DR. RAMAZ METREVELI M.D.
NPI 1457350159
Surgery in Wilmington, DE
NPI Status: Active since July 15, 2005
Contact Information
1941 LIMESTONE RD
SUITE 207
WILMINGTON, DE
ZIP 19808
Phone: (302) 994-3128
Fax: (302) 998-6991
- Individual
- Male
- Years of Experience 38
- Surgery
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About RAMAZ METREVELI
This page provides the complete NPI Profile along with additional information for Ramaz Metreveli, a provider established in Wilmington, Delaware with a medical specialization in Surgery and more than 38 years of experience. The healthcare provider is registered in the NPI registry with number 1457350159 assigned on July 2005. The practitioner's primary taxonomy code is 208600000X with license number C10006581 (DE). The provider is registered as an individual and his NPI record was last updated 4 years ago.
- NPI
- 1457350159
- Provider Name
- DR. RAMAZ METREVELI M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1941 LIMESTONE RD SUITE 207 WILMINGTON, DE 19808
- Location Phone
- (302) 994-3128
- Location Fax
- (302) 998-6991
- Mailing Address
- 1941 LIMESTONE RD SUITE 207 WILMINGTON, DE 19808
- Mailing Phone
- (302) 994-3128
- Mailing Fax
- (302) 998-6991
- Medical School Name
- OTHER
- Graduation Year
- 1988
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-15-2005
- Last Update Date
- 02-04-2022
- Code Navigator
A surgeon like Ramaz Metreveli treats injuries, diseases, and deformities through surgical operations. A surgeon could correct physical deformities, repair bone and tissue, or perform preventive or elective surgeries. Surgeons also examine patients, perform and interpret diagnostic tests, and provide counsel on preventive healthcare.
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
Surgery
- Taxonomy Code
- 208600000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- C10006581
- License State
- DE
- Taxonomy Description
- 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.
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 | 208600000X | Allopathic & Osteopathic Physicians | Surgery | MD432554 (PA) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
- Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - 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
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Ramaz Metreveli 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.
Ramaz Metreveli 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: 8628035250
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: I20200305000086
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Hernia repair - groin (open)
Hernia repair (minimally invasive)
Mastectomy
Melanoma (skin cancer) excision
Hernia repair in the groin area (open) is a surgical procedure to fix a bulge or protrusion, caused by internal tissues pushing through a weak spot in your abdominal wall. In this operation, a small incision is made in the groin area. The protruding tissue is then placed back into the abdomen, and the weakened area is reinforced with stitches or a mesh.
This service was performed for 1-10 patientsHernia repair is a surgery to fix a hernia - a condition where an organ pushes through an opening in the muscle or tissue that holds it in place. Minimally invasive hernia repair involves small incisions, a tiny camera, and special surgical tools. This method often leads to quicker recovery, less pain, and reduced scarring compared to traditional surgery.
This service was performed for 1-10 patientsA mastectomy is a surgical procedure that involves the removal of all or part of the breast tissue. This is often done to treat or prevent conditions related to abnormal cell growth. There are different types, ranging from removing only the breast tissue to also removing nearby structures. The approach depends on individual health circumstances.
This service was performed for 1-10 patientsMelanoma excision is a procedure where a surgeon removes melanoma, a type of skin cancer, and some surrounding healthy tissue. Local anesthesia is applied to numb the area. The goal is to completely remove the cancer and prevent its spread. Healing time varies.
This service was performed for 1-10 patientsPhysician Visit Costs
The typical physician office visit costs for Medicare beneficiaries in this area are: $22.09 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 19808 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $88.37
- Minimum New Patient Price $57.12
- Maximum New Patient Price $173.08
- Average New Patient Copayment $22.09
- 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.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Documentation of Current Medications in the Medical Record | 100% | 886 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
| Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
| Medication Reconciliation | 100% | 59 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 30% | 142 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Provide 24/7 Access to MIPS Eligible Clinicians or Groups Who Have Real-Time Access to Patient's Medical Record | Yes | N/A |
