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LORREN MICHAEL DONMOYER M.D.
NPI 1811093172
Family Medicine in Georgetown, DE

Active since September 15, 2006PECOS EnrolledAccepts Medicare Assignment
21635 BIDEN AVE, GEORGETOWN, DE 19947(302) 856-9596 Get Directions Write a Review

NPPES record last updated: July 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lorren Michael Donmoyer M.d. NPPES

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

LORREN MICHAEL DONMOYER M.D. (NPI 1811093172) is an individual family medicine provider in Georgetown, Delaware, licensed in Delaware (C1-0013752) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Tidalhealth Peninsula Regional, Inc, and maintains a secondary practice location in Ocean City.

NPPES Registry Identity

NPI1811093172
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameLORREN MICHAEL DONMOYERCredential: M.D.
Location Address21635 BIDEN AVEGeorgetown, DE 19947-4574
Mailing Address1515 Savannah RdLewes, DE 19958-1675 · (302) 313-2298 · Fax (302) 645-3691
Phone(302) 856-9596
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 2003
Enumeration DateSeptember 15, 2006
Last NPPES UpdateJuly 9, 2020
NPPES CertifiedJuly 9, 2020
✔ NPI 1811093172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in DE · C1-0013752✔ Licensed in MD · D0064646
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.
21635 BIDEN AVE, Georgetown, DE 19947
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Secondary Practice Location 1

Location 11001 Philadelphia AveOcean City, MD 21842-3735 · Phone (410) 289-6241 · Fax (410) 289-5533

Other Identifiers 2

Medicaid200105010DE
Other1184832040MD · Group Npi

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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

Lorren Michael Donmoyer M.d. 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 ID1355343542
PECOS Enrollment IDI20200714003557
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 10

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.
845 services370 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.
285 services285 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.
63 services56 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus 87426
An immunoassay test for severe acute respiratory syndrome coronavirus is a diagnostic tool. It uses your body's immune response to detect the presence of the virus. It involves taking a sample, usually from your nose or throat, which is then analyzed in a lab for signs of the virus.
24 services24 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
19 services17 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 2

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

Tidalhealth Peninsula Regional, Inc

Acute Care Hospitals · Salisbury, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210019
Location100 East Carroll AvenueSalisbury, MD 21801 · Wicomico County
Emergency services Birthing friendly

Atlantic General Hospital

Acute Care Hospitals · Berlin, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210061
Location9733 Healthway DriveBerlin, MD 21811 · Worcester County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19947 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
$88.37 typical visit price
range $57.12 – $173.08
Typical copayment $22.09 (range $14.28 – $43.27)
Most-billed visit code 99203
Established Patient
$100.68 typical visit price
range $18.36 – $141.05
Typical copayment $25.17 (range $4.59 – $35.26)
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

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
10 suppliers25 claims86 services$6.12 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 4

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

DR. CHRISTOPHER MICHAEL MANIERI D.O.
Surgery
21635 BIDEN AVE
GEORGETOWN, DE 19947
Sussex County (302) 260-7360
BEEBE HEALTHYBACK LLC
Clinic/Center (Physical Therapy)
21635 BIDEN AVE, SUITE 207
GEORGETOWN, DE 19947
Sussex County (302) 645-3213
LISA BARTELS MD
Family Medicine
21635 BIDEN AVE
GEORGETOWN, DE 19947
Sussex County (302) 856-9596
DR. VICTORINO LOPEZ DE JESUS M.D.
Internal Medicine
21635 BIDEN AVE
GEORGETOWN, DE 19947
Sussex County (302) 856-9596

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 Lorren Donmoyer's NPI number?

The NPI number for Lorren Donmoyer is 1811093172. It was assigned to this individual provider in the NPPES registry on September 15, 2006.

Where is Lorren Donmoyer located?

Lorren Donmoyer practices at 21635 Biden Ave, Georgetown, DE 19947. The listed phone number is (302) 856-9596.

What is Lorren Donmoyer's specialty?

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

Is Lorren Donmoyer enrolled in Medicare?

Yes. Lorren Donmoyer 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 Lorren Donmoyer accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers list Lorren Donmoyer 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 Lorren Donmoyer affiliated with any hospitals?

According to CMS data, Lorren Donmoyer is affiliated with Tidalhealth Peninsula Regional, Inc and Atlantic General Hospital.

When was this NPI record last updated?

The NPPES record for Lorren Donmoyer was last updated on July 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.