Independent US Healthcare Provider Directory & Public Medical Database Patient Guides

Claudia J Halstead , PA-C

Physician Assistant • Lewes, DE

Active NPI 1437138567 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

424 Savannah Rd
Lewes, DE 19958

Call 3026453296 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

424 Savannah Rd

Lewes, DE 19958

Telephone 3026453296
Fax 3026453862
Organization at the Same NPPES Address or Phone
Sussex Emergency Associates Llc Facility NPI 1275512105

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 1 group name: North Shore Lij Urgent Care Pc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

1999

Medicare patients

366 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider, 2024.

Medicare-allowed amount

About $40,575 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

Paid by Medicare

About $30,985 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2024.

30-day fills

350 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$2,768 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

27 years (graduated 1999)

CMS Doctors and Clinicians data list 1999 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Claudia Halstead has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Claudia Halstead as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Lewes and Delaware

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Fewer Medicare Part B services than 60% of clinicians listed under Physician Assistant in Lewes, DE (2024, 30 clinicians with data). Median for this group: 805. Middle half: 245 to 2,042.

More Medicare Part B services than 65% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: 270. Middle half: 87 to 688.

Medicare-allowed amount

A lower Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Lewes, DE (2024, 30 clinicians with data). Median for this group: $77,363. Middle half: $27,391 to $111,737.

A higher Medicare-allowed amount than 70% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: $20,935. Middle half: $8,185 to $49,614.

Paid by Medicare

A lower Medicare payment amount than 70% of clinicians listed under Physician Assistant in Lewes, DE (2024, 30 clinicians with data). Median for this group: $56,951. Middle half: $20,419 to $78,576.

A higher Medicare payment amount than 70% of clinicians listed under Physician Assistant in Delaware (2024, 347 clinicians with data). Median for this group: $15,940. Middle half: $6,131 to $36,829.

Medicare Part D prescriptions

Close to the middle for clinicians listed under Physician Assistant in Lewes, DE (2024, 32 clinicians with data). Median for this group: 425. Middle half: 166 to 988.

Close to the middle for clinicians listed under Physician Assistant in Delaware (2024, 323 clinicians with data). Median for this group: 250. Middle half: 92 to 740.

Part D drug cost

A lower Part D drug cost than 60% of clinicians listed under Physician Assistant in Lewes, DE (2024, 32 clinicians with data). Median for this group: $5,106. Middle half: $1,532 to $132,135.

Close to the middle for clinicians listed under Physician Assistant in Delaware (2024, 323 clinicians with data). Median for this group: $3,978. Middle half: $611 to $67,690.

44 active clinicians are listed under Physician Assistant with a practice address in Lewes, DE (695 in Delaware).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Lewes

11.4% of these 44 clinicians have the CMS telehealth indicator.

68.2% of these 44 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2024), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B · Data Year 2024
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
183 183 $575.00 $103.68
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
101 94 $585.00 $84.41
81003 Automated urinalysis test
42 42 $8.00 $2.20
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more
34 34 $600.00 $154.74
87811 Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)
29 29 $41.38 $40.55
87880 Detection test by immunoassay with direct visual observation for streptococcus, group a (strep)
29 27 $32.00 $16.20
99202 New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more
22 22 $550.00 $67.26
87804 Detection test by immunoassay with direct visual observation for influenza virus
21 21 $45.00 $16.22
87635 Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen
18 18 $151.00 $50.28
93000 Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
18 18 $52.00 $13.35
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
18 18 $610.00 $118.68
71046 X-ray of chest, 2 views
16 15 $99.00 $18.08
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more
13 12 $560.00 $52.73

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Prednisone Prednisone 61 302 $90.55 60
Cephalexin Cephalexin 58 326 $476.52 56
Cefdinir Cefdinir 43 322 $619.62 42
Doxycycline Hyclate Doxycycline Hyclate 34 268 $215.15 33
Amoxicillin-Clavulanate Potass Amoxicillin/Potassium Clav 30 231 $208.49 29
Nitrofurantoin Mono-Macro Nitrofurantoin Monohyd/M-Cryst 23 139 $162.79 21
Methylprednisolone Methylprednisolone 22 129 $169.06 22
Amoxicillin Amoxicillin 19 183 $61.17 19
Azithromycin Azithromycin 19 94 $84.36 19
Albuterol Sulfate Hfa Albuterol Sulfate 19 696 $395.96 18
Ofloxacin Ofloxacin 15 185 $284.05 14

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES DE C50000268

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Delaware State Medical Licensing Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20171024000541

Enrollment State Jurisdiction

NY

PECOS Control ID

8325163702

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

North Shore Lij Urgent Care Pc

1240 Ulster Ave, Kingston, NY 124011517

Phone: 8455851270

North Shore Lij Urgent Care Pc

1530 Route 9, Wappingers Falls, NY 125904131

Phone: 8452181892

North Shore Lij Urgent Care Pc

186 Route 52, Carmel, NY 105121200

Phone: 8459360002

North Shore Lij Urgent Care Pc

377 S Oyster Bay Rd, Plainview, NY 118033323

Phone: 5165379061

North Shore Lij Urgent Care Pc

1643 Route 82, Lagrangeville, NY 125406040

Phone: 8455929138

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

11 listed
Dr. Douglas Allen , DO

Emergency Medicine

NPI 1033198049

Doctor of Osteopathic Medicine (D.O.)

Dr. Philemon Bailey , DO

Emergency Medicine

NPI 1417090796

Doctor of Osteopathic Medicine (D.O.)

Brett Blemle , PA-C

Physician Assistant

NPI 1952404410

Physician Assistant (Certified)

Dr. Kevin Bristowe , MD

Emergency Medicine

NPI 1962481804

Doctor of Medicine (M.D.)

Thomas Cathcart , PA-C

Physician Assistant

NPI 1588643415

Physician Assistant (Certified)

Dr. Paul Cowan , DO

Emergency Medicine

NPI 1700866779

Doctor of Osteopathic Medicine (D.O.)

Career & Practice History

NPI enumerated January 17, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1437138567
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 17, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Other Physician Assistants in Lewes

All Physician Assistants in Lewes

Mailing Address

Po Box 3012

Wilmington, DE 198040012

Phone: 8004564629

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.