MR. DEBRA M HALUPA NP
NPI 1104810647
Nurse Practitioner - Family in Pine Grove, PA

Active since September 09, 2005PECOS Enrolled
79.95/100
CMS Quality Rating
121 N TULPEHOCKEN ST, PINE GROVE, PA 17963(570) 345-2345(570) 345-2350 Get Directions Write a Review

NPPES record last updated: February 26, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Mr. Debra M Halupa Np NPPES

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

MR. DEBRA M HALUPA NP (NPI 1104810647) is an individual family provider in Pine Grove, Pennsylvania, licensed in Pennsylvania (VP006085B) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104810647
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMR. DEBRA M HALUPACredential: NP
Location Address121 N TULPEHOCKEN STPine Grove, PA 17963-1217
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500
Fax(570) 345-2350
Sole ProprietorNo
Enumeration DateSeptember 9, 2005
Last NPPES UpdateFebruary 26, 2017
NPI 1104810647 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · VP006085B
Also ListedNurse PractitionerTaxonomy 363L00000X · License VP006085-B (PA)
121 N TULPEHOCKEN ST, Pine Grove, PA 17963

Other Identifiers 2

Medicare UPINS95227PA
Medicare PIN033011PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mr. Debra M Halupa Np is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims 6

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
99 services50 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.
59 services50 patients
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.
52 services44 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.
32 services32 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
18 services18 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17963 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.

79.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.91
Promoting Interoperability87
Improvement Activities40
Cost61.81

Other Providers at the Same Location NPPES 4

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

Family Medicine
121 N TULPEHOCKEN ST
PINE GROVE, PA 17963
Internal Medicine
121 N TULPEHOCKEN ST
PINE GROVE, PA 17963
Family Medicine
121 N TULPEHOCKEN ST
PINE GROVE, PA 17963
Family Medicine
121 N TULPEHOCKEN ST
PINE GROVE, PA 17963

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 Debra Halupa's NPI number?

The NPI number for Debra Halupa is 1104810647. It was assigned to this individual provider in the NPPES registry on September 9, 2005.

Where is Debra Halupa located?

Debra Halupa practices at 121 N Tulpehocken St, Pine Grove, PA 17963. The listed phone number is (570) 345-2345.

What is Debra Halupa's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Debra Halupa enrolled in Medicare?

Yes. Debra Halupa is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Debra Halupa was last updated on February 26, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.