Active NPI 1578655098 Individual Practitioner Male Practitioner

Dr. Lydell Cecil Lettsome , MD

Surgery • Dover, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Lydell Lettsome, MD is a certified Surgery practicing in Dover, DE. With approximately 30 years of clinical experience since graduating from Jefferson Medical College Of Thomas Jefferson University in 1996, Dr. Lettsome delivers high-quality medical care to the local community at 640 S STATE ST FL 2.

Dr. Lettsome is affiliated with Bayhealth Medical Center, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of skin and tissue, removal of skin and tissue, 20.0 sq cm or less, established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

640 S State St Fl 2

Dover, DE 199013530

Telephone 3027447500

Fax 3027353218

Medicare Profile & Education

Medical School

Jefferson Medical College Of Thomas Jefferson University

Graduation Year

1996

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Dover, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

30 Yrs +4.2 yrs vs City Avg

City Avg: 25.8 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

29 Specialists

Practicing in Dover, DE (115 Statewide)

Telehealth Adoption Rate

20.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

77.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Lettsome (30 Years) 30 Yrs

Dover Specialty Average (25.8 Years) 25.8 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	1,143	45	$82.78	$24.49
11042 Removal of skin and tissue, 20.0 sq cm or less	641	128	$258.00	$58.33
99213 Established patient office or other outpatient visit, typically 15 minutes	459	128	$307.27	$64.09
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	100	66	$458.12	$94.48
11044 Removal of bone, 20.0 sq cm or less	54	14	$658.63	$219.11
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	45	11	$454.78	$146.15
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$802.94	$129.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$521.64	$79.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
11042 Removal of skin and tissue, 20.0 sq cm or less	660	139	$264.58	$57.64
99213 Established patient office or other outpatient visit, typically 15 minutes	647	162	$301.00	$65.09
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	502	38	$77.47	$24.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	137	68	$448.00	$95.38
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	113	26	$256.00	$82.50
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	74	18	$477.45	$151.96
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	44	44	$780.00	$131.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	24	24	$508.00	$82.06
97597 Removal of tissue from wound, 20.0 sq cm or less	17	17	$119.88	$35.20

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	440	151	$104.11	$101.04
99213 Established patient office or other outpatient visit, typically 15 minutes	360	93	$301.00	$67.77
11042 Removal of skin and tissue, 20.0 sq cm or less	245	64	$279.00	$61.03
11045 Removal of skin and tissue, each additional 20.0 sq cm or less	130	16	$80.00	$26.59
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	129	20	$119.09	$112.72
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	115	91	$48.99	$48.33
99306 Initial nursing facility visit, typically 45 minutes per day	111	102	$181.87	$182.28
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	63	62	$148.59	$142.35
11043 Removal of muscle and/or tissue, 20.0 sq cm or less	47	16	$494.00	$153.06
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	43	11	$256.00	$82.20
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	28	$448.00	$99.57
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	35	31	$154.83	$148.41
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	34	11	$81.66	$78.46
11044 Removal of bone, 20.0 sq cm or less	30	12	$681.08	$230.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	22	22	$508.00	$84.86
97597 Removal of tissue from wound, 20.0 sq cm or less	19	19	$126.00	$36.81
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$780.00	$137.19

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	1,236	351	$104.50	$101.68
99307 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes	354	128	$49.62	$49.01
99306 Initial nursing facility visit, typically 45 minutes per day	330	296	$185.30	$184.45
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	245	26	$115.10	$113.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	158	143	$145.81	$143.69
99213 Established patient office or other outpatient visit, typically 15 minutes	108	40	$255.00	$74.31
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	92	67	$153.28	$150.47
11042 Removal of skin and tissue, 20.0 sq cm or less	28	22	$176.64	$155.64
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	26	11	$87.45	$79.19
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	22	21	$217.60	$220.72
10120 Removal of foreign body from tissue, accessed beneath the skin	12	12	$177.59	$180.13