| • Provide 24/7 access to MIPS eligible clinicians, groups, or care teams for advice about urgent and emergent care (e.g., MIPS eligible clinician and care team access to medical record, cross-coverage with access to medical record, or protocol-driven nurse line with access to medical record) that could include one or more of the following: • Expanded hours in evenings and weekends with access to the patient medical record (e.g., coordinate with small practices to provide alternate hour office visits and urgent care); • Use of alternatives to increase access to care team by MIPS eligible clinicians and groups, such as e-visits, phone visits, group visits, home visits and alternate locations (e.g., senior centers and assisted living centers); and/or Provision of same-day or next-day access to a consistent MIPS eligible clinician, group or care team when needed for urgent care or transition management. | ||
| Provide Patient Access | 47% | 142 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Secure Messaging | 27% | 142 |
| For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure message sent by the patient (or the patient-authorized representative) during the performance period. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Specialized Registry Reporting | Yes | N/A |
| The MIPS eligible clinician is in active engagement to submit data to specialized registry. To earn a 5 % bonus in the promoting interoperability performance category score for submitting to one or more public health or clinical data registries also attest to PI_TRANS_PHCDRR_3_MULTI. | ||
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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 | 4 | 5 | 7 | 3 | 5 | 0 | 1 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 10 | 7 | 6 | 5 | 0 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 1 + 0 + 7 + 6 + 5 + 0 + 1 + 1 + 0 + 24 = 51 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 51 = 9 | 9 | ||||||||
The NPI number 1457350159 is valid because the calculated check digit 9 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 |
|---|---|---|---|
| 1932105194 | RICHARD H. BONDER M.D. Individual | Dermatology | 1941 LIMESTONE RD STE 202 WILMINGTON, DE 19808 (302) 999-0075 |
| 1740282474 | DR. RAFI SOOFI-SIAVASH M.D. Individual | Specialist | 1941 LIMESTONE RD STE. 203 WILMINGTON, DE 19808 (302) 999-1644 |
| 1306808332 | VAN BUREN MEDICAL ASSOCIATES Organization | Family Medicine | 1941 LIMESTONE RD SUITE 211 WILMINGTON, DE 19808 (302) 998-1151 |
| 1841253275 | SCOTT HARRISON DO Individual | Family Medicine | 1941 LIMESTONE RD SUITE 211 WILMINGTON, DE 19808 (302) 998-1151 |
| 1922055177 | PAUL KUPCHA MD Individual | Orthopaedic Surgery | 1941 LIMESTONE RD SUITE 101 WILMINGTON, DE 19808 (302) 633-3555 |
| 1518908227 | PETER F TOWNSEND MD Individual | Orthopaedic Surgery | 1941 LIMESTONE RD STE 101 WILMINGTON, DE 19808 (302) 633-3555 |
| 1649213836 | WILLIAM NOTTINGHAM JR. MD Individual | Internal Medicine | 1941 LIMESTONE RD SUITE 215 WILMINGTON, DE 19808 (302) 998-0900 |
| 1205867710 | DR. MICHAEL B PETERS M.D. Individual | Internal Medicine | 1941 LIMESTONE RD SUITE 114 WILMINGTON, DE 19808 (302) 992-0500 |
| 1831115377 | MS. PATRICIA L YANCEY APRN, BC Individual | Nurse Practitioner (Family) | 1941 LIMESTONE RD SUITE 209 WILMINGTON, DE 19808 (302) 995-2952 |
| 1881604346 | DR. LOUIS PETER MARTIN DDS Individual | Dentist (Periodontics) | 1941 LIMESTONE RD SUITE 105 WILMINGTON, DE 19808 (302) 994-4900 |
| 1255401360 | SURGICAL CARE ASSOCIATES, PA Organization | Surgery | 1941 LIMESTONE RD SUITE 201 WILMINGTON, DE 19808 (302) 633-0114 |
| 1891868527 | LINDA GAYLE BARTOLO APRN Individual | Nurse Practitioner (Gerontology) | 1941 LIMESTONE RD SUITE 211 WILMINGTON, DE 19808 (302) 998-1151 |
| 1174708036 | MRS. JUDY R SEELIG Individual | Audiologist | 1941 LIMESTONE RD WILMINGTON, DE 19808 (302) 998-0300 |
| 1225216195 | KERRY HERRMANN AU.D. Individual | Audiologist | 1941 LIMESTONE RD SUITE 210 WILMINGTON, DE 19808 (302) 998-0300 |
| 1386803237 | RICHARD H BONDER M.D., P.A. Organization | Specialist | 1941 LIMESTONE RD STE 202 WILMINGTON, DE 19808 (302) 999-0075 |
| 1780847814 | MS. KELLEY S. LESTER-GARRETT RN,MSN Individual | Nurse Practitioner | 1941 LIMESTONE RD SUITE 210 WILMINGTON, DE 19808 (302) 998-0300 |
| 1225282585 | SETH GREGORY MAHAN P.A.-C Individual | Orthopaedic Surgery | 1941 LIMESTONE RD SUITE 101 WILMINGTON, DE 19808 (302) 442-6365 |
| 1821243247 | MARGARITA RAZPOVOV Individual | Hearing Instrument Specialist | 1941 LIMESTONE RD STE 210 WILMINGTON, DE 19808 (302) 998-0300 |
| 1619109493 | OMAR SABRA Individual | Otolaryngology (Otology & Neurotology) | 1941 LIMESTONE RD WILMINGTON, DE 19808 (302) 998-0300 |
| 1447507421 | THOMAS R MERRING P.A. Individual | Physician Assistant | 1941 LIMESTONE RD STE 101 WILMINGTON, DE 19808 (302) 633-3555 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1457350159, enumerated in the NPI registry as an "individual" on July 15, 2005
The provider is located at 1941 Limestone Rd Suite 207 Wilmington, De 19808 and the phone number is (302) 994-3128
The provider's speciality is Surgery with taxonomy code 208600000X
The provider has more than 38 years of experience.
The provider might be accepting Accepts: Aetna CVS Health and AmeriHealth Caritas Next. 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 $88.37 with an average copayment of $22.09 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.
The most common procedures or services performed by this practitioner are: Hernia repair - groin (open), Hernia repair (minimally invasive), Mastectomy and Melanoma (skin cancer) excision.
This NPI record was last updated on July 15, 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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