DR. FOTIS G MYSTAKAS M.D.
NPI 1114993334
Orthopaedic Surgery in Lebanon, PA

Active since February 27, 2006PECOS Enrolled
912 RUSSELL DR, LEBANON, PA 17042(717) 272-7971(717) 272-1241 Get Directions Write a Review

NPPES record last updated: March 18, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Fotis G Mystakas M.d. NPPES

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

DR. FOTIS G MYSTAKAS M.D. (NPI 1114993334) is an individual orthopaedic surgery provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD034196L) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114993334
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDR. FOTIS G MYSTAKASCredential: M.D.
Location Address912 RUSSELL DRLebanon, PA 17042-7485
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 272-7971 · Fax (717) 272-1241
Fax(717) 272-1241
Sole ProprietorNo
Enumeration DateFebruary 27, 2006
Last NPPES UpdateMarch 18, 2016
NPI 1114993334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License Licensed in PA · MD034196L
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.
912 RUSSELL DR, Lebanon, PA 17042

Other Identifiers 5

Medicare UPINB37432
Medicaid000643495PA
Medicare PIN127119FLTPA
Other127119PA · Medicare
Medicare PINP01553003PA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Fotis G Mystakas 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 17042 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.

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.

Orthopaedic Surgery (Hand Surgery)
912 RUSSELL DR
LEBANON, PA 17042
Podiatrist (Foot & Ankle Surgery)
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042
Anesthesiology
912 RUSSELL DR
LEBANON, PA 17042
Anesthesiology
912 RUSSELL DR
LEBANON, PA 17042
Orthopaedic Surgery
912 RUSSELL DR
LEBANON, PA 17042

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 Fotis Mystakas's NPI number?

The NPI number for Fotis Mystakas is 1114993334. It was assigned to this individual provider in the NPPES registry on February 27, 2006.

Where is Fotis Mystakas located?

Fotis Mystakas practices at 912 Russell Dr, Lebanon, PA 17042. The listed phone number is (717) 272-7971.

What is Fotis Mystakas's specialty?

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

Is Fotis Mystakas enrolled in Medicare?

Yes. Fotis Mystakas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Fotis Mystakas was last updated on March 18, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.