Active NPI 1902817018 Individual Practitioner Male Practitioner

Dr. Andrew H Demichele , MD

Surgery • Wilmington, DE

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Andrew Demichele, MD is a certified Surgery practicing in Wilmington, DE. With approximately 33 years of clinical experience since graduating from Hahnemann University College Of Medicine in 1993, Dr. Demichele delivers high-quality medical care to the local community at 1500 SHALLCROSS AVE.

Dr. Demichele is affiliated with Main Line Healthcare and accepts Medicare assignment.

Frequently performed procedures and clinical services include follow-up hospital inpatient care per day, new patient outpatient office visit, initial hospital inpatient care per day. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1500 Shallcross Ave
Suite 1 A

Wilmington, DE 198063037

Telephone 3026526050

Fax 3026526053

Associated Practice Facility / Clinic

🏢 Mid Atlantic Surgical Llc Facility NPI 1528072501

Medicare Profile & Education

Medical School

Hahnemann University College Of Medicine

Graduation Year

1993

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Wilmington, DE

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

33 Yrs +4.3 yrs vs City Avg

City Avg: 28.7 Yrs

State Avg: 23.3 Yrs

Regional Practice Density

24 Specialists

Practicing in Wilmington, DE (115 Statewide)

Telehealth Adoption Rate

8.3% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

62.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Demichele (33 Years) 33 Yrs

Wilmington Specialty Average (28.7 Years) 28.7 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
99231 Follow-up hospital inpatient care per day, typically 15 minutes	142	67	$95.00	$49.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	109	109	$385.00	$170.02
99221 Initial hospital inpatient care per day, typically 30 minutes	84	83	$220.00	$83.89
99213 Established patient office or other outpatient visit, typically 15 minutes	47	44	$155.00	$93.09
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	46	44	$435.00	$173.98
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	43	$235.00	$131.17
49650 Repair of groin hernia using an endoscope	24	24	$1369.79	$464.47
47562 Removal of gallbladder using an endoscope	18	18	$2025.00	$686.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	138	64	$92.25	$52.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	100	100	$367.45	$174.61
99221 Initial hospital inpatient care per day, typically 30 minutes	70	66	$212.00	$87.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	55	53	$422.18	$181.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	41	39	$235.00	$135.12
99213 Established patient office or other outpatient visit, typically 15 minutes	38	31	$155.00	$92.05
49650 Repair of groin hernia using an endoscope	16	16	$1294.38	$477.25
47562 Removal of gallbladder using an endoscope	11	11	$2000.00	$689.69

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	107	71	$140.00	$73.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	71	71	$320.00	$176.43
99231 Follow-up hospital inpatient care per day, typically 15 minutes	60	30	$80.00	$40.27
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	30	27	$265.00	$141.23
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	29	$235.00	$135.98
99221 Initial hospital inpatient care per day, typically 30 minutes	19	18	$185.00	$101.16
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	14	14	$390.00	$206.78
47562 Removal of gallbladder using an endoscope	13	13	$2000.00	$726.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	69	36	$120.00	$40.44
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$365.00	$177.34
99213 Established patient office or other outpatient visit, typically 15 minutes	46	18	$170.00	$71.83
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	44	42	$232.00	$139.45
99213 Established patient office or other outpatient visit, typically 15 minutes	29	27	$170.00	$96.27
99221 Initial hospital inpatient care per day, typically 30 minutes	18	15	$312.00	$107.10
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	15	15	$398.00	$145.36
G0121 Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk	15	15	$1362.00	$194.34
45378 Diagnostic exam of large bowel using a flexible endoscope	12	12	$1330.00	$187.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	94	43	$120.00	$42.05
99221 Initial hospital inpatient care per day, typically 30 minutes	49	45	$312.00	$109.35
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	46	46	$365.00	$177.02
99213 Established patient office or other outpatient visit, typically 15 minutes	42	40	$170.00	$80.64
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	38	35	$232.00	$117.06
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	16	16	$420.00	$140.05
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	13	13	$1709.00	$280.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	11	$116.00	$48.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$239.00	$115.34
45380 Biopsy of large bowel using an endoscope	11	11	$1474.00	$164.97

