Active NPI 1881695039 Individual Practitioner Male Practitioner

Dr. Michael J Brooks , MD

Specialist • Wilmington, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Michael Brooks, MD is a certified Specialist practicing in Wilmington, DE. With approximately 35 years of clinical experience since graduating from Medical College Of Pennsylvania in 1991, Dr. Brooks delivers high-quality medical care to the local community at 1941 LIMESTONE RD STE 120.

Dr. Brooks is affiliated with Delaware Center For Digestive Care Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, removal of polyps or growths of large bowel using an endoscope with mechanical snare, biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1941 Limestone Rd Ste 120

Wilmington, DE 198085424

Telephone 3028321545

Fax 3028344863

Medicare Profile & Education

Medical School

Medical College Of Pennsylvania

Graduation Year

1991

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Wilmington, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

35 Yrs +0.5 yrs vs City Avg

City Avg: 34.5 Yrs

State Avg: 33.9 Yrs

Regional Practice Density

39 Specialists

Practicing in Wilmington, DE (148 Statewide)

Telehealth Adoption Rate

2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

64.6% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Brooks (35 Years) 35 Yrs

Wilmington Specialty Average (34.5 Years) 34.5 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	314	292	$230.00	$88.94
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	188	188	$635.00	$244.08
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	187	176	$323.48	$125.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	129	123	$345.00	$111.99
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	95	94	$460.00	$170.94
45380 Biopsy of large bowel using an endoscope	50	50	$500.00	$97.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	24	24	$150.00	$55.61
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	23	23	$465.00	$167.81
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	20	20	$285.00	$109.39
45378 Diagnostic exam of large bowel using a flexible endoscope	19	19	$460.00	$178.01
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	16	16	$425.00	$164.10

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	426	372	$134.15	$85.42
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	167	167	$691.05	$247.16
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	125	120	$434.04	$115.30
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	95	95	$402.47	$180.60
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	88	80	$180.45	$120.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	35	35	$268.66	$164.00
G0105 Colorectal cancer screening; colonoscopy on individual at high risk	32	32	$429.00	$180.29
45380 Biopsy of large bowel using an endoscope	23	23	$573.91	$180.91
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	14	$68.00	$56.34
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$231.00	$109.17
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$576.67	$181.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	356	294	$113.00	$82.41
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	182	181	$700.00	$254.22
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	118	117	$399.00	$184.73
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	110	106	$450.00	$109.54
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	106	97	$166.00	$119.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	54	54	$254.00	$160.12
45380 Biopsy of large bowel using an endoscope	36	36	$600.00	$170.94
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$600.00	$185.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	330	271	$113.00	$82.49
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	227	227	$700.00	$259.13
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	120	120	$399.00	$187.62
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	117	115	$450.00	$113.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	79	79	$254.00	$160.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	47	$166.00	$114.28
45378 Diagnostic exam of large bowel using a flexible endoscope	25	25	$600.00	$189.28
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$168.00	$102.48
45380 Biopsy of large bowel using an endoscope	16	16	$600.00	$193.28

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	442	320	$113.00	$76.37
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	145	145	$700.00	$265.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	67	67	$450.00	$118.41
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$168.00	$109.78
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	61	60	$399.00	$190.99
45378 Diagnostic exam of large bowel using a flexible endoscope	23	23	$600.00	$194.87
45380 Biopsy of large bowel using an endoscope	19	19	$600.00	$190.53
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	12	12	$254.00	$156.37
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	11	11	$166.00	$102.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	513	371	$113.00	$75.15
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	159	159	$700.00	$269.97
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	108	104	$450.00	$122.49
45378 Diagnostic exam of large bowel using a flexible endoscope	70	70	$600.00	$191.97
45380 Biopsy of large bowel using an endoscope	49	48	$600.00	$152.54
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$254.00	$162.90
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	33	33	$166.00	$110.61
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	33	33	$168.00	$110.35
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	17	17	$399.00	$195.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	498	363	$113.00	$73.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	189	188	$700.00	$268.63
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	120	111	$450.00	$127.79
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	89	89	$254.00	$164.66
45378 Diagnostic exam of large bowel using a flexible endoscope	73	73	$600.00	$196.92
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	57	$166.00	$109.62
45380 Biopsy of large bowel using an endoscope	48	48	$600.00	$79.70
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	32	32	$168.00	$110.04
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$399.00	$195.84

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	447	345	$112.87	$74.08
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	178	177	$690.67	$267.85
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	101	98	$438.04	$131.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	72	72	$254.08	$167.17
45380 Biopsy of large bowel using an endoscope	70	70	$564.81	$95.28
45378 Diagnostic exam of large bowel using a flexible endoscope	67	67	$559.60	$197.13
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	51	50	$166.00	$107.78
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	21	21	$168.00	$110.14

Medical Specialties & State Licenses

CMS Verified: 2022-07-29

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License DE C1-0006959

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000023211 (DE)

Commercial Insurance / Payer ID Aetna Hmo

3280620 (DE)

Commercial Insurance / Payer ID Blue Cross Blue Shield

G24671 (DE)

Commercial Insurance / Payer ID Personal Choice

2212163000 (DE)

Commercial Insurance / Payer ID Railroad Medicare Number

P00186386 (DE)

Commercial Insurance / Payer ID Unison Health Plan

000000212086 (DE)

Commercial Insurance / Payer ID Amerihealth

2212163000 (DE)

Commercial Insurance / Payer ID Keystone

2212163000 (DE)

Commercial Insurance / Payer ID Aetna Ppo

4326528 (DE)

Hospital & Practice Group Affiliations

Delaware Center For Digestive Care Llc

4745 Ogletown Stanton Rd, Newark, DE 197132074

Phone: 3027385300

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. George Benes , MD

Specialist

NPI 1255332631

Doctor of Medicine (M.D.)

Dr. Michael Bass , MD

Internal Medicine - Gastroenterology

NPI 1841451580

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

8 Historical Events

📍

Updated Practice Location July 29, 2022

Registered at 1941 LIMESTONE RD STE 120, WILMINGTON, DE 198085424 (Tel: 3028321545)

📍

Updated Business Mailing Address July 29, 2022

Registered at PO BOX 5372, WILMINGTON, DE 198080372 (Tel: 3028321545)

✅

NPI Profile Active October 18, 2011

NPI status registered as active in NPPES database

📍

Updated Practice Location October 18, 2011

Registered at 2600 GLASGOW AVE, SUITE 203, NEWARK, DE 197024777 (Tel: 3028323755)

📍

Updated Business Mailing Address October 18, 2011

Registered at 2600 GLASGOW AVE, SUITE 203, NEWARK, DE 197024777 (Tel: 3028323755)

👤

Provider Name / Credentials Updated October 18, 2011

Recorded as MICHAEL BROOKS, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 18, 2011

Specialist (License #C1-0006959 in DE)

🟢

Initial NPI Registration & Enumeration August 09, 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: 1881695039

Entity Type:

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

Enumeration Date: August 09, 2005

Last Update: July 29, 2022

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 5372

Wilmington, DE 198080372

Phone: 3028321545

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.