Albert Fombu, M.D
NPI 1417229535ActiveIndividual· Psychiatry & Neurology, Psychiatry· Ephrata, PA
Psychiatry & Neurology, Psychiatry (M.D) with Wellspan Medical Group and 1 other group, practicing in Ephrata, Pennsylvania. In 2024 Medicare paid $68,905 for 76 patients, and Part D covered 138 of their prescriptions, 77% of them generic. Otsuka America Pharmaceutical, Inc. reported $19.08 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1417229535 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D |
| Sole proprietor | No |
| NPI issued | Feb 5, 2012 |
| Last updated in NPPES | May 20, 2025 |
| Certified by provider | May 20, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | MD454252 | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Psychiatry (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 76 |
|---|---|
| Services billed | 1,091 across 9 procedure codes |
| Paid by Medicare | $68,905 |
Part D prescriptions in 2024
| Prescriptions (claims) | 138 · 152 30-day fills |
|---|---|
| Patients | 44 |
| Total drug cost | $81,653 |
| Generic share | 77% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Psychiatry |
Medical groups
- Wellspan Medical GroupEphrata, PA · 2,480 clinicians
- PhilhavenEphrata, PA · 92 clinicians
Industry payments (Open Payments)
- 2025$19.08 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Otsuka America Pharmaceutical, Inc. | $19.08 | 1 |
What the 2025 payments were for
- Food and Beverage$19.08 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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