DEBRA GROVE-MAHONEY M.D.
NPI 1982677720
Specialist/Technologist, Pathology in Lancaster, PA
NPI Status: Active since February 10, 2006
Contact Information
555 N DUKE ST
LANCASTER, PA
ZIP 17602
Phone: (717) 544-5511
- Individual
- Female
- Years of Experience 41
- Specialist/Technologist, Pathology
- Accepts Medicare Approved Payment
- PECOS Enrolled
About DEBRA GROVE-MAHONEY
This page provides the complete NPI Profile along with additional information for Debra Grove-mahoney, a provider established in Lancaster, Pennsylvania with a medical specialization in Specialist/technologist, Pathology and more than 41 years of experience. She graduated from Northeastern Ohio University College Of Medicine in 1985. The healthcare provider is registered in the NPI registry with number 1982677720 assigned on February 2006. The practitioner's primary taxonomy code is 246Q00000X with license number MD041383L (PA). The provider is registered as an individual and her NPI record was last updated 15 years ago.
- NPI
- 1982677720
- Provider Name
- DEBRA GROVE-MAHONEY M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 555 N DUKE ST LANCASTER, PA 17602
- Location Phone
- (717) 544-5511
- Mailing Address
- 555 N DUKE ST LANCASTER, PA 17602
- Mailing Phone
- (717) 544-5511
- Medical School Name
- NORTHEASTERN OHIO UNIVERSITY COLLEGE OF MEDICINE
- Graduation Year
- 1985
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-10-2006
- Last Update Date
- 03-30-2011
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Specialist/Technologist, Pathology
- Taxonomy Code
- 246Q00000X
- Type
- Technologists, Technicians & Other Technical Service Providers
- License No.
- MD041383L
- License State
- PA
- Taxonomy Description
- (1) An individual educated and trained in clinical chemistry, microbiology or other biological sciences; and in gathering data on the blood, tissues, and fluids in the human body. Tests and procedures performed or supervised center on major areas of hematology, microbiology, immunohematology, immunology, clinical chemistry and urinalysis. Education and certification requires the equivalent of an associate degree and alternative combinations of accredited training and experience. (2) A specially trained individual who works under the direction of a pathologist, other physician, or scientist, and performs specialized chemical, microscopic, and bacteriological tests of human blood, tissue, and fluids. Also known as medical technologists, they perform and supervise tests and procedures in clinical chemistry, immunology, serology, bacteriology, hematology, parasitology, mycology, urinalysis, and blood banking. The work requires the correlation of test results with other data, interpretation of test findings, and exercise of independent judgment. The minimum educational requirement (for one of several certification programs in medical technology) is a baccalaureate degree with appropriate science course requirements, plus a twelve-month, structured, AMA approved medical technology program and an examination; or a baccalaureate degree with appropriate science course requirements and experience.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 000000126583 | OTHER (01) | PA | UNISON |
| E98606 | MEDICARE UPIN (02) | PA | |
| 20011072 | OTHER (01) | PA | MERCY |
| 0737893000 | OTHER (01) | PA | INDEPENDENCE BLUE CROSS |
| 539004 | MEDICARE ID-TYPE UNSPECIFIED (04) | PA | |
| 000539004 | OTHER (01) | PA | HIGHMARK |
| 220021412 | OTHER (01) | PA | RR MEDICARE |
| 76907 | OTHER (01) | PA | GEISINGER |
| 50056056 | OTHER (01) | PA | CAPITAL BLUE CROSS/KEYSTONE HEALTH PLAN CENTRAL |
| 001489872 | MEDICAID (05) | PA | |
| 847766 | OTHER (01) | PA | AETNA-HMO |
| 1537630 | OTHER (01) | PA | GATEWAY |
| 5685185 | OTHER (01) | PA | AETNA-NON HMO |
| 30003495 | OTHER (01) | PA | KEYSTONE MERCY |
Medicare Participation & PECOS Enrollment Status
Debra Grove-mahoney is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Debra Grove-mahoney is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8527101914
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20100208000336
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Cell examination of specimen, selective cellular enhancement technique
Evaluation of fine needle aspirate with interpretation and report
Microscopic genetic analysis of tumor, manual
Pathology examination of specimen during surgery, first tissue block
Pathology examination of tissue using a microscope
Pathology examination of tissue using a microscope, high complexity
Pathology examination of tissue using a microscope, intermediate complexity
Pathology examination of tissue using a microscope, limited examination
Pathology examination of tissue using a microscope, moderately high complexity
Pathology examination of tissue using a microscope, moderately low complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Special stained specimen slides to examine tissue, each additional procedure
Special stained specimen slides to examine tissue, each multiplex procedure
Special stained specimen slides to examine tissue, initial procedure
Special stained specimen slides to identify organisms including interpretation and report
Cell examination of a specimen using selective cellular enhancement technique is a lab process that improves the visibility of certain cells in a sample. It helps in identifying abnormalities or diseases. The process is non-invasive, safe, and aids in accurate diagnosis.
