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JAMES O'SHEA
NPI 1104556679
Family Medicine in Ephrata, PA

Active since June 16, 2022PECOS EnrolledAccepts Medicare Assignment
101 LARKSPUR LN, EPHRATA, PA 17522(717) 544-4950 Get Directions Write a Review

NPPES record last updated: May 31, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About James O'shea NPPES

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

JAMES O'SHEA (NPI 1104556679) is an individual family medicine provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD489951) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1104556679
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES O'SHEA
Location Address101 LARKSPUR LNEphrata, PA 17522-8402
Mailing Address101 Larkspur LnEphrata, PA 17522-8402
Phone(717) 544-4950
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 16, 2022
Last NPPES UpdateMay 31, 2025
NPPES CertifiedMay 31, 2025
✔ NPI 1104556679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD489951
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT226906 (PA)
101 LARKSPUR LN, Ephrata, PA 17522
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

James O'shea 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 ID1153701974
PECOS Enrollment IDI20250730004742
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.

Hospital Affiliations CMS Care Compare 2

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

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.

Other Providers at the Same Location NPPES 4

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

DR. JONATHAN MUSYT MD
Family Medicine
101 LARKSPUR LN
EPHRATA, PA 17522
Lancaster County (717) 738-0660
BRAD A HERTZLER MSN, APRN, FNP-C
Nurse Practitioner (Family)
101 LARKSPUR LN
EPHRATA, PA 17522
Lancaster County (717) 738-0660
KRISTEN REESER CRNP
Nurse Practitioner (Family)
101 LARKSPUR LN
EPHRATA, PA 17522
Lancaster County (717) 738-0660
CURTIS L HERSHEY M.D.
Family Medicine
101 LARKSPUR LN
EPHRATA, PA 17522
Lancaster County (717) 738-0660

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 James O'shea's NPI number?

The NPI number for James O'shea is 1104556679. It was assigned to this individual provider in the NPPES registry on June 16, 2022.

Where is James O'shea located?

James O'shea practices at 101 Larkspur Ln, Ephrata, PA 17522. The listed phone number is (717) 544-4950.

What is James O'shea's specialty?

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

Is James O'shea enrolled in Medicare?

Yes. James O'shea 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.

What insurance does James O'shea accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list James O'shea as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James O'shea affiliated with any hospitals?

According to CMS data, James O'shea is affiliated with Lancaster General Hospital and Wellspan Ephrata Community Hospital.

When was this NPI record last updated?

The NPPES record for James O'shea was last updated on May 31, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.