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FOTINI DEBONERA MD
NPI 1023547163
Family Medicine in Lancaster, PA

Active since June 10, 2017PECOS EnrolledAccepts Medicare Assignment
99.3/100
CMS Quality Rating
2112 HARRISBURG PIKE, SUITE 312, LANCASTER, PA 17601(717) 544-3022(717) 544-3021 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 16, 2023, Oct 11, 2021, Aug 2, 2021 and 1 more (4 updates tracked since 2017).

About Fotini Debonera Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FOTINI DEBONERA MD (NPI 1023547163) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in New Jersey (25MA11732700) and active in the NPI registry since June 2017. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1023547163
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameFOTINI DEBONERACredential: MD
Location Address2112 HARRISBURG PIKE, SUITE 312Lancaster, PA 17601-2644
Mailing Address2112 Harrisburg Pike, Suite 312Lancaster, PA 17601-2644 · (717) 544-3022 · Fax (717) 544-3021
Phone(717) 544-3022
Fax(717) 544-3021
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJune 10, 2017
Last NPPES UpdateJuly 1, 20264 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1023547163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in NJ · 25MA11732700✔ Licensed in PA · MD472740
Definition
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.
2112 HARRISBURG PIKE, Lancaster, PA 17601
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Secondary Practice Locations 3

Location 12339 Route 70 WCherry Hill, NJ 08002-3315 · Phone (856) 532-9519
Location 2230 N Broad StPhiladelphia, PA 19102-1121 · Phone (215) 882-1573
Location 31535 Highlands Dr Ste 100Lititz, PA 17543-7681 · Phone (717) 627-4088

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Fotini Debonera Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103220454
PECOS Enrollment IDI20210809001315
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Fotini Debonera reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Hospital
Same address
Geriatric Medicine
2112 HARRISBURG PIKE, SUITE 312
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 215 clinicians in this Medicare group
NPI 1285654467 (717) 544-3022
Lancaster General Medical Group
Same address
Endocrinology, Diabetes & Metabolism
2112 HARRISBURG PIKE, SUITE 200
Lancaster, PA 17601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1366438590 (717) 544-3059
Pinnacle Health Medical Services
1.2 mi
Family Medicine
2145 NOLL DR
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1134649304 (717) 397-4921
Cooper Family Medicine, PC
72 mi
Family Medicine
1050 KINGS HWY N, SUITE 105
Cherry Hill, NJ 08034
  • Reassigned Medicare billing, New Jersey enrollment
  • 157 clinicians in this Medicare group
NPI 1649217175 (856) 321-0303

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This 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.
123 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
96 services78 patients
Residence visit for established patient with high level of medical decision making, per day, if using time, at least 60 minutes 99350
An established patient home visit is a service where a healthcare professional visits a patient's home for a check-up or treatment. The visit typically lasts for about an hour. This service is especially beneficial for patients who may have difficulty traveling to a healthcare facility.
72 services39 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
54 services28 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
45 services45 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
16 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

99.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.96
Promoting Interoperability99.45
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers15 claims19 services$6.56 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
3 suppliers11 claims11 services$1.03 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier14 claims14 services$184.46 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARK H JOHNSTON MD
Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Lancaster County (717) 544-3500
CHARLES R ROST M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2112 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3059
ALYSSA R SOBIERAY RD
Dietitian, Registered
2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17601
Lancaster County (717) 291-8399
DR. PAUL DAVID ALLEGRETTI D.O.
Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Lancaster County (717) 544-3500
STEVE T CHEN M.D.
Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, STE 202
LANCASTER, PA 17601
Lancaster County (717) 544-3500
ANNA KWAKYE ANTWI CRNP
Nurse Practitioner (Family)
2112 HARRISBURG PIKE, STE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3059
HEATHER M FRIED CRNP
Nurse Practitioner (Family)
2112 HARRISBURG PIKE
LANCASTER, PA 17601
Lancaster County (717) 544-3022
MATTHEW SAUDER M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2112 HARRISBURG PIKE, STE 200
LANCASTER, PA 17601
Lancaster County (717) 544-3059

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fotini Debonera's NPI number?

The NPI number for Fotini Debonera is 1023547163. It was assigned to this individual provider in the NPPES registry on June 10, 2017.

Where is Fotini Debonera located?

Fotini Debonera practices at 2112 Harrisburg Pike Suite 312, Lancaster, PA 17601. The listed phone number is (717) 544-3022.

What is Fotini Debonera's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Fotini Debonera enrolled in Medicare?

Yes. Fotini Debonera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Fotini Debonera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Fotini Debonera reassigns Medicare benefits to 4 organizations: Lancaster General Hospital (Lancaster, PA), Lancaster General Medical Group (Lancaster, PA), Pinnacle Health Medical Services (Lancaster, PA) and Cooper Family Medicine, PC (Cherry Hill, NJ). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Fotini Debonera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Fotini Debonera accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Fotini Debonera as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Fotini Debonera affiliated with any hospitals?

According to CMS data, Fotini Debonera is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Fotini Debonera was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.