DEBRA RAE PRICE FNP-C
NPI 1427677640
Nurse Practitioner - Family in Lancaster, OH

Active since April 09, 2020PECOS EnrolledAccepts Medicare Assignment
71.23/100
CMS Quality Rating
401 N EWING ST, LANCASTER, OH 43130(740) 687-8000 Get Directions Write a Review

NPPES record last updated: April 9, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Debra Rae Price Fnp-c NPPES

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

DEBRA RAE PRICE FNP-C (NPI 1427677640) is an individual family provider in Lancaster, Ohio, licensed in Ohio (CNP.026638) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1427677640
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameDEBRA RAE PRICECredential: FNP-C
Location Address401 N EWING STLancaster, OH 43130-3371
Mailing Address401 N Ewing StLancaster, OH 43130-3371 · (740) 687-8000
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 9, 2020
NPPES CertifiedApril 9, 2020
✔ NPI 1427677640 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 OH · CNP.026638
401 N EWING ST, Lancaster, OH 43130

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Debra Rae Price Fnp-c 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 ID9133542533
PECOS Enrollment IDI20200701002560
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.

Medicare Billing Reassignment

Medicare enrollment records show Debra Price reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
401 N EWING ST
Lancaster, OH 43130
  • Reassigned Medicare billing, Ohio enrollment
  • 158 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
22 services21 patients

Hospital Affiliations CMS Care Compare

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

Fairfield Medical Center

Acute Care Hospitals · Lancaster, OH
1/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360072
Location401 North Ewing StreetLancaster, OH 43130 · Fairfield County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43130 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

71.23/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality52.72
Promoting Interoperability87
Improvement Activities40
Cost58.69

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.

Internal Medicine
401 N EWING ST, ATTN: COMMUNITY HOSPITALISTS
LANCASTER, OH 43130
Internal Medicine
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Dietitian, Registered
401 N EWING ST
LANCASTER, OH 43130
Anesthesiology
401 N EWING ST
LANCASTER, OH 43130
Anesthesiology
401 N EWING ST
LANCASTER, OH 43130
Student in an Organized Health Care Education/Training Program
401 N EWING ST
LANCASTER, OH 43130

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 Price's NPI number?

The NPI number for Debra Price is 1427677640. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Debra Price located?

Debra Price practices at 401 N Ewing St, Lancaster, OH 43130. The listed phone number is (740) 687-8000.

What is Debra Price's specialty?

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

Is Debra Price enrolled in Medicare?

Yes. Debra Price 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.

Which organization bills Medicare for Debra Price's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Debra Price reassigns Medicare benefits to Fairfield Healthcare Professionals Inc (Lancaster, OH). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Debra Price's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Debra Price accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Antidote Health Plan of Ohio, Inc. and CareSource and 3 other insurers list Debra Price 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 Debra Price affiliated with any hospitals?

According to CMS data, Debra Price is affiliated with Fairfield Medical Center.

When was this NPI record last updated?

The NPPES record for Debra Price was last updated on April 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.