Individual provider Active NPI

Lorren Michael Donmoyer, M.D.

  • Family Medicine Physician
  • Georgetown, DE
National Provider Identifier
1811093172
Registry record updated Jul 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
C1-0013752 Issued in DE
Practice address
21635 Biden Ave
Georgetown, DE 19947-4574
Phone
(302) 856-9596
NPI assigned
Sep 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D0064646 MD
Family Medicine Physician 207Q00000X C1-0013752 DE Primary

Addresses

Primary practice location

21635 Biden Ave
Georgetown, DE 19947-4574

Mailing address

1515 Savannah Rd
Lewes, DE 19958-1675
Phone (302) 313-2298

Other practice location 1

1001 Philadelphia Ave
Ocean City, MD 21842-3735
Phone (410) 289-6241

Other identifiers 2

IdentifierTypeStateIssuer
200105010MedicaidDE
1184832040OtherMDGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200714003557 DE Practitioner - Family Practice 1355343542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Pennsylvania State University College of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

21635 Biden Ave
Unit 101
Georgetown, DE 19947-4575
Phone (302) 645-3555

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80 of 100Reported as group
Quality
62.88
Promoting interoperability
94
Improvement activities
40
Cost
75.47

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
C1-0013752DEMDFamily Medicine Physician
D0064646MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Beebe Physician Network Inc. CurrentSince Jul 9, 2020 Accepting new patients
Bloomsburg Physicians Services Family Medicine Past Accepting new patients
Beebe Medical Center, Inc. PastSince Jul 12, 2020 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Atlantic Immedicare LLC Family Medicine Past Accepting new patients

Locations

21635 Biden Ave
Unit 101
Georgetown, DE 19947
Phone (302) 856-9596

1515 Savannah Rd
Lewes, DE 19958

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

Interoperability endpoints

  • Direct secure messaging: lorrendonmoyer@agh.allscriptsdirect.net
  • Direct secure messaging: ldonmoyer22709@beebehealth.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1811093172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SAVANNAH RD",
            "city": "LEWES",
            "state": "DE",
            "postal_code": "199581675",
            "telephone_number": "302-313-2298",
            "fax_number": "302-645-3691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21635 BIDEN AVE",
            "city": "GEORGETOWN",
            "state": "DE",
            "postal_code": "199474574",
            "telephone_number": "302-856-9596"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Philadelphia Ave",
            "address_purpose": "LOCATION",
            "city": "Ocean City",
            "state": "MD",
            "postal_code": "218423735",
            "country_code": "US",
            "telephone_number": "410-289-6241",
            "fax_number": "410-289-5533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONMOYER",
        "first_name": "LORREN",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D0064646",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "DE",
            "license": "C1-0013752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200105010",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1184832040",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, DE

Sources for this page

Verify at the official NPI Registry.