DONNA COHEN MD
NPI 1376589952
Family Medicine in Lancaster, PA

Active since June 21, 2006PECOS EnrolledAccepts Medicare Assignment
540 N DUKE ST, 3RD FLOOR, LANCASTER, PA 17602(717) 544-4950 Get Directions Write a Review

NPPES record last updated: April 12, 2011. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Donna Cohen Md NPPES

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

DONNA COHEN MD (NPI 1376589952) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD417571) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1999).

NPPES Registry Identity

NPI1376589952
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDONNA COHENCredential: MD
Location Address540 N DUKE ST, 3RD FLOORLancaster, PA 17602-2374
Mailing Address555 N Duke StLancaster, PA 17602-2250 · (717) 544-5511
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1999
Enumeration DateJune 21, 2006
Last NPPES UpdateApril 12, 2011
NPI 1376589952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD417571
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.
540 N DUKE ST, Lancaster, PA 17602

Other Identifiers 11

OtherP00256040PA · Railroad Medicare
Other50082732PA · Capital Blue Cross
Other20047432PA · Amerihealth Mercy
Other104928PA · Geisinger
Other2458123000PA · Independenceblue Cross
Medicare ID-Type Unspecified094877PA
Medicaid101352889 0004PA
Other000000170657PA · Unison
OtherP006776PA · Gateway
Other001777519PA · Highmark Blue Shield
Other7799342PA · Aetna

Accepted 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

Donna Cohen 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 ID143210617
PECOS Enrollment IDI20051013000277
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
42 services14 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.
32 services21 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.
15 services15 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services11 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17602 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.

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.

Family Medicine
540 N DUKE ST
LANCASTER, PA 17602
Nurse Practitioner
540 N DUKE ST, 3RD FLOOR
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, SUITE 244
LANCASTER, PA 17602
Nurse Practitioner (Family)
540 N DUKE ST
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, SUITE 244
LANCASTER, PA 17602
Massage Therapist
540 N DUKE ST
LANCASTER, PA 17602
Physician Assistant (Medical)
540 N DUKE ST
LANCASTER, PA 17602
Internal Medicine (Pulmonary Disease)
540 N DUKE ST, STE 244
LANCASTER, PA 17602

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 Donna Cohen's NPI number?

The NPI number for Donna Cohen is 1376589952. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is Donna Cohen located?

Donna Cohen practices at 540 N Duke St 3rd Floor, Lancaster, PA 17602. The listed phone number is (717) 544-4950.

What is Donna Cohen's specialty?

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

Is Donna Cohen enrolled in Medicare?

Yes. Donna Cohen 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 Donna Cohen accept?

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

According to CMS data, Donna Cohen is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Donna Cohen was last updated on April 12, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.