PAUL G AVADANIAN DO
NPI 1043313083
Family Medicine in Ephrata, PA

Active since September 06, 2006PECOS EnrolledAccepts Medicare Assignment
136 A&B LAKE STREET, LAKE STREET FAMILY PRACTICE, EPHRATA, PA 17522(717) 721-7718(717) 721-7726 Get Directions Write a Review

NPPES record last updated: June 10, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Paul G Avadanian Do NPPES

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

PAUL G AVADANIAN DO (NPI 1043313083) is an individual family medicine provider in Ephrata, Pennsylvania, licensed in Pennsylvania (OS008957L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 14 additional practice locations.

NPPES Registry Identity

NPI1043313083
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NamePAUL G AVADANIANCredential: DO
Location Address136 A&B LAKE STREET, LAKE STREET FAMILY PRACTICEEphrata, PA 17522
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405
Fax(717) 721-7726
Sole ProprietorNo
Medical School CMSNova Southeastern College Of Osteo MedicineGraduated 1994
Enumeration DateSeptember 6, 2006
Last NPPES UpdateJune 10, 2024
NPPES CertifiedJune 10, 2024
NPI 1043313083 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 · OS008957L
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.
136 A&B LAKE STREET, Ephrata, PA 17522

Secondary Practice Locations 14

Location 19 Nathan LnAnnville, PA 17003-6500 · Phone (717) 639-3350
Location 22320 Rothsville RdLititz, PA 17543-8215 · Phone (717) 721-4800
Location 3770 Broad StEast Earl, PA 17519-9752 · Phone (717) 445-4576
Location 4808 Pleasantview DrEphrata, PA 17522-1644 · Phone (717) 733-9090
Location 5435 S Kinzer AveNew Holland, PA 17557-8706 · Phone (717) 351-2419
Location 6368 W Main StLeola, PA 17540-1761 · Phone (717) 656-6122
Location 74131A Oregon PikeEphrata, PA 17522-9550 · Phone (717) 859-1123
Location 82250 E Market StYork, PA 17402-2857 · Phone (717) 851-1566
Location 930 W Swartzville RdReinholds, PA 17569-9641 · Phone (717) 484-4347
Location 10264 Granite Run DrLancaster, PA 17601-6804 · Phone (717) 721-8205
Location 1196 Sofia DrShrewsbury, PA 17361-5201 · Phone (717) 812-2400
Location 12446 N Reading RdEphrata, PA 17522-9802 · Phone (717) 721-7718
Location 13455 S Washington StGettysburg, PA 17325-2516 · Phone (717) 339-2875
Location 14101 W Airport RdLititz, PA 17543-9274 · Phone (717) 466-2445

Other Identifiers 7

Other500488PA · Ush/hmo
OtherP002390PA · Gateway
Other500048PA · Aetna
Other50051223PA · Capital Blue
Medicaid0015922740004PA
Other858854PA · Blue Shield
OtherP00255543PA · 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

Paul G Avadanian Do 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 ID4082686191
PECOS Enrollment IDI20040810000327
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 7

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.
327 services189 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.
295 services203 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.
92 services92 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.
80 services80 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.
77 services77 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.
19 services17 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon 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

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390225
Location169 Martin AvenueEphrata, PA 17522 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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.

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.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
17 suppliers79 claims188 services$5.84 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers31 claims41 services$1.00 avg. paid by Medicare
Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
1 supplier13 claims13 services$35.74 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers13 claims13 services$72.11 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers13 claims39 services$31.32 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
3 suppliers15 claims15 services$16.27 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 2

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

Family Medicine
136 A&B LAKE STREET, LAKE STREET FAMILY PRACTICE
EPHRATA, PA 17522
Nurse Practitioner (Family)
136 A&B LAKE STREET
EPHRATA, PA 17522

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 Paul Avadanian's NPI number?

The NPI number for Paul Avadanian is 1043313083. It was assigned to this individual provider in the NPPES registry on September 6, 2006.

Where is Paul Avadanian located?

Paul Avadanian practices at 136 A&b Lake Street Lake Street Family Practice, Ephrata, PA 17522. The listed phone number is (717) 721-7718.

What is Paul Avadanian's specialty?

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

Is Paul Avadanian enrolled in Medicare?

Yes. Paul Avadanian 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 Paul Avadanian affiliated with any hospitals?

According to CMS data, Paul Avadanian is affiliated with Wellspan York Hospital, Wellspan Good Samaritan Hospital, Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for Paul Avadanian was last updated on June 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.