1. Home
  2. Directory
  3. Pennsylvania
  4. Schuylkill Haven
  5. Internal Medicine
  6. NPI Profile

DR. DEBRA C AHRENSFIELD MD
NPI 1699763813
Internal Medicine in Schuylkill Haven, PA

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
81.19/100
CMS Quality Rating
6 S GREENVIEW RD, SCHUYLKILL HAVEN, PA 17972(570) 366-3915 Get Directions Write a Review

NPPES record last updated: May 15, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Debra C Ahrensfield Md NPPES

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

DR. DEBRA C AHRENSFIELD MD (NPI 1699763813) is an individual internal medicine provider in Schuylkill Haven, Pennsylvania, licensed in Pennsylvania (MD051529L) and active in the NPI registry since October 2005. She is enrolled in Medicare PECOS, is affiliated with Reading Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1991).

NPPES Registry Identity

NPI1699763813
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DEBRA C AHRENSFIELDCredential: MD
Location Address6 S GREENVIEW RDSchuylkill Haven, PA 17972
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311 · (484) 884-4500 · Fax (484) 884-0699
Phone(570) 366-3915
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1991
Enumeration DateOctober 11, 2005
Last NPPES UpdateMay 15, 2018
✔ NPI 1699763813 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD051529L
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License MD051529L (PA)
6 S GREENVIEW RD, Schuylkill Haven, PA 17972
Open in Google Maps ↗

Other Identifiers 1

Medicaid0015278150013PA

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. Debra C Ahrensfield 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 ID2365340460
PECOS Enrollment IDI20031229000297
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 6

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.
419 services216 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
85 services85 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.
81 services71 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
40 services39 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
19 services15 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17972 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
$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.

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

Referred Medical Equipment & Supplies CMS DME claims 4

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
12 suppliers28 claims80 services$5.83 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers12 claims13 services$0.78 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier11 claims11 services$8.52 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$198.87 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

LEHIGH VALLEY PHYSICIAN GROUP
Family Medicine
6 S GREENVIEW RD
SCHUYLKILL HAVEN, PA 17972
Schuylkill County (570) 366-3915

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 Ahrensfield's NPI number?

The NPI number for Debra Ahrensfield is 1699763813. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Debra Ahrensfield located?

Debra Ahrensfield practices at 6 S Greenview Rd, Schuylkill Haven, PA 17972. The listed phone number is (570) 366-3915.

What is Debra Ahrensfield's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Debra Ahrensfield enrolled in Medicare?

Yes. Debra Ahrensfield 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 Debra Ahrensfield accept?

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

According to CMS data, Debra Ahrensfield is affiliated with Reading Hospital and Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Debra Ahrensfield was last updated on May 15, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.