Penn State Health Medical Group, LLC

NPI 1457824013ActiveOrganization· Radiology, Diagnostic Radiology· Harrisburg, PA

Radiology, Diagnostic Radiology in Harrisburg, Pennsylvania, registered in NPPES in January 2019, part of Penn State Health. The authorized official on file is Tracy L. Moyer-Swinko, Ex. Vice Pres, Chief Financial Ofc. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1457824013
Status	Active
Entity type	Organization (subpart)
Parent organization	Penn State Health
NPI issued	Jan 7, 2019
Last updated in NPPES	Feb 3, 2026
Certified by provider	Feb 3, 2026

Specialties and licenses

Taxonomy	Code	License	State
Radiology, Diagnostic Radiology Primary	2085R0202X	—	—

About license numbers in NPPES

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 Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (AZ); Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (CO); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (HI); Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (ID); Part B Supplier - Clinic/Group Practice (MA); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NV); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (VA)

Medicare sources and data years

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All 30 diagnostic radiologists in Harrisburg · All diagnostic radiologists in Pennsylvania