DR. DEBRA ACERENZA D.O.
NPI 1932181781
Obstetrics & Gynecology in Frederick, MD

Active since November 17, 2005PECOS EnrolledAccepts Medicare Assignment
52.15/100
CMS Quality Rating
97 THOMAS JOHNSON DR, SUITE 101, FREDERICK, MD 21702(301) 663-4545(301) 663-1709 Get Directions Write a Review

NPPES record last updated: June 20, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jun 20, 2023, Oct 1, 2018 (2 updates tracked since 2018).

About Dr. Debra Acerenza D.o. NPPES

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

DR. DEBRA ACERENZA D.O. (NPI 1932181781) is an individual obstetrics & gynecology provider in Frederick, Maryland, licensed in Maryland (H58788) and active in the NPI registry since November 2005. She is enrolled in Medicare PECOS and is a graduate of Nova Southeastern College Of Osteo Medicine (1998).

NPPES Registry Identity

NPI1932181781
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. DEBRA ACERENZACredential: D.O.
Location Address97 THOMAS JOHNSON DR, SUITE 101Frederick, MD 21702-4373
Mailing Address8110 Maple Lawn Blvd Ste 235Fulton, MD 20759-2694 · (301) 340-8339 · Fax (301) 340-9027
Fax(301) 663-1709
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1998
Enumeration DateNovember 17, 2005
Last NPPES UpdateJune 20, 20232 updates tracked since enumeration
NPPES CertifiedJune 20, 2023
NPI 1932181781 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License Licensed in MD · H58788
Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

97 THOMAS JOHNSON DR, Frederick, MD 21702

Other Identifiers 1

Medicaid181701900MD

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. Debra Acerenza D.o. 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 ID244305811
PECOS Enrollment IDI20080815000333
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.

Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
160 services83 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.
100 services59 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
67 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.
15 services12 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.
13 services13 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
12 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21702 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

52.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality14.28
Promoting Interoperability67
Improvement Activities40
Cost53.74

Other Providers at the Same Location NPPES 12

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

Obstetrics & Gynecology
97 THOMAS JOHNSON DR, SUITE 101
FREDERICK, MD 21702
Psychologist
97 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Psychologist
97 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Psychologist
97 THOMAS JOHNSON DR, STE 202
FREDERICK, MD 21702
Clinic/Center (Mental Health (Including Community Mental Health Center))
97 THOMAS JOHNSON DR, SUITE 202
FREDERICK, MD 21702
Psychiatry & Neurology (Forensic Psychiatry)
97 THOMAS JOHNSON DR, SUITE 102
FREDERICK, MD 21702
Urology
97 THOMAS JOHNSON DR, SUITE 102
FREDERICK, MD 21702
Obstetrics & Gynecology
97 THOMAS JOHNSON DR, SUITE 101
FREDERICK, MD 21702

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 Acerenza's NPI number?

The NPI number for Debra Acerenza is 1932181781. It was assigned to this individual provider in the NPPES registry on November 17, 2005.

Where is Debra Acerenza located?

Debra Acerenza practices at 97 Thomas Johnson Dr Suite 101, Frederick, MD 21702. The listed phone number is (301) 663-4545.

What is Debra Acerenza's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Debra Acerenza enrolled in Medicare?

Yes. Debra Acerenza 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 Acerenza accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 3 other insurers list Debra Acerenza 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.

When was this NPI record last updated?

The NPPES record for Debra Acerenza was last updated on June 20, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.