DENNIS K DELAPP M.D.
NPI 1881699635
Family Medicine in Toledo, OH
NPI Status: Active since June 17, 2005
Contact Information
4041 W SYLVANIA AVE
STE 100
TOLEDO, OH
ZIP 43623
Phone: (419) 472-1124
Fax: (419) 486-8857
- Individual
- Male
- Family Medicine
- Accepts Insurance
- PECOS Enrolled
About DENNIS DELAPP
This page provides the complete NPI Profile along with additional information for Dennis Delapp, a primary care provider established in Toledo, Ohio with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1881699635 assigned on June 2005. The practitioner's primary taxonomy code is 207Q00000X with license number 35055893D (OH). The provider is registered as an individual and his NPI record was last updated 11 years ago.
- NPI
- 1881699635
- Provider Name
- DENNIS K DELAPP M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4041 W SYLVANIA AVE STE 100 TOLEDO, OH 43623
- Location Phone
- (419) 472-1124
- Location Fax
- (419) 486-8857
- Mailing Address
- 2200 JEFFERSON AVE 4TH FLOOR TOLEDO, OH 43604
- Mailing Phone
- (419) 251-1963
- Mailing Fax
- (419) 486-8857
- Is Sole Proprietor?
- No
- Enumeration Date
- 06-17-2005
- Last Update Date
- 02-20-2014
- Code Navigator
A primary care provider (PCP) like Dennis Delapp sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, 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
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 35055893D
- License State
- OH
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Bronze Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Bronze Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Bronze Standard - HMO
- Catastrophic Standard - HMO
- Gold Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Gold Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Gold Standard - HMO
- Silver Complete $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Complete+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care, $0 Core Rx - HMO
- Silver Elite $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Elite+Dental $0 Tier-1 PCP, $0 Antidote 24/7 Virtual PCP/Urg/Chronic Care/Referred Labs, $0 Advanced Rx - HMO
- Silver Standard - HMO
- Bronze First 7500 $25 Generic Drugs - HMO
- Bronze First 7500 $25 Generic Drugs Adult Vision & Fitness - HMO
- Core Gold 1500 $10 Generic Drugs - HMO
- Core Gold 1500 $10 Generic Drugs Adult Vision & Fitness - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services - HMO
- Diabetes Gold 1100 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services - HMO
- Diabetes Silver 4000 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Gold 1500 $15 Generic Drugs - HMO
- Gold 1500 $15 Generic Drugs Adult Vision & Fitness - HMO
- HDHP Preventive Silver 5500 $0 Select Drugs - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Gold 1500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services - HMO
- Healthy Heart Silver 4500 $0 Select Drugs & Specialized Services Adult Vision & Fitness - HMO
- Low Premium Silver 6000 $3 Generic Drugs - HMO
- Low Premium Silver 6000 $3 Generic Drugs Adult Vision & Fitness - HMO
- Silver 5000 $20 Generic Drugs - HMO
- Silver 5000 $20 Generic Drugs Adult Vision & Fitness - 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.
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 |
---|---|---|---|
080166339 | OTHER (01) | OH | RAILROAD MEDICARE |
0737788 | MEDICAID (05) | OH | |
D97986 | MEDICARE UPIN (02) | OH | |
35055893 | OTHER (01) | OH | OHIO MEDICAL LICENSE |
H041960 | MEDICARE PIN (08) | OH |
Medicare Participation & PECOS Enrollment Status
Dennis Delapp 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
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
7 DME suppliers used 16 Medicare Claims 45 Services Paid
DME-Oxygen and Supplies (DC000N)
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing (HCPCS:E0431)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
DME-Oxygen and Supplies (DC002N)
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate (HCPCS:E1390)
1 DME suppliers used 12 Medicare Claims 12 Services Paid
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.
Detection test by immunoassay with direct visual observation for influenza virus
Established patient office or other outpatient visit, 30-39 minutes
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
This service was performed 56 times for 26 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 127 times for 107 patientsPhysician 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 43623 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.72
- Minimum New Patient Price $54.34
- Maximum New Patient Price $166.65
- Average New Patient Copayment $21.18
- Minimum New Patient Copayment $13.58
- Maximum New Patient Copayment $41.66
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.44
- Minimum Established Patient Price $17.1
- Maximum Established Patient Price $135.4
- Average Established Patient Copayment $24.11
- Minimum Established Patient Copayment $4.27
- Maximum Established Patient Copayment $33.85
* 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.
