MRS. CHANNING ELIZABETH BOBACK PA-C
NPI 1013343805
Physician Assistant in Wilkes Barre, PA

Q: What is Channing Boback's NPI number?

The NPI number for Channing Boback is 1013343805. It was assigned to this individual provider in the NPPES registry on September 24, 2013.

Q: What is Channing Boback's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Channing Boback was last updated on August 21, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 24, 2013PECOS EnrolledAccepts Medicare Assignment

675 BALTIMORE DR, WILKES BARRE, PA 18702(570) 808-1000(570) 808-7698 Get Directions Write a Review

NPPES record last updated: August 21, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 21, 2020, Jun 28, 2017 (2 updates tracked since 2017).

On this page

About Mrs. Channing Elizabeth Boback Pa-c NPPES

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

MRS. CHANNING ELIZABETH BOBACK PA-C (NPI 1013343805) is an individual physician assistant in Wilkes Barre, Pennsylvania and active in the NPI registry since September 2013. She is enrolled in Medicare PECOS, is affiliated with Wilkes-barre General Hospital, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1013343805

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameMRS. CHANNING ELIZABETH BOBACKCredential: PA-C

Location Address675 BALTIMORE DRWilkes Barre, PA 18702-7900

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 808-1000

Fax(570) 808-7698

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateSeptember 24, 2013

Last NPPES UpdateAugust 21, 20202 updates tracked since enumeration

NPPES CertifiedAugust 21, 2020

✔ NPI 1013343805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

675 BALTIMORE DR, Wilkes Barre, PA 18702

Open in Google Maps ↗

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

Mrs. Channing Elizabeth Boback Pa-c 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 ID2062641897

PECOS Enrollment IDI20140127001382

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 3

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.

156 services133 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

103 services91 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.

80 services75 patients

Hospital Affiliations CMS Care Compare

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

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA

1/5 CMS rating

OwnershipProprietary

CMS Certification Number390137

Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18702 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

$68.36 typical visit price

range $17.33 – $135.84

Typical copayment $17.09 (range $4.33 – $33.96)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 8

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

Supplies for maintenance of insulin infusion catheter, per week A4224

DME-Other DME · category DE017N

4 suppliers23 claims244 services$18.24 avg. paid by Medicare

Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225

DME-Other DME · category DE017N

4 suppliers23 claims700 services$2.38 avg. paid by Medicare

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

32 suppliers148 claims476 services$5.77 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

14 suppliers36 claims80 services$0.90 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

3 suppliers33 claims33 services$304.86 avg. paid by Medicare

Insulin for administration through dme (i.e., insulin pump) per 50 units J1817

Treatment-Injections and Infusions (nononcologic) · category RI000N

8 suppliers28 claims3,940 services$6.58 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 20

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

MS. SWANA THOMAS PHARMD, MPH

Pharmacist