Active NPI 1487651295 Individual Practitioner Male Practitioner

Dr. David J Cloney , MD

Surgery • Milford, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. David Cloney, MD is a certified Surgery practicing in Milford, DE. With approximately 36 years of clinical experience since graduating from Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University in 1990, Dr. Cloney delivers high-quality medical care to the local community at 100 WELLNESS WAY.

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

Frequently performed procedures and clinical services include established patient outpatient office visit, follow-up hospital inpatient care per day, biopsy of large bowel using an endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

100 Wellness Way

Milford, DE 199634364

Telephone 3024247522

Fax 3024249210

Associated Practice Facility / Clinic

🏢 Bayhealth Medical Center, Inc. Facility NPI 1023006434

Medicare Profile & Education

Medical School

Clvlnd Clinic Lerner College Of Med Of Case Wstn Rsv University

Graduation Year

1990

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Milford, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

36 Yrs +7.4 yrs vs City Avg

City Avg: 28.6 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

8 Specialists

Practicing in Milford, DE (115 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

75.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cloney (36 Years) 36 Yrs

Milford Specialty Average (28.6 Years) 28.6 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
99213 Established patient office or other outpatient visit, typically 15 minutes	50	45	$170.00	$88.85
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	42	35	$251.00	$125.59
99231 Follow-up hospital inpatient care per day, typically 15 minutes	40	24	$94.38	$48.02
45380 Biopsy of large bowel using an endoscope	37	36	$1114.76	$153.80
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	32	25	$264.00	$94.78
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	22	22	$965.82	$68.10
99213 Established patient office or other outpatient visit, typically 15 minutes	21	19	$178.14	$64.21
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$248.69	$126.30
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$251.00	$109.26
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	12	12	$703.75	$177.17

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	106	$167.22	$90.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	69	$246.89	$128.82
99231 Follow-up hospital inpatient care per day, typically 15 minutes	58	23	$91.07	$49.85
45380 Biopsy of large bowel using an endoscope	37	36	$1127.78	$142.33
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	29	29	$927.59	$74.70
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	28	28	$36.00	$23.50
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	27	27	$239.44	$130.66
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	25	25	$245.56	$109.75
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	23	$99.75	$57.10
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$685.81	$177.96
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1207.62	$238.40
47562 Removal of gallbladder using an endoscope	11	11	$1171.91	$616.27

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	103	89	$165.00	$93.19
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	87	74	$243.00	$127.84
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	34	34	$36.00	$24.01
45380 Biopsy of large bowel using an endoscope	32	32	$1056.00	$159.91
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	17	$89.00	$39.05
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	28	28	$373.00	$171.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	24	24	$916.00	$79.25
45378 Diagnostic exam of large bowel using a flexible endoscope	16	16	$674.00	$182.61
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$99.00	$56.11
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	14	14	$243.00	$114.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	97	76	$165.00	$93.74
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	76	66	$243.00	$131.22
45380 Biopsy of large bowel using an endoscope	45	44	$1056.00	$148.02
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$243.00	$116.12
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	26	26	$916.00	$91.87
45378 Diagnostic exam of large bowel using a flexible endoscope	22	22	$674.00	$180.47
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	20	20	$1191.00	$262.26
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	18	18	$373.00	$165.18
49650 Repair of groin hernia using an endoscope	11	11	$1093.82	$486.41
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	11	11	$674.00	$192.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	109	77	$162.61	$77.80
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	40	21	$159.00	$74.66
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	36	32	$239.89	$110.61
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	36	35	$901.00	$86.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	35	21	$86.60	$40.60
99202 New patient office or other outpatient visit, typically 20 minutes	28	28	$165.50	$77.43
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	25	$229.62	$134.12
45380 Biopsy of large bowel using an endoscope	23	22	$1046.57	$114.54
99441 Telephone medical discussion with physician, 5-10 minutes	18	18	$72.06	$42.06
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$1174.53	$247.16
45378 Diagnostic exam of large bowel using a flexible endoscope	15	15	$663.33	$190.53
45381 Injection beneath lining of large bowel using a flexible endoscope	12	12	$798.00	$16.20
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	11	11	$342.00	$209.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	197	153	$156.01	$75.85
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	106	90	$92.57	$45.75
99231 Follow-up hospital inpatient care per day, typically 15 minutes	104	52	$83.52	$40.44
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	49	$229.13	$111.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	51	47	$222.04	$139.85
99202 New patient office or other outpatient visit, typically 20 minutes	42	42	$160.14	$76.20
45380 Biopsy of large bowel using an endoscope	40	40	$1000.50	$150.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	38	37	$871.05	$92.42
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	28	19	$153.93	$74.61
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	24	24	$1132.67	$272.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$228.60	$111.50
45378 Diagnostic exam of large bowel using a flexible endoscope	17	17	$640.47	$189.32
49653 Repair of trapped hernia using an endoscope	14	13	$1557.00	$794.89

