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DEBRA ARBUTHNOT
NPI 1306236146
Nurse Practitioner - Family in Wexford, PA

Active since February 02, 2015PECOS EnrolledAccepts Medicare Assignment
82.63/100
CMS Quality Rating
7500 BROOKTREE RD STE 214, SUITE 2120, WEXFORD, PA 15090(412) 367-0600 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 25, 2021, May 20, 2020 (2 updates tracked since 2020).

About Debra Arbuthnot NPPES

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

DEBRA ARBUTHNOT (NPI 1306236146) is an individual family provider in Wexford, Pennsylvania, licensed in Pennsylvania (SP014619) and active in the NPI registry since February 2015. She is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1306236146
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA ARBUTHNOT
Location Address7500 BROOKTREE RD STE 214, SUITE 2120Wexford, PA 15090-9254
Mailing Address5820 Centre Ave, Suite 2120Pittsburgh, PA 15206-3710
Phone(412) 367-0600
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 2, 2015
Last NPPES UpdateMarch 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 20, 2020
✔ NPI 1306236146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in PA · SP014619
7500 BROOKTREE RD STE 214, Wexford, PA 15090
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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

Debra Arbuthnot 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 ID4981921731
PECOS Enrollment IDI20150316002569
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 3

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.
38 services35 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.
34 services32 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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.

82.63/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality77.74
Promoting Interoperability100
Improvement Activities40
Cost64.36

Other Providers at the Same Location NPPES

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

XAVIER KRAUSE
Physician Assistant (Surgical)
7500 BROOKTREE RD STE 214, SUITE 2120
WEXFORD, PA 15090
Allegheny County (412) 367-0600

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 Arbuthnot's NPI number?

The NPI number for Debra Arbuthnot is 1306236146. It was assigned to this individual provider in the NPPES registry on February 2, 2015.

Where is Debra Arbuthnot located?

Debra Arbuthnot practices at 7500 Brooktree Rd Ste 214 Suite 2120, Wexford, PA 15090. The listed phone number is (412) 367-0600.

What is Debra Arbuthnot's specialty?

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

Is Debra Arbuthnot enrolled in Medicare?

Yes. Debra Arbuthnot 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.

Is Debra Arbuthnot affiliated with any hospitals?

According to CMS data, Debra Arbuthnot is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Debra Arbuthnot was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.