DR. CLEON R HUBBARD MD
NPI 1043279946
Internal Medicine - Cardiovascular Disease in Wormleysburg, PA

Active since March 20, 2006PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1000 N FRONT ST, WORMLEYSBURG, PA 17043(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: January 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 9, 2021, Jun 10, 2020, Jul 20, 2017 and 1 more (4 updates tracked since 2016).

About Dr. Cleon R Hubbard Md NPPES

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

DR. CLEON R HUBBARD MD (NPI 1043279946) is an individual cardiovascular disease provider in Wormleysburg, Pennsylvania, licensed in Pennsylvania (MD422111) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1043279946
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. CLEON R HUBBARDCredential: MD
Location Address1000 N FRONT STWormleysburg, PA 17043-1034
Mailing Address100 N Front StWormleysburg, PA 17043-1328 · (717) 731-0101 · Fax (717) 731-8359
Fax(717) 731-8359
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMarch 20, 2006
Last NPPES UpdateJanuary 9, 20214 updates tracked since enumeration
NPPES CertifiedJanuary 9, 2021
NPI 1043279946 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD422111
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD422111 (PA)
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD422111 (PA)
1000 N FRONT ST, Wormleysburg, PA 17043

Other Identifiers 1

Medicaid001957052PA

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. Cleon R Hubbard 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 ID4284656182
PECOS Enrollment IDI20051220000388
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 28

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 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.
194 services170 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
188 services188 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
150 services149 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
122 services118 patients
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.
118 services102 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
99 services96 patients

Hospital Affiliations CMS Care Compare 5

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

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

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 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

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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.

Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Physician Assistant (Medical)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043

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 Cleon Hubbard's NPI number?

The NPI number for Cleon Hubbard is 1043279946. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Cleon Hubbard located?

Cleon Hubbard practices at 1000 N Front St, Wormleysburg, PA 17043. The listed phone number is (717) 731-0101.

What is Cleon Hubbard's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Cleon Hubbard enrolled in Medicare?

Yes. Cleon Hubbard 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 Cleon Hubbard affiliated with any hospitals?

According to CMS data, Cleon Hubbard is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals, Upmc Memorial, Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Cleon Hubbard was last updated on January 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.