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JAY KENNETH BRUBAKER M.D.
NPI 1063482172
Family Medicine - Geriatric Medicine in Lancaster, PA

Active since January 23, 2006PECOS Enrolled
2110 HARRISBURG PIKE, SUITE 300, LANCASTER, PA 17604(717) 544-3022(717) 544-3021 Get Directions Write a Review

NPPES record last updated: March 30, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jay Kenneth Brubaker M.d. NPPES

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

JAY KENNETH BRUBAKER M.D. (NPI 1063482172) is an individual geriatric medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD012919E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063482172
Entity TypeIndividualMale
Primary Taxonomy207QG0300X
Provider Legal NameJAY KENNETH BRUBAKERCredential: M.D.
Location Address2110 HARRISBURG PIKE, SUITE 300Lancaster, PA 17604-3200
Mailing Address2110 Harrisburg Pike, Suite 300Lancaster, PA 17604-3200 · (717) 544-3022 · Fax (717) 544-3021
Phone(717) 544-3022
Fax(717) 544-3021
Sole ProprietorNo
Enumeration DateJanuary 23, 2006
Last NPPES UpdateMarch 30, 2011
✔ NPI 1063482172 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QG0300X
License✔ Licensed in PA · MD012919E
Definition
A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.
2110 HARRISBURG PIKE, Lancaster, PA 17604
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Other Identifiers 13

Other516348PA · Aetna Hmo
Other127131PA · Highmark Blue Shield
OtherP002665PA · Gateway Health Plan
Medicare UPINB37438PA
Medicaid0006876040004PA
Medicaid0006876040001PA
Medicaid0006876040002PA
Other4662910PA · Aetna Non-hmo
Other01350102PA · Capital Blue Cross
Medicare PIN127131L4VPA
Other20011 S101PA · Geisinger Health Plan
Medicare ID-Type Unspecified127131PA
Medicaid000687604PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jay Kenneth Brubaker M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17604 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.

Other Providers at the Same Location NPPES 12

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

ANTHONY W SAMPHILIPO D.O.
Internal Medicine
2110 HARRISBURG PIKE, SUITE 100
LANCASTER, PA 17604
Lancaster County (717) 544-3191
BRADFORD D GRANGER M.D.
Internal Medicine
2110 HARRISBURG PIKE, SUITE 100
LANCASTER, PA 17604
Lancaster County (717) 544-3191
MARY PATRICIA DORENKAMP-REESE CRNP
Nurse Practitioner (Family)
2110 HARRISBURG PIKE, SUITE 302
LANCASTER, PA 17604
Lancaster County (717) 544-3364
PATRICIA J PITARRA C.R.N.P.
Nurse Practitioner (Women's Health)
2110 HARRISBURG PIKE, SUITE 100
LANCASTER, PA 17604
Lancaster County (717) 544-3059
THUY D HOANG D.O.
Internal Medicine
2110 HARRISBURG PIKE, SUITE 100
LANCASTER, PA 17604
Lancaster County (717) 544-3191
DR. DAVID SOMERMAN DO
Internal Medicine (Nephrology)
2110 HARRISBURG PIKE, SUITE 310
LANCASTER, PA 17604
Lancaster County (717) 544-3232
JENNIFER L GROFF CRNP
Nurse Practitioner (Adult Health)
2110 HARRISBURG PIKE, SUITE 310
LANCASTER, PA 17604
Lancaster County (717) 544-3232
DOREEN W BETT D.O.
Internal Medicine (Nephrology)
2110 HARRISBURG PIKE, SUITE 310
LANCASTER, PA 17604
Lancaster County (717) 544-3232

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 Jay Brubaker's NPI number?

The NPI number for Jay Brubaker is 1063482172. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jay Brubaker located?

Jay Brubaker practices at 2110 Harrisburg Pike Suite 300, Lancaster, PA 17604. The listed phone number is (717) 544-3022.

What is Jay Brubaker's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Jay Brubaker enrolled in Medicare?

Yes. Jay Brubaker is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jay Brubaker was last updated on March 30, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.