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SUSAN M WOMELDORF MD
NPI 1336211796
Family Medicine in Hagerstown, MD

Active since November 14, 2006PECOS EnrolledAccepts Medicare Assignment
13424 PA AVE, MERRITUS URGENT CARE, HAGERSTOWN, MD 21742(240) 313-3100(210) 313-3101 Get Directions Write a Review

NPPES record last updated: December 23, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Susan M Womeldorf Md NPPES

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

SUSAN M WOMELDORF MD (NPI 1336211796) is an individual family medicine provider in Hagerstown, Maryland, licensed in West Virginia (21508) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS and is a graduate of Oregon Health Sciences University School Of Medicine (2002).

NPPES Registry Identity

NPI1336211796
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN M WOMELDORFCredential: MD
Location Address13424 PA AVE, MERRITUS URGENT CAREHagerstown, MD 21742-2658
Mailing Address11110 Medical Campus Rd Ste 147Hagerstown, MD 21742-6755 · (240) 313-9100 · Fax (240) 313-9601
Phone(240) 313-3100
Fax(210) 313-3101
Sole ProprietorNo
Medical School CMSOregon Health Sciences University School Of MedicineGraduated 2002
Enumeration DateNovember 14, 2006
Last NPPES UpdateDecember 23, 2013
✔ NPI 1336211796 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in WV · 21508
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.
13424 PA AVE, Hagerstown, MD 21742
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Other Identifiers 7

Medicaid409353401MD
Medicaid451601000MD
OtherP00418711MD · Railroad
Medicaid3810003919WV
Medicare PINR299MD
Medicare ID-Type Unspecified7340231WV
Medicare PIN613LR299MD

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Susan M Womeldorf 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 ID2163436999
PECOS Enrollment IDI20071015000199
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21742 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
$89.75 typical visit price
range $57.99 – $175.57
Typical copayment $22.43 (range $14.49 – $43.89)
Most-billed visit code 99203
Established Patient
$102.11 typical visit price
range $18.66 – $143.02
Typical copayment $25.52 (range $4.66 – $35.75)
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.

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
8 suppliers25 claims63 services$5.97 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
1 supplier11 claims11 services$35.23 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$77.01 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Susan Womeldorf's NPI number?

The NPI number for Susan Womeldorf is 1336211796. It was assigned to this individual provider in the NPPES registry on November 14, 2006.

Where is Susan Womeldorf located?

Susan Womeldorf practices at 13424 PA Ave Merritus Urgent Care, Hagerstown, MD 21742. The listed phone number is (240) 313-3100.

What is Susan Womeldorf's specialty?

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

Is Susan Womeldorf enrolled in Medicare?

Yes. Susan Womeldorf 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 Susan Womeldorf accept?

Health plans from CareSource list Susan Womeldorf 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.

When was this NPI record last updated?

The NPPES record for Susan Womeldorf was last updated on December 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.