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ANTHONY E PATTERSON MD
NPI 1023019288
Family Medicine in Carlisle, PA

Active since August 09, 2005PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
340 YORK RD, CARLISLE, PA 17013(717) 218-3920(717) 218-3921 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 7, 2023, Jun 23, 2020, Feb 27, 2019 (3 updates tracked since 2019).

About Anthony E Patterson Md NPPES

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

ANTHONY E PATTERSON MD (NPI 1023019288) is an individual family medicine provider in Carlisle, Pennsylvania, licensed in Pennsylvania (MD425569) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2002).

NPPES Registry Identity

NPI1023019288
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameANTHONY E PATTERSONCredential: MD
Location Address340 YORK RDCarlisle, PA 17013-3180
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578
Phone(717) 218-3920
Fax(717) 218-3921
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2002
Enumeration DateAugust 9, 2005
Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2020
✔ NPI 1023019288 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 · MD425569
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.
340 YORK RD, Carlisle, PA 17013
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Other Identifiers 23

Other1007307260034PA · Medicaid Group #
Other25-1716306PA · Multiplan/phcs
Other426715PA · Health America
Other50052624PA · Capital Bluecross
Other5641949PA · First Health
OtherP006373PA · Gateway
Other1739914PA · Highmark Blueshield
Other2134154PA · Mamsi
Other25-1716306PA · Devon
Other120420409PA · Dept Of Labor
Other25-1716306PA · South Central Preferred
Other25-1716306PA · Greatwest Healthcare
Other3776615PA · Aetna Hmo
Other167625PA · Unison
Other25-1716306PA · Informed
Other25-1716306PA · Healthnet/tricare
OtherG920-0044/647201PA · Carefirst
Other25-1716306PA · Intergroup
Other7905660PA · Aetna Non-hmo
Other867633PA · Medicare Group #
OtherMD425569PA · License
Medicaid1012912910001PA
OtherP00238519PA · Railroad Medicare

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

Anthony E Patterson 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 ID2860428448
PECOS Enrollment IDI20050714000772
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 5

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.
293 services153 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.
104 services82 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
42 services27 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.
41 services41 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
39 services39 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Penn State Health Hampden Medical Center

Acute Care Hospitals · Enola, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390336
Location2200 Good Hope RoadEnola, PA 17025 · Cumberland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17013 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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Referred Medical Equipment & Supplies CMS DME claims 3

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

Albuterol, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose, 1 mg J7613
DME-Drugs Administered Through DME · category DG006N
2 suppliers18 claims5,095 services$0.02 avg. paid by Medicare
Standard wheelchair K0001
DME-Wheelchairs · category DD000N
2 suppliers11 claims11 services$14.19 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
2 suppliers15 claims15 services$15.20 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 5

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

JENNIFER NOELLE STILL M.D.
Pediatrics
340 YORK RD
CARLISLE, PA 17013
Cumberland County (717) 218-3920
DR. NICHOLAS MICHAEL KITSOPOULOS D.O.
Internal Medicine
340 YORK RD
CARLISLE, PA 17013
Cumberland County (717) 218-3920
MATTHEW CHRISTOPHER MEYER MD
Internal Medicine
340 YORK RD
CARLISLE, PA 17013
Cumberland County (717) 218-3920
ELIZABETH ANNA BIDDLE-ZABAWA CRNP
Nurse Practitioner (Family)
340 YORK RD
CARLISLE, PA 17013
Cumberland County (717) 218-3920
CHRISTINA ANN WARGO NP-C
Nurse Practitioner (Family)
340 YORK RD
CARLISLE, PA 17013
Cumberland County (717) 218-3920

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 Anthony Patterson's NPI number?

The NPI number for Anthony Patterson is 1023019288. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Anthony Patterson located?

Anthony Patterson practices at 340 York Rd, Carlisle, PA 17013. The listed phone number is (717) 218-3920.

What is Anthony Patterson's specialty?

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

Is Anthony Patterson enrolled in Medicare?

Yes. Anthony Patterson 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 Anthony Patterson affiliated with any hospitals?

According to CMS data, Anthony Patterson is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Penn State Health St. Joseph, Wellspan Chambersburg Hospital and Penn State Health Hampden Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Patterson was last updated on March 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.