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	188	137	$154.00	$73.64
99231 Follow-up hospital inpatient care per day, typically 15 minutes	181	67	$83.00	$39.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	108	100	$92.00	$44.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	83	66	$227.00	$109.51
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	82	28	$92.00	$25.95
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	72	66	$220.00	$137.64
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$157.00	$76.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	33	32	$858.00	$89.10
45380 Biopsy of large bowel using an endoscope	32	30	$990.00	$185.60
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$631.00	$193.53
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	23	18	$152.00	$74.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$227.00	$110.05
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	16	16	$325.00	$196.55
99213 Established patient office or other outpatient visit, typically 15 minutes	14	11	$154.00	$52.23

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	322	232	$154.00	$73.24
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	191	155	$92.00	$44.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	90	51	$83.00	$40.01
45380 Biopsy of large bowel using an endoscope	57	56	$990.00	$181.95
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	42	40	$858.00	$90.49
99202 New patient office or other outpatient visit, typically 20 minutes	38	38	$157.00	$75.24
45378 Diagnostic exam of large bowel using a flexible endoscope	36	36	$631.00	$188.31
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$220.00	$137.47
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	26	24	$227.00	$109.16
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	19	19	$227.00	$110.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	12	12	$1116.00	$269.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$325.00	$188.97
99221 Initial hospital inpatient care per day, typically 30 minutes	11	11	$163.00	$103.38

Medical Specialties & State Licenses

CMS Verified: 2024-10-29

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License DE C10004922

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

100 Wellness Way, Milford, DE 199634364

Practice Associates & Co-Workers

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

5 Associated Practitioners

Dr. Anirudha Goparaju , MD

Surgery

NPI 1679916456

Doctor of Medicine (M.D.)

Dr. Francis Velez , MD

Surgery

NPI 1720024722

Doctor of Medicine (M.D.)

Andrea Bishop , PA-C

Physician Assistant

NPI 1861048274

Physician Assistant (Certified)

Dr. Francisco Rodriguez , MD

Surgery

NPI 1942297890

Doctor of Medicine (M.D.)

Dr. Charles Frasso , DO

Surgery

NPI 1992146989

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location January 08, 2019

Registered at 100 WELLNESS WAY, MILFORD, DE 199634364 (Tel: 3024247522)

📍

Updated Business Mailing Address January 08, 2019

Registered at 640 S. STATE STREET, MAIL CODE 3055, MILFORD, DE 19963 (Tel: 3024247522)

✅

NPI Profile Active June 14, 2013

NPI status registered as active in NPPES database

📍

Updated Practice Location June 14, 2013

Registered at 806 SEABURY AVE, MILFORD, DE 199632223 (Tel: 3024247522)

📍

Updated Business Mailing Address June 14, 2013

Registered at 806 SEABURY AVE, MILFORD, DE 199632223 (Tel: 3024247522)

👤

Provider Name / Credentials Updated June 14, 2013

Recorded as DAVID CLONEY, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) June 14, 2013

Surgery (License #C10004922 in DE)

🟢

Initial NPI Registration & Enumeration July 07, 2005

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: 1487651295

Entity Type:

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

Enumeration Date: July 07, 2005

Last Update: October 29, 2024

Sole Proprietor: No

Update or Correct Profile

Mailing Address

640 S. State Street, Mail Code 3055

Milford, DE 19963

Phone: 3024247522

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.