This service was performed 84 times for 69 patientsThis procedure involves using a thin needle to collect a small sample from an abnormal area or lump. The sample is then examined under a microscope to identify any potential issues. A report of the findings is provided for further analysis.
This service was performed 35 times for 29 patientsMicroscopic genetic analysis of a tumor involves examining your tumor's genes under a microscope. This helps identify specific genetic changes in the tumor cells. This information can aid in diagnosing, predicting disease progression, and determining the most effective treatment options.
This service was performed 67 times for 22 patientsA pathology examination during surgery involves the immediate analysis of a removed tissue sample. This helps the surgeon make decisions during your operation. The "first tissue block" refers to the initial sample examined. It's a vital step to ensure your health.
This service was performed 12 times for 11 patientsA pathology examination of tissue involves studying a small sample of your body's cells under a microscope. This helps identify any abnormalities or diseases, such as cancer. The process is crucial for accurate diagnosis and treatment planning.
This service was performed 17 times for 16 patientsA high complexity pathology examination involves studying body tissue under a microscope to identify any abnormalities. This intricate process helps in diagnosing various conditions and deciding on the best treatment plan.
This service was performed 15 times for 15 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 734 times for 447 patientsA pathology examination of tissue using a microscope is a procedure where a small sample of your tissue is observed under a microscope. This limited examination helps identify any abnormal cells or signs of disease, aiding in accurate diagnosis and treatment planning.
This service was performed 33 times for 31 patientsA pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
This service was performed 146 times for 99 patientsA pathology examination of tissue, moderately low complexity, involves studying a small sample of your body tissue under a microscope. It helps to identify any abnormal cells or diseases. It's a routine procedure, not complex, and provides crucial insights for your diagnosis.
This service was performed 124 times for 120 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 150 times for 149 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 42 times for 21 patientsSpecial stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
This service was performed 414 times for 77 patientsSpecial stained specimen slides are used to study tissue in detail. This multiplex procedure involves applying different dyes to the tissue sample on a slide to highlight specific elements. These colors help identify any abnormalities in the tissue, aiding in accurate diagnosis and treatment planning.
This service was performed 35 times for 23 patientsThis procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
This service was performed 163 times for 128 patientsThis service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
This service was performed 54 times for 27 patientsFind Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Debra Grove-mahoney is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| LANCASTER GENERAL HOSPITAL | 555 NORTH DUKE STREET LANCASTER, PA 17602 | (717) 544-5511 | Acute Care Hospitals |
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1982677720, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
LANCASTER, PA 17602
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1982677720, enumerated as an "individual" on February 10, 2006.
The provider is located at 555 N DUKE ST LANCASTER, PA 17602 and the phone number is (717) 544-5511.
Specialist/Technologist, Pathology with taxonomy code 246Q00000X.
The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield,. Please consult your insurance carrier or call the provider to verify.
Debra Grove-mahoney is affiliated with: LANCASTER GENERAL HOSPITAL.
