTOINETTE M PTAK (M.D.) to Urology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit ANTOINETTE M PTAK (M.D.) in Dover, Delaware?
For routing, start with Dover, Delaware for ANTOINETTE M PTAK (M.D.), then verify phone and hours locally.
Can I export ANTOINETTE M PTAK (M.D.)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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