MRS. DEBRA JO PAYNTER FNP-C
NPI 1770083875
Nurse Practitioner - Family in Lancaster, OH

Active since February 15, 2018PECOS 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: February 15, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Debra Jo Paynter Fnp-c NPPES

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

MRS. DEBRA JO PAYNTER FNP-C (NPI 1770083875) is an individual family provider in Lancaster, Ohio, licensed in Ohio (F02180230) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS, is affiliated with Fairfield Medical Center, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1770083875
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMRS. DEBRA JO PAYNTERCredential: FNP-C
Location Address401 N EWING STLancaster, OH 43130-3372
Mailing Address2425 Township Road 138 NwSomerset, OH 43783-9523 · (740) 605-4048
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 15, 2018
NPI 1770083875 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 · F02180230
401 N EWING ST, Lancaster, OH 43130

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

Mrs. Debra Jo Paynter 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 ID648533844
PECOS Enrollment IDI20180423002089
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 7

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.
339 services123 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
162 services64 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.
100 services59 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
28 services16 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
24 services24 patients
Application of chemical to stop tissue regrowth in wound 17250
This procedure involves applying a special chemical to a wound to prevent unwanted tissue from growing back. It aids in proper healing by ensuring only healthy tissue regrows. It's a common, safe practice in wound care.
19 services12 patients

Hospital Affiliations CMS Care Compare 2

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

Hocking Valley Community Hospital

Critical Access Hospitals · Logan, OH
OwnershipVoluntary non-profit - Other
CMS Certification Number361330
Location601 State Route 664NLogan, OH 43138 · Hocking County
Emergency services

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

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tape, non-waterproof, per 18 square inches A4450
DME-Medical/Surgical Supplies · category DA000N
6 suppliers18 claims1,400 services$0.09 avg. paid by Medicare
Tape, waterproof, per 18 square inches A4452
DME-Medical/Surgical Supplies · category DA000N
7 suppliers22 claims1,560 services$0.37 avg. paid by Medicare
Alginate or other fiber gelling dressing, wound cover, sterile, pad size 16 sq. in. or less, each dressing A6196
DME-Medical/Surgical Supplies · category DA023N
5 suppliers19 claims463 services$6.95 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
5 suppliers33 claims470 services$8.94 avg. paid by Medicare
Gauze, non-impregnated, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6219
DME-Medical/Surgical Supplies · category DA023N
5 suppliers18 claims512 services$0.92 avg. paid by Medicare
Gauze, impregnated with other than water, normal saline, or hydrogel, sterile, pad size 16 sq. in. or less, without adhesive border, each dressing A6222
DME-Medical/Surgical Supplies · category DA023N
3 suppliers12 claims241 services$2.05 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 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 Paynter's NPI number?

The NPI number for Debra Paynter is 1770083875. It was assigned to this individual provider in the NPPES registry on February 15, 2018.

Where is Debra Paynter located?

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

What is Debra Paynter's specialty?

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

Is Debra Paynter enrolled in Medicare?

Yes. Debra Paynter 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 Paynter accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and MedMutual and 1 other insurer list Debra Paynter 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 Paynter affiliated with any hospitals?

According to CMS data, Debra Paynter is affiliated with Fairfield Medical Center and Hocking Valley Community Hospital.

When was this NPI record last updated?

The NPPES record for Debra Paynter was last updated on February 15, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.