THOMAS RUSSELL WESTPHAL M.D.
NPI 1083681621
Orthopaedic Surgery in Lancaster, PA

Active since March 02, 2006PECOS EnrolledAccepts Medicare Assignment
2150 HARRISBURG PIKE, SUITE 200, LANCASTER, PA 17601(717) 358-0800(717) 358-0802 Get Directions Write a Review

NPPES record last updated: April 27, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Thomas Russell Westphal M.d. NPPES

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

THOMAS RUSSELL WESTPHAL M.D. (NPI 1083681621) is an individual orthopaedic surgery provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD030417E) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (1981).

NPPES Registry Identity

NPI1083681621
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameTHOMAS RUSSELL WESTPHALCredential: M.D.
Location Address2150 HARRISBURG PIKE, SUITE 200Lancaster, PA 17601-2644
Mailing Address2150 Harrisburg Pike, Suite 200Lancaster, PA 17601-2644 · (717) 358-0800 · Fax (717) 358-0802
Fax(717) 358-0802
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 1981
Enumeration DateMarch 2, 2006
Last NPPES UpdateApril 27, 2020
NPPES CertifiedApril 27, 2020
NPI 1083681621 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses Licensed in PA · MD030417E Licensed in NY · MD199841
Definition

An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.

2150 HARRISBURG PIKE, Lancaster, PA 17601

Other Identifiers 15

Other200035250PA · Railroad Medicare
Other116603PA · Unison
Other126301PA · Health Assurance Health A
Other30009073PA · Keystone Mercy Health Pla
Other32249HPA · Amerihealth Mercy
Other0993823PA · Keystone Health Central
Other4622090PA · Aetna
Other01707702PA · Capital Blue Cross
Other5627335PA · Cigna
Medicaid15164970007PA
Other5710PA · Geisinger Health Plan
Other255326000PA · Amerihealth65
OtherWE189650PA · Highmark Blue Shield
Other1523078PA · Gateway
Other2109635PA · Aetna

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

Thomas Russell Westphal M.d. 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 ID446156939
PECOS Enrollment IDI20100420000280
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 14

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
296 services36 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.
116 services101 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
91 services65 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.
70 services70 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
65 services64 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.
48 services45 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17601 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

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier27 claims27 services$66.73 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.

Surgery
2150 HARRISBURG PIKE, SUITE 300
LANCASTER, PA 17601
Nurse Practitioner (Family)
2150 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Ophthalmology
2150 HARRISBURG PIKE, SUITE 370
LANCASTER, PA 17601
Dietitian, Registered
2150 HARRISBURG PIKE, SUITE 300
LANCASTER, PA 17601
Physical Therapist
2150 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Physical Therapist
2150 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Physical Therapist
2150 HARRISBURG PIKE, SUITE
LANCASTER, PA 17601
Pain Medicine (Pain Medicine)
2150 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601

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 Thomas Westphal's NPI number?

The NPI number for Thomas Westphal is 1083681621. It was assigned to this individual provider in the NPPES registry on March 2, 2006.

Where is Thomas Westphal located?

Thomas Westphal practices at 2150 Harrisburg Pike Suite 200, Lancaster, PA 17601. The listed phone number is (717) 358-0800.

What is Thomas Westphal's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Thomas Westphal enrolled in Medicare?

Yes. Thomas Westphal 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 Thomas Westphal affiliated with any hospitals?

According to CMS data, Thomas Westphal is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Thomas Westphal was last updated on April 27, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.