DR. CAROL J. DEBAKKER M.D.
NPI 1861547150
Physical Medicine & Rehabilitation in Wynnewood, PA

Active since January 24, 2007PECOS EnrolledAccepts Medicare Assignment
100 E LANCASTER AVE STE B7, WYNNEWOOD, PA 19096(484) 476-3391(866) 848-9001 Get Directions Write a Review

NPPES record last updated: April 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 16, 2021, Jan 14, 2021, Oct 25, 2016 (3 updates tracked since 2016).

About Dr. Carol J. Debakker M.d. NPPES

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

DR. CAROL J. DEBAKKER M.D. (NPI 1861547150) is an individual physical medicine & rehabilitation provider in Wynnewood, Pennsylvania, licensed in Pennsylvania (MD038548E) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Bryn Mawr Hospital, and is a graduate of Hahnemann University College Of Medicine (1985).

NPPES Registry Identity

NPI1861547150
Entity TypeIndividualFemale
Primary Taxonomy208100000X
Provider Legal NameDR. CAROL J. DEBAKKERCredential: M.D.
Location Address100 E LANCASTER AVE STE B7Wynnewood, PA 19096-3450
Mailing AddressPo Box 457Wynnewood, PA 19096-0457 · (484) 476-3391 · Fax (866) 848-9001
Fax(866) 848-9001
Sole ProprietorNo
Medical School CMSHahnemann University College Of MedicineGraduated 1985
Enumeration DateJanuary 24, 2007
Last NPPES UpdateApril 16, 20213 updates tracked since enumeration
NPPES CertifiedMarch 30, 2021
NPI 1861547150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in PA · MD038548E
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
100 E LANCASTER AVE STE B7, Wynnewood, PA 19096

Other Identifiers 8

Other5309920004PA · Cigna
Other0517076000PA · Keystone Health Plan East
Other682747PA · Blue Shield
Other2512771PA · Aetna
Other948288PA · United Healthcare
Medicaid0012504290002PA
Other250012418PA · Rr Medicare
Other1000695PA · Keystone Mercy Health

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

Dr. Carol J. Debakker 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 ID2062698525
PECOS Enrollment IDI20110616000177
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 11

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
279 services167 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
268 services262 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
162 services135 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
81 services81 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
69 services67 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.
59 services49 patients

Hospital Affiliations CMS Care Compare 4

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

Bryn Mawr Hospital

Acute Care Hospitals · Bryn Mawr, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390139
Location130 South Bryn Mawr AveBryn Mawr, PA 19010 · Montgomery County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Main Line Hospital Lankenau

Acute Care Hospitals · Wynnewood, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390195
Location100 Lancaster AveWynnewood, PA 19096 · Montgomery County
Emergency services Birthing friendly

Riddle Memorial Hospital

Acute Care Hospitals · Media, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390222
Location1068 West Baltimore PikeMedia, PA 19063 · Delaware County
Emergency services Birthing friendly

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.

Physical Medicine & Rehabilitation
100 E LANCASTER AVE STE B7
WYNNEWOOD, PA 19096
Social Worker (Clinical)
100 E LANCASTER AVE STE B7
WYNNEWOOD, PA 19096
Physical Medicine & Rehabilitation
100 E LANCASTER AVE STE B7
WYNNEWOOD, PA 19096
Physical Medicine & Rehabilitation
100 E LANCASTER AVE STE B7
WYNNEWOOD, PA 19096

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 Carol Debakker's NPI number?

The NPI number for Carol Debakker is 1861547150. It was assigned to this individual provider in the NPPES registry on January 24, 2007.

Where is Carol Debakker located?

Carol Debakker practices at 100 E Lancaster Ave Ste B7, Wynnewood, PA 19096. The listed phone number is (484) 476-3391.

What is Carol Debakker's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Carol Debakker enrolled in Medicare?

Yes. Carol Debakker 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 Carol Debakker accept?

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

According to CMS data, Carol Debakker is affiliated with Bryn Mawr Hospital, Paoli Hospital, Main Line Hospital Lankenau and Riddle Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carol Debakker was last updated on April 16, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.