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DEBORAH SEMMEL CFNP
NPI 1285797068
Pediatrics in Durham, NC

Active since December 19, 2006PECOS EnrolledAccepts Medicare Assignment
2100 ERWIN RD, DURHAM, NC 27710(919) 620-4467 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Deborah Semmel Cfnp NPPES

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

DEBORAH SEMMEL CFNP (NPI 1285797068) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (201656) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Duke University Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1285797068
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDEBORAH SEMMELCredential: CFNP
Location Address2100 ERWIN RDDurham, NC 27710-0001
Mailing Address2100 Erwin Rd, Duke University Medical Center - Dumc 3350Durham, NC 27710-0001
Phone(919) 620-4467
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateDecember 19, 2006
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1285797068 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 201656
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedInternal Medicine · Hematology & OncologyTaxonomy 207RH0003X · License 201656 (NC)
2100 ERWIN RD, Durham, NC 27710
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Deborah Semmel Cfnp 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 ID3971565912
PECOS Enrollment IDI20041101001141
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 4

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.
118 services113 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.
29 services29 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients
Counseling visit to discuss need for lung cancer screening using low dose ct scan (ldct) (service is for eligibility determination and shared decision making) G0296
This visit involves discussing the necessity of a lung cancer screening using a low dose CT scan. It's a chance to determine if you're eligible for the test and to make an informed decision about proceeding. The scan can potentially detect lung cancer early, improving treatment outcomes.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Duke University Hospital

Acute Care Hospitals · Durham, NC
5/5 CMS rating
OwnershipProprietary
CMS Certification Number340030
Location2100 Erwin RdDurham, NC 27705 · Durham County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27710 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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.

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.

NICOLAS DEL RIO AESCHLIMANN M.D.
Anesthesiology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
MR. GILBERT HOLMES CIOCCI
Pediatrics
2100 ERWIN RD, DUKE UNIVERSITY MEDICAL CENTER - DUMC 3350
DURHAM, NC 27710
Durham County (919) 668-1100
VINOD PRASAD
Pediatrics (Pediatric Critical Care Medicine)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
VIRGINIA KRAUS
Internal Medicine (Rheumatology)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DR. SCOTT COUSINS MD
Ophthalmology
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 684-8111
CINDY BLACK CRNA
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
DONALD MOEDE
Nurse Anesthetist, Certified Registered
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467
THOMAS D'AMICO M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
2100 ERWIN RD
DURHAM, NC 27710
Durham County (919) 620-4467

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 Deborah Semmel's NPI number?

The NPI number for Deborah Semmel is 1285797068. It was assigned to this individual provider in the NPPES registry on December 19, 2006.

Where is Deborah Semmel located?

Deborah Semmel practices at 2100 Erwin Rd, Durham, NC 27710. The listed phone number is (919) 620-4467.

What is Deborah Semmel's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Deborah Semmel enrolled in Medicare?

Yes. Deborah Semmel 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.

What insurance does Deborah Semmel accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, Ambetter of Tennessee and Blue Cross and Blue Shield of NC list Deborah Semmel 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 Deborah Semmel affiliated with any hospitals?

According to CMS data, Deborah Semmel is affiliated with Duke University Hospital.

When was this NPI record last updated?

The NPPES record for Deborah Semmel was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.