ELSY LUCIA SANTIZO DELEON M.D.
NPI 1922456094
Family Medicine in Ephrata, PA

Q: What is Elsy Santizo Deleon's NPI number?

The NPI number for Elsy Santizo Deleon is 1922456094. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Q: What is Elsy Santizo Deleon's specialty?

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

Active since May 31, 2016PECOS Enrolled

4131A OREGON PIKE, EPHRATA, PA 17522(717) 895-1123(717) 859-2898 Get Directions Write a Review

NPPES record last updated: June 7, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 7, 2021, Jul 16, 2019 (2 updates tracked since 2019).

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About Elsy Lucia Santizo Deleon M.d. NPPES

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

ELSY LUCIA SANTIZO DELEON M.D. (NPI 1922456094) is an individual family medicine provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD466985) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1922456094

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameELSY LUCIA SANTIZO DELEONCredential: M.D.

Location Address4131A OREGON PIKEEphrata, PA 17522-9550

Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 859-1123

Phone(717) 895-1123

Fax(717) 859-2898

Sole ProprietorNo

Enumeration DateMay 31, 2016

Last NPPES UpdateJune 7, 20212 updates tracked since enumeration

NPPES CertifiedJune 7, 2021

✔ NPI 1922456094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · MD466985

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.

4131A OREGON PIKE, Ephrata, PA 17522

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Elsy Lucia Santizo Deleon M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Elsy Santizo Deleon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Yale University

191 mi

Health Service

55 LOCK ST
New Haven, CT 06511

Reassigned Medicare billing, Connecticut enrollment
149 clinicians in this Medicare group

NPI 1093862740 (203) 432-0076

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 3

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.

85 services67 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.

29 services28 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.

20 services20 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

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.

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

2 suppliers13 claims26 services$4.55 avg. paid by Medicare

Powered pressure reducing mattress overlay/pad, alternating, with pump, includes heavy duty E0181

DME-Other DME · category DE000N

1 supplier12 claims12 services$10.79 avg. paid by Medicare

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier23 claims23 services$47.86 avg. paid by Medicare

Standard hemi (low seat) wheelchair K0002

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$29.00 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 8

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

CARY L CAMPANELLA MD

Family Medicine