JOSEPH H. PIATT MD
NPI 1245228220
Neurological Surgery in Wilmington, DE
NPI Status: Active since October 12, 2005
Contact Information
1600 ROCKLAND ROAD
WILMINGTON, DE
ZIP 19803
Phone: (302) 651-4200
Fax: (302) 651-6410
- Individual
- Male
- Years of Experience 47
- Neurological Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
About JOSEPH PIATT
This page provides the complete NPI Profile along with additional information for Joseph Piatt, a provider established in Wilmington, Delaware with a medical specialization in Neurological Surgery and more than 47 years of experience. The healthcare provider is registered in the NPI registry with number 1245228220 assigned on October 2005. The practitioner's primary taxonomy code is 207T00000X with license number C10009277 (DE). The provider is registered as an individual and his NPI record was last updated 14 years ago.
- NPI
- 1245228220
- Provider Name
- JOSEPH H. PIATT MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1600 ROCKLAND ROAD WILMINGTON, DE 19803
- Location Phone
- (302) 651-4200
- Location Fax
- (302) 651-6410
- Mailing Address
- PO BOX 191 ROCKLAND, DE 19723
- Mailing Phone
- (302) 651-4000
- Mailing Fax
- (302) 651-6410
- Medical School Name
- OTHER
- Graduation Year
- 1979
- Is Sole Proprietor?
- No
- Enumeration Date
- 10-12-2005
- Last Update Date
- 10-11-2011
- Code Navigator
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
Neurological Surgery
- Taxonomy Code
- 207T00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C10009277
- License State
- DE
- Taxonomy Description
- A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.
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 | 207T00000X | Allopathic & Osteopathic Physicians | Neurological Surgery | MD071313L (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Premier Silver - EPO
- Premier Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Gold - HMO
- Elite Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Choice Bronze HSA - EPO
- Choice Bronze HSA + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Clear Silver + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Complete Silver - EPO
- Complete Silver + Vision + Adult Dental - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Clear Silver - EPO
- Elite Bronze - EPO
- Elite Bronze + Vision + Adult Dental - EPO
- Elite Gold - EPO
- Elite Gold + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Everyday Gold - EPO
- Everyday Gold + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Standard Silver + Vision + Adult Dental - EPO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
- Central Bronze - HMO
- Central Bronze + Vision + Adult Dental - HMO
- Central Gold - HMO
- Central Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Standard Expanded Bronze + Vision + Adult Dental - HMO
- Standard Gold - HMO
- Standard Gold + Vision + Adult Dental - HMO
- Standard Silver - HMO
- Standard Silver + Vision + Adult Dental - HMO
- 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
- my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
- my Blue Access PPO Bronze 3800 - PPO
- my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
- my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
- my Blue Access PPO Bronze 8900 - PPO
- my Blue Access PPO Gold 0 - PPO
- my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Gold 1700 HSA - PPO
- my Blue Access PPO Premier Gold 0 - PPO
- my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Premier Platinum 0 - PPO
- my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
- my Blue Access PPO Silver 7000 - PPO
- my Blue Access PPO Standard Bronze 7500 - PPO
- my Blue Access PPO Standard Gold 1500 - PPO
- my Blue Access PPO Standard Platinum 0 - PPO
- my Blue Access PPO Standard Silver 5000 - PPO
- my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO
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 |
|---|---|---|---|
| 011815816 | MEDICAID (05) | PA | |
| 054630 | MEDICARE ID-TYPE UNSPECIFIED (04) | ||
| E59372 | MEDICARE UPIN (02) |
Medicare Participation & PECOS Enrollment Status
Joseph Piatt is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Joseph Piatt 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
PECOS PAC ID: 8325088917
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100510000248
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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 typical physician office visit costs for Medicare beneficiaries in this area are: $32.78 for a new patient copayment and $17.79 for an established patient copayment.
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 19803 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 99213
- Average Established Patient Price $71.19
- Minimum Established Patient Price $18.36
- Maximum Established Patient Price $141.05
- Average Established Patient Copayment $17.79
- 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 | 2 | 4 | 5 | 2 | 2 | 8 | 2 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 2 | 16 | 2 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 2 + 1 + 6 + 2 + 4 + 24 = 60 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1245228220 is valid because the calculated check digit 0 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 |
|---|---|---|---|
| 1790770956 | JOHN W. OSTROWSKI MD Individual | Anesthesiology | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1093791527 | DR. H THEODORE HARCKE MD Individual | Radiology (Pediatric Radiology) | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1669451720 | DR. AMY D. THOMPSON MD Individual | Pediatrics | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1629058391 | CHERYL A. PATTERSON RD Individual | Dietitian, Registered | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1841264314 | DR. DENISE GAVULA KARASIC DO Individual | Pediatrics (Pediatric Emergency Medicine) | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1275594855 | DR. J. JEFFREY MALATACK M.D. Individual | Pediatrics | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1093766354 | DR. STEVEN H KLEIN MD Individual | Radiology (Pediatric Radiology) | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1659322279 | ERIC C RIDDLE PA-C Individual | Physician Assistant | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1548297534 | MR. MATTHEW SCOTT MCCOY CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1669406328 | PERSEPHONE JONES MD Individual | Pediatrics (Developmental - Behavioral Pediatrics) | 1600 ROCKLAND ROAD ROCKLAND, DE 19803 (302) 651-4000 |
| 1548289762 | RAQUEL TAPIA MD Individual | Pediatrics (Pediatric Nephrology) | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1063434926 | MARY JANE R. LANG PA-C Individual | Physician Assistant | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1821010117 | MS. EILEEN F. FLOYD CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1861414575 | DR. XIANG SHARON LUO MD Individual | Anesthesiology | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4000 |
| 1578654844 | DR. J. RICHARD BOWEN MD Individual | Orthopaedic Surgery (Pediatric Orthopaedic Surgery) | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1104917475 | DR. GEORGE A. DATTO III MD Individual | Pediatrics | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1457442733 | DR. MARIA CARMEN G. DIAZ MD Individual | Emergency Medicine (Pediatric Emergency Medicine) | 1600 ROCKLAND ROAD NEMOURS/DUPONT HOSPITAL FOR CHILDREN WILMINGTON, DE 19803 (302) 651-4000 |
| 1558452847 | MS. THERESA A. DITUNNO-LEE CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1689766560 | MS. MARIAN P. LORENZ CRNA Individual | Nurse Anesthetist, Certified Registered | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
| 1235221060 | MS. COURTNEY L. WATSON APN Individual | Nurse Practitioner | 1600 ROCKLAND ROAD WILMINGTON, DE 19803 (302) 651-4200 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245228220, enumerated in the NPI registry as an "individual" on October 12, 2005
The provider is located at 1600 Rockland Road Wilmington, De 19803 and the phone number is (302) 651-4200
The provider's speciality is Neurological Surgery with taxonomy code 207T00000X
The provider has more than 47 years of experience.
The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from. 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 $71.19 and an average copayment of 17.79. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on October 12, 2005. 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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