HARMONIC MEDICAL GROUP OF DELAWARE, P.A. – Geriatric Medicine (Family Medicine) Physician, NPI 1114789260
Geriatric Medicine (Family Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for HARMONIC MEDICAL GROUP OF DELAWARE, P.A.
119 S MAIN ST
SAINT CHARLES, MO 633012802
Phone:
Type: Mailing
108 LAKELAND AVE
DOVER, DE 199015109
Phone: (862) 375-6089
Type: Location
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: 2025-02-26
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 9 Medicare enrollment records; no due dates published yet.
Enrollment records
9
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 |
|---|---|---|---|---|
| O20240314002450 | O | Clinic/Group Practice | DE | TBD |
| O20240911000126 | O | Clinic/Group Practice | CT | TBD |
| O20240916003661 | O | Clinic/Group Practice | MA | TBD |
| O20240927002813 | O | Clinic/Group Practice | WA | TBD |
| O20240930002246 | O | Clinic/Group Practice | MN | TBD |
| O20241001003814 | O | Clinic/Group Practice | ND | TBD |
| O20241007002370 | O | Clinic/Group Practice | OR | TBD |
| O20250115002373 | O | Clinic/Group Practice | DC | TBD |
| O20250226001111 | O | Clinic/Group Practice | NE | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 63301)
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