Dr. Nicole Debolt, DO - Surgery in Mc Connellsburg, PA

Professional Overview & Biography Verified Profile Summary

Dr. Nicole Debolt, DO is a certified Surgery practicing in Mc Connellsburg, PA. With approximately 24 years of clinical experience since graduating from Philadelphia College Of Osteopathic Medicine in 2002, Dr. Debolt delivers high-quality medical care to the local community at 214 PEACH ORCHARD RD.

Dr. Debolt is affiliated with Fulton County Medical Center and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, tangential biopsy of single skin lesion. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

214 Peach Orchard Rd

Mc Connellsburg, PA 172338559

Telephone 8146231002

Fax 8146232982

Associated Practice Facility / Clinic

🏢 Fulton County Medical Center Facility NPI 1326044694

Medicare Profile & Education

Medical School

Philadelphia College Of Osteopathic Medicine

Graduation Year

2002

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Mc Connellsburg, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

24 Yrs +0.5 yrs vs City Avg

City Avg: 23.5 Yrs

State Avg: 26.1 Yrs

Regional Practice Density

2 Specialists

Practicing in Mc Connellsburg, PA (1976 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

44.2% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Debolt (24 Years) 24 Yrs

Mc Connellsburg Specialty Average (23.5 Years) 23.5 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	65	57	$165.00	$85.88
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	53	53	$173.00	$105.45
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	47	41	$242.00	$121.43
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$264.00	$158.62

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	67	67	$173.00	$106.12
99213 Established patient office or other outpatient visit, typically 15 minutes	62	53	$165.00	$86.30
11102 Tangential biopsy of single skin lesion	15	14	$256.00	$83.57
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	15	14	$242.00	$122.21

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	44	36	$138.14	$88.12
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	40	40	$170.00	$108.87
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	28	$193.87	$124.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	19	19	$258.53	$162.56

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	75	75	$251.00	$164.69
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	52	45	$165.00	$127.03
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	29	29	$165.00	$109.95
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	12	12	$318.00	$217.57

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	37	31	$114.65	$71.99
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	31	30	$161.77	$107.49
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	30	30	$249.40	$164.35
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	13	13	$164.54	$107.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	105	97	$159.43	$105.72
99213 Established patient office or other outpatient visit, typically 15 minutes	63	60	$108.57	$72.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	57	43	$82.00	$42.43
99213 Established patient office or other outpatient visit, typically 15 minutes	52	42	$137.46	$70.81
45380 Biopsy of large bowel using an endoscope	31	31	$888.00	$193.65
99202 New patient office or other outpatient visit, typically 20 minutes	27	27	$141.00	$72.90
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	23	23	$1252.00	$260.59
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	18	13	$180.00	$71.83
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$203.67	$104.86
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	16	16	$732.00	$92.60

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	70	53	$82.00	$41.79
99213 Established patient office or other outpatient visit, typically 15 minutes	53	44	$137.00	$69.45
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$141.00	$72.01
45380 Biopsy of large bowel using an endoscope	31	31	$888.00	$167.69
43239 Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope	23	23	$732.00	$94.99
45385 Removal of polyps or growths of large bowel using an endoscope with mechanical snare	21	20	$1252.00	$243.80
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	18	18	$203.00	$99.71
99221 Initial hospital inpatient care per day, typically 30 minutes	12	11	$251.00	$99.75

Medical Specialties & State Licenses

CMS Verified: 2024-05-07

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License PA OS015694

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Surgery

NUCC Taxonomy Code: 208600000X

State License HI DO 1023

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Hospital & Practice Group Affiliations

Fulton County Medical Center

214 Peach Orchard Rd, Mc Connellsburg, PA 172338559

Phone: 71748531556375

Secondary Practice Locations

283 Hospital Dr

Everett, PA 155377020

Phone: 8146231002

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Josalynn Whysong , RN

Registered Nurse

NPI 1912176801

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Practice Location May 07, 2024

Registered at 214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 172338559 (Tel: 8146231002)

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) May 07, 2024

Surgery (License #DO 1023 in HI)

📍

Updated Business Mailing Address December 16, 2019

Registered at 214 PEACH ORCHARD RD, MC CONNELLSBURG, PA 172338559 (Tel: 8146231002)

✅

NPI Profile Active October 25, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location October 25, 2016

Registered at 283 HOSPITAL DR, EVERETT, PA 155377020 (Tel: 8146231002)

📍

Updated Business Mailing Address October 25, 2016

Registered at 283 HOSPITAL DR, EVERETT, PA 155377020 (Tel: 8146231002)

👤

Provider Name / Credentials Updated October 25, 2016

Recorded as NICOLE DEBOLT, D.O.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) October 25, 2016

Surgery (License #OS015694 in PA)

🟢

Initial NPI Registration & Enumeration December 30, 2005

First registered as active Individual Practitioner in NPPES Database.

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Dr. Nicole Norris Debolt , DO