Reviews for DENNIS K DELAPP M.D.
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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 | 8 | 8 | 1 | 6 | 9 | 9 | 6 | 3 | 5 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 8 | 16 | 1 | 12 | 9 | 18 | 6 | 6 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 8 + 1 + 6 + 1 + 1 + 2 + 9 + 1 + 8 + 6 + 6 + 24 = 75 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
80 - 75 = 5 | 5 |
The NPI number 1881699635 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 16 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1346245776 | MRS. KAREN L ASHER D.O. Individual | Family Medicine | 4041 W SYLVANIA AVE STE 5 TOLEDO, OH 43623 (419) 471-0240 |
1639139199 | WEST PARK FAMILY PHYSICIANS, INC. Organization | Family Medicine | 4041 W SYLVANIA AVE SUITE 100 TOLEDO, OH 43623 (419) 472-1124 |
1750336418 | ROBERT POOLOS Individual | Physical Therapist | 4041 W SYLVANIA AVE SUITE L004 TOLEDO ORTHOPEDIC REHABILITATION TOLEDO, OH 43623 (419) 474-4781 |
1003862103 | TOLEDO ORTHOPEDIC REHABILITATION Organization | Physical Therapist | 4041 W SYLVANIA AVE SUITE L004 TOLEDO, OH 43623 (419) 474-4781 |
1639290349 | SLEEP NETWORK OF TOLEDO INC Organization | Physiological Laboratory | 4041 W SYLVANIA AVE SUITE 202 TOLEDO, OH 43623 (419) 292-1616 |
1700086295 | TOLEDO SPORTS AND ORTHOPEDIC REHABILITATION INC Organization | Physical Therapist | 4041 W SYLVANIA AVE SUITE L004 TOLEDO, OH 43623 (419) 474-4781 |
1891981965 | MRS. TERESA S BADENHOP PT Individual | Physical Therapist | 4041 W SYLVANIA AVE SUITE102 TOLEDO, OH 43623 (419) 471-0400 |
1598929150 | RAQUEL WILSON MSW, LISW-S Individual | Social Worker (Clinical) | 4041 W SYLVANIA AVE SUITE LL2 TOLEDO, OH 43623 (419) 704-2938 |
1649501776 | WELLSPRING COUNSELING SERVICES Organization | Community/Behavioral Health | 4041 W SYLVANIA AVE SUITE LL2 TOLEDO, OH 43623 (419) 704-2938 |
1407851678 | BRUCE L HILLARD M.D. Individual | Family Medicine | 4041 W SYLVANIA AVE STE 100 TOLEDO, OH 43623 (419) 472-1124 |
1124024492 | MARK D HILLARD M.D. Individual | Family Medicine | 4041 W SYLVANIA AVE STE 100 TOLEDO, OH 43623 (419) 472-1124 |
1033505029 | ELISABETH JAMES PHD CONSULTING AND CLINICAL SERVICES Organization | Psychologist | 4041 W SYLVANIA AVE STE 202 TOLEDO, OH 43623 (866) 731-0712 |
1225573751 | TOLEDO ACCIDENT AND INJURY CENTER Organization | Chiropractor | 4041 W SYLVANIA AVE TOLEDO, OH 43623 (419) 214-1550 |
1316473275 | NORTHWEST OHIO CHRISTIAN COUNSELING, LTD Organization | Counselor (Professional) | 4041 W SYLVANIA AVE STE LL2 TOLEDO, OH 43623 (419) 724-7427 |
1093718090 | TOTAL FAMILY HEALTHCARE, INC. Organization | Family Medicine | 4041 W SYLVANIA AVE STE 5 TOLEDO, OH 43623 (419) 471-0240 |
1194940445 | SLEEP MEDICINE SPECIALISTS LLC Organization | Physiological Laboratory | 4041 W SYLVANIA AVE SUITE 202 TOLEDO, OH 43623 (419) 535-9282 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1881699635, enumerated in the NPI registry as an "individual" on June 17, 2005
The provider is located at 4041 W Sylvania Ave Ste 100 Toledo, Oh 43623 and the phone number is (419) 472-1124
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Antidote Health Plan of Ohio, Inc., CareSource,. 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 $84.72 with an average copayment of $21.18 for new patient appointments. Established patients should expect a typical charge of $96.44 and an average copayment of 24.11. 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: Detection test by immunoassay with direct visual observation for influenza virus and Established patient office or other outpatient visit, 30-39 minutes.
This NPI record was last updated on June 17, 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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