Individual provider Active NPI

Bernard R. Racey, PA-C

  • Physician Assistant
  • Newark, DE
National Provider Identifier
1346429875
Registry record updated Apr 17, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0000280 Issued in DE
Practice address
4745 Ogletown Stanton Rd
Map 1 Suite 128
Newark, DE 19713-2067
Phone
(302) 733-1000
NPI assigned
Nov 1, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 17, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X C5-0000280 DE Primary

Addresses

Primary practice location

4745 Ogletown Stanton Rd
Map 1 Suite 128
Newark, DE 19713-2067

Mailing address

774 Christiana Rd
Ste 202
Newark, DE 19713-4221
Phone (302) 366-7671

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120330000486 DE Practitioner - Physician Assistant 1951561869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Delaware Neurosurgical Group, PAGroup PAC ID 1557300431, 24 clinicians

Practice addresses (Care Compare)

774 Christiana Rd
Suite 202
Newark, DE 19713-4221
Phone (302) 366-7671

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • Beebe Medical Center Hospital, Lewes, DE, CCN 080007
  • Bayhealth Hospital, Sussex Campus Hospital, Milford, DE, CCN 080009
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score
68.09 of 100Reported as individual
Quality
39.76
Promoting interoperability
75
Improvement activities
40
Cost
68.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Interoperability endpoints

  • Direct secure messaging: bernard.racey@deneurosurgical.directbygreenway.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492387200000",
    "number": "1346429875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "774 CHRISTIANA RD",
            "address_2": "STE 202",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134221",
            "telephone_number": "302-366-7671",
            "fax_number": "302-366-7549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4745 OGLETOWN STANTON RD",
            "address_2": "MAP 1 SUITE 128",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197132067",
            "telephone_number": "302-733-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RACEY",
        "first_name": "BERNARD",
        "middle_name": "R.",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-11-01",
        "last_updated": "2017-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "DE",
            "license": "C5-0000280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

Verify at the official NPI Registry.