DR. JOHN T COTTER JR. MD
NPI 1003801507
Family Medicine in Lancaster, PA

Active since September 12, 2005PECOS EnrolledAccepts Medicare Assignment
90.99/100
CMS Quality Rating
2207 OREGON PIKE STE 202, LANCASTER, PA 17601(717) 560-6470(717) 560-6472 Get Directions Write a Review

NPPES record last updated: January 18, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 18, 2021, Aug 13, 2020, Jul 8, 2020 and 1 more (4 updates tracked since 2017).

About Dr. John T Cotter Jr. Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. JOHN T COTTER JR. MD (NPI 1003801507) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD057310L) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and is a graduate of Pennsylvania State University College Of Medicine (1993).

NPPES Registry Identity

NPI1003801507
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JOHN T COTTER JR.Credential: MD
Location Address2207 OREGON PIKE STE 202Lancaster, PA 17601-4670
Mailing Address2207 Oregon Pike Ste 202Lancaster, PA 17601-4670 · (717) 560-6470 · Fax (717) 560-6472
Fax(717) 560-6472
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1993
Enumeration DateSeptember 12, 2005
Last NPPES UpdateJanuary 18, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 18, 2021
NPI 1003801507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD057310L
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

2207 OREGON PIKE STE 202, Lancaster, PA 17601

Other Identifiers 1

Medicaid10925085PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. John T Cotter Jr. Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143121970
PECOS Enrollment IDI20050331000388
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
364 services160 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
347 services195 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
311 services164 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
67 services67 patients
Administration of pneumococcal vaccine G0009
The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
62 services62 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Lititz

Acute Care Hospitals · Lititz, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390068
Location1500 Highlands DriveLititz, PA 17543 · Lancaster County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

90.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality92.95
Promoting Interoperability100
Improvement Activities40
Cost77.03

Referred Medical Equipment & Supplies CMS DME claims 12

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers31 claims58 services$6.36 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims12 services$1.14 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers11 claims11 services$35.47 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
5 suppliers12 claims12 services$87.10 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
5 suppliers11 claims29 services$33.69 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
6 suppliers12 claims12 services$17.26 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
2207 OREGON PIKE STE 202
LANCASTER, PA 17601
Family Medicine
2207 OREGON PIKE STE 202
LANCASTER, PA 17601
Nurse Practitioner (Family)
2207 OREGON PIKE STE 202
LANCASTER, PA 17601

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is John Cotter's NPI number?

The NPI number for John Cotter is 1003801507. It was assigned to this individual provider in the NPPES registry on September 12, 2005.

Where is John Cotter located?

John Cotter practices at 2207 Oregon Pike Ste 202, Lancaster, PA 17601. The listed phone number is (717) 560-6470.

What is John Cotter's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is John Cotter enrolled in Medicare?

Yes. John Cotter is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is John Cotter affiliated with any hospitals?

According to CMS data, John Cotter is affiliated with Upmc Pinnacle Hospitals, Upmc Lititz, Lancaster General Hospital and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for John Cotter was last updated on January 18, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.