1. Home
  2. Directory
  3. Pennsylvania
  4. Wyomissing
  5. Obstetrics Gynecology
  6. NPI Profile

DR. DEBORAH P CONSOLI M.D.
NPI 1316980857
Obstetrics & Gynecology in Wyomissing, PA

Active since June 13, 2006PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
1040 REED AVE, WYOMISSING, PA 19610(610) 898-7040(610) 376-8239 Get Directions Write a Review

NPPES record last updated: November 28, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Deborah P Consoli M.d. NPPES

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

DR. DEBORAH P CONSOLI M.D. (NPI 1316980857) is an individual obstetrics & gynecology provider in Wyomissing, Pennsylvania, licensed in Pennsylvania (MD038816L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and is a graduate of George Washington University School Of Medicine (1979).

NPPES Registry Identity

NPI1316980857
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DEBORAH P CONSOLICredential: M.D.
Location Address1040 REED AVEWyomissing, PA 19610-2029
Mailing AddressPo Box 13579Reading, PA 19612-3579
Phone(610) 898-7040
Fax(610) 376-8239
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 1979
Enumeration DateJune 13, 2006
Last NPPES UpdateNovember 28, 2018
✔ NPI 1316980857 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD038816L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
1040 REED AVE, Wyomissing, PA 19610
Open in Google Maps ↗

Other Identifiers 1

Medicaid000934518PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Deborah P Consoli M.d. 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 ID9931293347
PECOS Enrollment IDI20070917000113
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 5

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
181 services181 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
126 services126 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.
105 services102 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.
92 services80 patients
Ultrasound scan of uterus, ovaries, tubes, cervix and pelvic area through vagina 76830
An ultrasound scan of the lower abdominal region is a safe, non-invasive procedure that uses sound waves to create images of internal structures. This helps in checking the health of reproductive organs and detecting any abnormalities. The scan is done via a small probe inserted into the body.
29 services25 patients

Hospital Affiliations CMS Care Compare 5

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Reading Hospital

Acute Care Hospitals · West Reading, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390044
Location420 S 5th AvenueWest Reading, PA 19611 · Berks County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Pottstown Hospital

Acute Care Hospitals · Pottstown, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390123
Location1600 East High StreetPottstown, PA 19464 · Montgomery County
Emergency services

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19610 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

81.19/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.56
Promoting Interoperability97
Improvement Activities40
Cost65.23

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
19%125 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 16

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

MRS. LINDSEY JANE BUYNOVSKY CRNP
Nurse Practitioner (Women's Health)
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7000
HOLLY E METZGAR D.O.
Obstetrics & Gynecology
1040 REED AVE, SUITE 4
WYOMISSING, PA 19610
Berks County (610) 898-7560
SARAH ELIZABETH PAYNE DO
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7000
JONATHAN D RODGER MD
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7040
JAIME E HEISEY PA
Physician Assistant
1040 REED AVE, SUITE 4
WYOMISSING, PA 19610
Berks County (610) 898-7560
TORY R PETERSON
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7040
DR. LYNN B CARLSON
Obstetrics & Gynecology (Gynecology)
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7040
DR. WILLIAM J WEST JR. M.D.
Obstetrics & Gynecology
1040 REED AVE
WYOMISSING, PA 19610
Berks County (610) 898-7040

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 Consoli's NPI number?

The NPI number for Deborah Consoli is 1316980857. It was assigned to this individual provider in the NPPES registry on June 13, 2006.

Where is Deborah Consoli located?

Deborah Consoli practices at 1040 Reed Ave, Wyomissing, PA 19610. The listed phone number is (610) 898-7040.

What is Deborah Consoli's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Deborah Consoli enrolled in Medicare?

Yes. Deborah Consoli 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 Consoli accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Deborah Consoli 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 Consoli affiliated with any hospitals?

According to CMS data, Deborah Consoli is affiliated with Schuylkill Medical Center - South Jackson Street, Reading Hospital, Penn State Health St. Joseph, Pottstown Hospital and Lehigh Valley Hospital.

When was this NPI record last updated?

The NPPES record for Deborah Consoli was last updated on November 28, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.