Philip John Baney IV, M.D.
NPI 1245253723ActiveIndividual· Family Medicine· Hamburg, PA
Family Medicine (M.D.) in Hamburg, Pennsylvania, trained at Temple University School of Medicine (class of 1997). Their prescriptions cost Medicare Part D more than their services did: $509,040 for 7,920 claims, against $92,498 paid for services in 2024. Lilly USA, LLC reported $15.39 in payments in 2025, mostly food and beverage.
Overview
| NPI | 1245253723 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | M.D. |
| Sole proprietor | No |
| NPI issued | Jul 25, 2006 |
| Last updated in NPPES | Feb 22, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | MD069454L | PA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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 | 383 |
|---|---|
| Services billed | 1,282 across 34 procedure codes |
| Paid by Medicare | $92,498 |
Part D prescriptions in 2024
| Prescriptions (claims) | 7,920 · 19,828 30-day fills |
|---|---|
| Patients | 712 |
| Total drug cost | $509,040 |
| Generic share | 90% of claims |
Education and affiliations
| Medical school | Temple University School of Medicine |
|---|---|
| Graduation year | 1997 |
| Medicare specialty | Family Practice |
| Telehealth | Offers telehealth |
Medical groups
- Phoenix Rehabilitation and Health Services IncCranberry Twp, PA · 2,800 clinicians
- Tower Health Medical GroupWest Reading, PA · 584 clinicians
Hospital affiliations
- Geisinger St. Luke's HospitalOrwigsburg, PA
- Penn State Health St. JosephReading, PA
- Reading HospitalWest Reading, PA
- St Luke's Miners Memorial HospitalCoaldale, PA
- St Lukes HospitalBethlehem, PA
Other facilities
- Bayada Home Health Care, Inc.Home health agency · Wyomissing, PA
- Enhabit Home HealthHome health agency · Wyomissing, PA
Industry payments (Open Payments)
- 2025$15.39 · 1 payment from 1 company
Top paying companies in 2025
| Company | Amount | Payments |
|---|---|---|
| Lilly USA, LLC | $15.39 | 1 |
What the 2025 payments were for
- Food and Beverage$15.39 · 1 payment
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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All 35 family medicine physicians in Hamburg · All family medicine physicians in Pennsylvania