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NPI 1073140125ActiveIndividual· Family Medicine· Carbondale, PA
Family Medicine in Carbondale, Pennsylvania, trained at Philadelphia College of Osteopathic Medicine (class of 2020). Their prescriptions cost Medicare Part D more than their services did: $81,924 for 959 claims, against $20,651 paid for services in 2024.
Overview
| NPI | 1073140125 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Mar 26, 2020 |
| Last updated in NPPES | May 23, 2023 |
| Certified by provider | May 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | OS022582 | PA |
| Student in an Organized Health Care Education/Training Program | 390200000X | — | — |
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 - Family Practice (PA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 84 |
|---|---|
| Services billed | 247 across 33 procedure codes |
| Paid by Medicare | $20,651 |
Part D prescriptions in 2024
| Prescriptions (claims) | 959 · 1,817 30-day fills |
|---|---|
| Patients | 182 |
| Total drug cost | $81,924 |
| Generic share | 86% of claims |
Education and affiliations
| Medical school | Philadelphia College of Osteopathic Medicine |
|---|---|
| Graduation year | 2020 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical group
- Lehigh Valley Physician GroupAllentown, PA · 2,542 clinicians
Hospital affiliations
- Geisinger-Community Medical CenterScranton, PA
- Lehigh Valley Hospital - Dickson CityDickson City, PA
- Lehigh Valley Hospital - PoconoEast Stroudsburg, PA
- Regional Hospital of ScrantonScranton, PA
- Wayne Memorial HospitalHonesdale, PA
Other facilities
- Allied Services Institute of RehabilitationInpatient rehabilitation facility · Scranton, PA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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