Albert Fombu, M.D
NPI 1417229535 · Psychiatry Physician · Ephrata, PA
Enrolled with Medicare as Practitioner - Psychiatry · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Albert Fombu, M.D is a Psychiatry Physician provider in Ephrata, PA (NPI 1417229535).
Provider details
- NPI number
- 1417229535
- Entity type
- Individual
- Primary specialty
- Psychiatry PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- MD454252 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
11 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
1,080 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Straightforward Or Low Level of Medical Decision Making, Per Day, If Using Time, at Least 25 Minutes99231 | 821 | $47 |
| Treatment Using Magnetic Field to Stimulate Nerve Cells in Brain, Subsequent Delivery and Management90868 | 243 | $187 |
| Psychiatric Diagnostic Evaluation With Medical Services90792 | 16 | $164 |
Typical Medicare-allowed amounts for these services range $47–$187 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 1 distinct drug on file.
| Drug | Part D claims (2024) |
|---|---|
| Paliperidone Palmitatebrand: Invega Sustenna | 13 |
Medicare Part D only. These counts cover prescriptions paid through Medicare Part D in 2024 — they do notinclude cash-pay, commercial-insurance, Medicaid, or Part B–administered drugs, and badly undercount high cash-pay categories (e.g. GLP-1 weight-loss, testosterone, and ED medications). Any drug with 10 or fewer claims is omitted by CMS, and beneficiary counts under 11 are suppressed — so a missing drug means no Part D record, never zero. This is a factual claims summary, not an endorsement, not medical advice, and not a consumer report. Source: CMS Medicare Part D Prescribers — by Provider and Drug.
Practice location
Mailing address
Additional practice locations (10)
- 112 N 7th StChambersburg, PA 17201-1720Phone: (717) 267-7771
- 147 Gettys StGettysburg, PA 17325-2534Phone: (717) 334-2121
- 101 Euclid AveLancaster, PA 17603-6803Phone: (717) 299-1522Fax: (717) 299-2840
- 315 W James StLancaster, PA 17603-2979Phone: (717) 509-0625Fax: (717) 839-2842
- 125 Schneider DrLebanon, PA 17046-4875Phone: (717) 376-1020
- 283 S Butler RdLebanon, PA 17042-8939Phone: (717) 273-8871
- 252 S 4th StLebanon, PA 17042-6111Phone: (717) 821-8017Fax: (717) 270-2401
- 501 E Main StWaynesboro, PA 17268-2353Phone: (717) 765-4000
- 150 Roosevelt AveYork, PA 17401-3380Phone: (717) 356-5430
Registry dates
- Enumerated
- 2012-02-05
- Last updated
- 2025-05-20
- Certified
- 2025-05-20
Frequently asked questions
- What is Albert Fombu's NPI number?
- Albert Fombu's National Provider Identifier (NPI) is 1417229535, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Albert Fombu's specialty?
- Albert Fombu is listed in the NPPES registry with a primary specialty of Psychiatry Physician (Allopathic & Osteopathic Physicians).
- Where is Albert Fombu located?
- Albert Fombu's practice location on file with NPPES is 169 Martin Ave, Ephrata, PA 17522-1724.
- What is Albert Fombu's phone number?
- The practice phone number listed in the NPPES registry for Albert Fombu is (717) 733-0311.
- Does Albert Fombu accept Medicare?
- Albert Fombu is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Albert Fombu's NPI active?
- Yes — Albert Fombu's NPI (1417229535) is active in the NPPES registry as of the last update on 2025-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.