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99231 Follow-up hospital inpatient care per day, typically 15 minutes	81	44	$105.99	$41.85
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	71	71	$225.50	$115.80
99221 Initial hospital inpatient care per day, typically 30 minutes	65	58	$260.87	$108.19
99213 Established patient office or other outpatient visit, typically 15 minutes	48	44	$159.88	$79.16
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	34	32	$331.31	$145.17
45378 Diagnostic exam of large bowel using a flexible endoscope	22	21	$568.75	$205.97
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	21	20	$216.26	$114.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	19	19	$111.48	$48.47

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	126	111	$146.80	$75.54
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	97	97	$217.70	$112.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	54	21	$79.48	$41.48
99221 Initial hospital inpatient care per day, typically 30 minutes	45	43	$204.80	$107.52
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	35	31	$216.26	$111.76
45378 Diagnostic exam of large bowel using a flexible endoscope	30	30	$399.58	$200.47
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	26	26	$332.26	$172.72
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	19	19	$547.08	$274.66
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	18	17	$276.40	$144.70
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	18	18	$491.24	$247.65
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	17	17	$302.90	$100.27
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$87.36	$45.28
45380 Biopsy of large bowel using an endoscope	12	12	$433.24	$214.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	149	101	$216.26	$110.71
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	86	86	$332.26	$169.41
99213 Established patient office or other outpatient visit, typically 15 minutes	52	50	$146.80	$75.63
99231 Follow-up hospital inpatient care per day, typically 15 minutes	44	23	$79.48	$41.19
45378 Diagnostic exam of large bowel using a flexible endoscope	39	39	$399.58	$200.21
99221 Initial hospital inpatient care per day, typically 30 minutes	33	30	$204.80	$106.72
45384 Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery	30	30	$491.24	$212.97
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	27	27	$217.70	$112.80
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	25	25	$87.36	$45.34
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	16	$276.40	$143.24
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	17	17	$547.08	$272.38
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	15	15	$302.90	$89.02
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	13	11	$40.10	$20.94
47562 Removal of gallbladder using an endoscope	12	12	$1364.86	$707.74

Medical Specialties & State Licenses

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA MD058617L

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.

Surgery

NUCC Taxonomy Code: 208600000X

State License DE C10007635

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

1000035615 (DE)

Medicaid State Provider ID

0016931600005 (PA)

Commercial Insurance / Payer ID Aetna Pin

0005353635 (PA)

Commercial Insurance / Payer ID Aetna Pin

0005353635 (DE)

Hospital & Practice Group Affiliations

Main Line Healthcare

830 Old Lancaster Rd, Bryn Mawr, PA 190103118

Phone: 4845923000

Practice Associates & Co-Workers

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

1 Associated Practitioners

Dr. Tadaie Wakamatsu , MD

Surgery

NPI 1396743969

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 08, 2016

Registered at 1500 SHALLCROSS AVE, SUITE 1 A, WILMINGTON, DE 198063037 (Tel: 3026526050)

📍

Updated Business Mailing Address January 08, 2016

Registered at PO BOX 8157, WILMINGTON, DE 198038157 (Tel: 3026526050)

👤

Provider Name / Credentials Updated January 08, 2016

Recorded as ANDREW DEMICHELE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 08, 2016

Surgery (License #MD058617L in PA)

🟢

Initial NPI Registration & Enumeration August 11, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

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NPI Administrative Meta

NPI Number: 1902817018

Entity Type:

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

Enumeration Date: August 11, 2006

Last Update: January 08, 2016

Sole Proprietor: No

Update or Correct Profile

Mailing Address

Po Box 8157

Wilmington, DE 198038157

Phone: 3026526050

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.