TERRY L HORTON MD
NPI 1013072156
Internal Medicine in Wilmington, DE
NPI Status: Active since December 27, 2006
Contact Information
501 W 14TH ST
ROOM 5236
WILMINGTON, DE
ZIP 19801
Phone: (302) 428-4574
Fax: (302) 428-2569
- Individual
- Male
- Internal Medicine
- Accepts Insurance
- PECOS Enrolled
About TERRY HORTON
This page provides the complete NPI Profile along with additional information for Terry Horton, an internist established in Wilmington, Delaware with a medical specialization in Internal Medicine. The healthcare provider is registered in the NPI registry with number 1013072156 assigned on December 2006. The practitioner's primary taxonomy code is 207R00000X with license number C1-0005652 (DE). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1013072156
- Provider Name
- TERRY L HORTON MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 501 W 14TH ST ROOM 5236 WILMINGTON, DE 19801
- Location Phone
- (302) 428-4574
- Location Fax
- (302) 428-2569
- Mailing Address
- P.O. BOX 30170 WILMINGTON, DE 19805
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-27-2006
- Last Update Date
- 11-08-2011
- Code Navigator
An internist like Terry Horton is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine
- Taxonomy Code
- 207R00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C1-0005652
- License State
- DE
- Taxonomy Description
- A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207R00000X | Allopathic & Osteopathic Physicians | Internal Medicine | 181861 (NY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- AmeriHealth Caritas Next Bronze Essential + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Premier + No Referrals - HMO
- AmeriHealth Caritas Next Bronze Signature + No Referrals - HMO
- AmeriHealth Caritas Next Gold Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Gold Signature + No Referrals - HMO
- AmeriHealth Caritas Next Silver Deluxe + No Referrals - HMO
- AmeriHealth Caritas Next Silver Premier + No Referrals - HMO
- AmeriHealth Caritas Next Silver Signature + No Referrals - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 021563C67 | OTHER (01) | DE | MEDICARE PIN |
| 021565C00 | MEDICARE PIN (08) | DE |
Medicare Participation & PECOS Enrollment Status
Terry Horton is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 19801 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $131.15
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $32.78
- Minimum New Patient Copayment $14.28
- Maximum New Patient Copayment $43.27
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $100.68
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $25.17
- Minimum Established Patient Copayment $4.59
- Maximum Established Patient Copayment $35.26
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 1 | 3 | 0 | 7 | 2 | 1 | 5 | 6 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 2 | 3 | 0 | 7 | 4 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 2 + 3 + 0 + 7 + 4 + 1 + 1 + 0 + 24 = 44 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 50 - 44 = 6 | 6 | ||||||||
The NPI number 1013072156 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1477534907 | ROBERT JOSEPH LASKOWSKI M.D., M.B.A. Individual | Internal Medicine (Geriatric Medicine) | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-2570 |
| 1376528034 | DAVID YORK PHD Individual | Psychologist | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-2100 |
| 1306821061 | CHRISTOPHER J KING PHD Individual | Psychologist | 501 W 14TH ST 6TH FLOOR WILMINGTON, DE 19801 (302) 428-6632 |
| 1932184686 | WOLFGANG BERTEN MD Individual | Psychiatry & Neurology (Psychiatry) | 501 W 14TH ST WILMINGTON HOSPITAL WILMINGTON, DE 19801 (302) 428-2100 |
| 1750366407 | HAROLD ROSEN MD Individual | Psychiatry & Neurology (Psychiatry) | 501 W 14TH ST WILMINGTON HOSPITAL WILMINGTON, DE 19801 (302) 428-2962 |
| 1598741100 | ALAN SCHWARTZ PSYD Individual | Psychologist | 501 W 14TH ST WILMINGTON HOSPITAL WILMINGTON, DE 19801 (302) 428-2100 |
| 1245217652 | SHIRLEY P KLEIN MD Individual | Pediatrics | 501 W 14TH ST WILMINGTON HOSPITAL, DEPT OF PEDIATRICS WILMINGTON, DE 19801 (302) 428-4412 |
| 1346220928 | NORMAN BROUDY MD Individual | Psychiatry & Neurology (Psychiatry) | 501 W 14TH ST 3RD FLOOR WILMINGTON, DE 19801 (302) 428-2100 |
| 1437139029 | MICHELE CAVANAUGH APRN Individual | Nurse Practitioner (Psychiatric/Mental Health) | 501 W 14TH ST 3RD FLOOR WILMINGTON, DE 19801 (302) 428-2100 |
| 1770563363 | KATHRYN POPPITI LPC Individual | Counselor (Professional) | 501 W 14TH ST 3RD FLOOR WILMINGTON, DE 19801 (302) 428-2100 |
| 1861472466 | MARY SWEENEY LPC Individual | Counselor (Professional) | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-2100 |
| 1215907738 | MATTHEW J BURDAY DO Individual | Internal Medicine | 501 W 14TH ST ROOM 5225 WILMINGTON, DE 19801 (302) 428-4900 |
| 1689645319 | JAMES NEWMAN MD Individual | Internal Medicine (Rheumatology) | 501 W 14TH ST RM5225 WILMINGTON, DE 19801 (302) 428-2904 |
| 1619916616 | SARAH E SCHENCK MD Individual | Internal Medicine | 501 W 14TH ST WILMINGTON HOSPITAL, SUITE 5W60 WILMINGTON, DE 19801 (302) 482-4411 |
| 1326078445 | JULIE CAMPANELLI Individual | Physical Therapist | 501 W 14TH ST 8TH FLOOR WILMINGTON, DE 19801 (302) 428-6662 |
| 1871524330 | RENEE SPURIO Individual | Physical Therapist | 501 W 14TH ST 8TH FLOOR - WILMINGTON HOSPITAL WILMINGTON, DE 19801 (302) 428-6662 |
| 1356456743 | DR. VICTORIA PAOLETTI PHARM.D. Individual | Pharmacist | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-6421 |
| 1316030018 | LAWRENCE S GIORDANO D.M.D. Individual | Dentist (Oral and Maxillofacial Surgery) | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-4175 |
| 1417042508 | GERSHON KLEIN M.D. Individual | Pediatrics | 501 W 14TH ST WILMINGTON, DE 19801 (302) 428-4412 |
| 1790867661 | PATRICIA CURTIN M.D. Individual | Internal Medicine | 501 W 14TH ST 2ND FLOOR WILMINGTON, DE 19801 (302) 428-4411 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013072156, enumerated in the NPI registry as an "individual" on December 27, 2006
The provider is located at 501 W 14th St Room 5236 Wilmington, De 19801 and the phone number is (302) 428-4574
The provider's speciality is Internal Medicine with taxonomy code 207R00000X
The provider might be accepting Accepts: AmeriHealth Caritas Next, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $131.15 with an average copayment of $32.78 for new patient appointments. Established patients should expect a typical charge of $100.68 and an average copayment of 25.17. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on December 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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