Dr. Kathleen Lewis Elnaggar, MD

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Payments from drug and device companies, 2025

Drug and device makers are required by federal law (the Physician Payments Sunshine Act) to report what they pay or give to clinicians, and CMS publishes the reports as Open Payments. This is the 2025 program year. A report is a record of a payment, not an allegation of anything, and many are small items such as meals. Only general payments are listed here; research payments and ownership or investment interests are reported separately by CMS and are not shown.

Each amount is the sum of what companies reported for that kind of payment in 2025, rounded to the dollar. Not all of it is income to the clinician: a meal is not a fee, a charitable contribution goes to a charity, and a royalty or an acquisition payment is not a salary.

Check a report, or dispute one, at the source in CMS’s own tool, Open Payments. Corrections go through CMS’s dispute process. This site removes a home address on request and asks for no proof, because that is privacy; it will not remove an accurate payment report on request, because that is a statutory public disclosure.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

• Lancaster General Hospital Hospital · Lancaster, PA

Colleagues at Wellspan Medical Group

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2342 clinicians in the practice; 12 are shown here.

• Dr. Henock Maruye Ayalew, MD Internal Medicine Physician · Hershey, PA
• Megan Cash, CRNP Nurse Practitioner · York, PA
• Rachael Anne Defarias, PA-C Medical Physician Assistant · Greencastle, PA
• Mrs. Candace Katelynn Fazenbaker, CRNP-FNP Nurse Practitioner · Shrewsbury, PA
• Samantha Leigh Madison Nurse Practitioner · Chambersburg, PA
• Roman Marchenko, MD Internal Medicine Physician · Lancaster, PA
• Tyler Schmutzler, MD Internal Medicine Physician · Chambersburg, PA
• Trevor Shenk, DO Student in an Organized Health Care Education/Training Program · York, PA
• Sana Siddiqi, MD Neurology Physician · Chambersburg, PA
• Elizabeth Mary Smith, PA-C Medical Physician Assistant · Camp Hill, PA
• Margo Renee Thompson, PA-C Physician Assistant · Lebanon, PA
• MS. Jannis Jean Vanarsdale, CRNP Family Nurse Practitioner · York, PA

Other providers in Lebanon

• Benjamin Armon, MD

  Individual Psychiatry Physician · NPI 1801315114

  283 S Butler Rd Wellspan Philhaven Inpatient, Lebanon, PA 17042-8939 · (717) 273-8871

• Anne V Dall

  Individual Psychiatry Physician · NPI 1548266281

  618 Cumberland St, Lebanon, PA 17042-5232 · (717) 274-2741

• Thomas L Fenstermacher, MD

  Individual Psychiatry Physician · NPI 1164453627

  283 S Butler Rd, Lebanon, PA 17042-8939 · (717) 273-8871

• Dr. Cynthia Theresa Fonder, MD

  Individual Psychiatry Physician · NPI 1548554884

  252 S 4th St, Lebanon, PA 17042-6111 · (717) 821-8017

• Dr. Bruce Giroux, MD

  Individual Psychiatry Physician · NPI 1255476321

  1700 S Lincoln Ave Veterans Administration, Lebanon, PA 17042 · (717) 272-6621

• Dr. Rosemary M Keffer, MD

  Individual Psychiatry Physician · NPI 1235138371

  125 Schneider Dr, Lebanon, PA 17046-4875 · (717) 376-1020