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	599	103	$255.00	$53.69
15271 Application of skin substitute graft to wound of trunk, arms, or legs, 25.0 sq cm or less of wound 100.0 sq cm or less	55	14	$2400.00	$95.62
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	54	54	$380.00	$82.11
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	49	48	$1100.00	$145.86
15002 Preparation of graft site at trunk, arms, or legs (first 100 sq cm or 1% body area infants and children)	46	13	$2680.00	$252.79
99213 Established patient office or other outpatient visit, typically 15 minutes	26	18	$255.00	$79.90
11000 Removal of inflamed or infected skin, up to 10% of body surface	22	15	$215.00	$31.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	18	12	$600.00	$42.61
99221 Initial hospital inpatient care per day, typically 30 minutes	17	16	$800.00	$110.56
11042 Removal of skin and tissue, 20.0 sq cm or less	16	12	$1390.00	$67.38

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	614	96	$255.00	$51.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	97	91	$1100.00	$143.33
99231 Follow-up hospital inpatient care per day, typically 15 minutes	63	34	$600.00	$41.18
99213 Established patient office or other outpatient visit, typically 15 minutes	55	37	$255.00	$78.41
11042 Removal of skin and tissue, 20.0 sq cm or less	29	13	$1390.00	$64.74
11000 Removal of inflamed or infected skin, up to 10% of body surface	25	18	$215.00	$30.42
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$580.00	$135.63
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	23	23	$380.00	$80.12
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	13	13	$375.00	$114.98
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$380.00	$114.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	632	104	$255.00	$50.39
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	128	118	$1100.00	$136.10
99231 Follow-up hospital inpatient care per day, typically 15 minutes	92	52	$600.00	$39.91
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	39	39	$580.00	$131.89
99213 Established patient office or other outpatient visit, typically 15 minutes	32	20	$255.00	$74.53
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	27	21	$375.00	$110.16
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	24	24	$580.00	$168.52
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$380.00	$78.62
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	16	14	$375.00	$79.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	619	99	$255.00	$49.37
99231 Follow-up hospital inpatient care per day, typically 15 minutes	115	51	$600.00	$39.82
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	108	99	$1100.00	$138.01
99213 Established patient office or other outpatient visit, typically 15 minutes	51	33	$206.42	$74.45
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$380.00	$78.50
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$377.79	$170.21
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$261.15	$112.48
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	14	11	$244.78	$110.94
11000 Removal of inflamed or infected skin, up to 10% of body surface	13	11	$215.00	$29.40

Medical Specialties & State Licenses

CMS Verified: 2023-03-09

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License DE C1-0024789

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Bayhealth Medical Center, Inc

640 S State St, Dover, DE 199013530

Phone: 3027444700

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Kelly Ryan , APRN, FNP-C

Nurse Practitioner

NPI 1548963861

Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

12 Historical Events

📍

Updated Practice Location March 09, 2023

Registered at 640 S STATE ST FL 2, DOVER, DE 199013530 (Tel: 3027447500)

📍

Updated Business Mailing Address March 09, 2023

Registered at 640 S STATE ST # MC3055, DOVER, DE 199013530 (Tel: 3024801688)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 09, 2023

Surgery (License #C1-0024789 in DE)

📍

Updated Practice Location June 18, 2019

Registered at 156 ROUTE 59 STE A2, SUFFERN, NY 109015013 (Tel: 8455172870)

📍

Updated Practice Location July 13, 2018

Registered at 384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 10941 (Tel: 8456928780)

📍

Updated Business Mailing Address July 13, 2018

Registered at 384 CRYSTAL RUN RD STE 201, MIDDLETOWN, NY 109414073 (Tel: 8456928780)

✅

NPI Profile Active October 04, 2012

NPI status registered as active in NPPES database

📍

Updated Practice Location October 04, 2012

Registered at 95 CRYSTAL RUN RD, MIDDLETOWN, NY 109417001 (Tel: 8457036999)

📍

Updated Business Mailing Address October 04, 2012

Registered at 155 CRYSTAL RUN RD, MIDDLETOWN, NY 109414028 (Tel: 8457036999)

👤

Provider Name / Credentials Updated October 04, 2012

Recorded as LYDELL LETTSOME, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 04, 2012

Surgery (License #215776 in NY)

🟢

Initial NPI Registration & Enumeration September 29, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1578655098

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 29, 2006

Last Update: March 09, 2023

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S State St # Mc3055

Dover, DE 199013530

Phone: 3024801688

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.