JUSTIN P. PSAILA M.D.
NPI 1124124037
Internal Medicine in Bethlehem, PA

Active since September 16, 2006PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
801 OSTRUM ST, BETHLEHEM, PA 18015(484) 526-6643(484) 526-4658 Get Directions Write a Review

NPPES record last updated: August 29, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Justin P. Psaila M.d. NPPES

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

JUSTIN P. PSAILA M.D. (NPI 1124124037) is an individual internal medicine provider in Bethlehem, Pennsylvania, licensed in Pennsylvania (MD067260L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of New York Medical College (1996).

NPPES Registry Identity

NPI1124124037
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN P. PSAILACredential: M.D.
Location Address801 OSTRUM STBethlehem, PA 18015-1000
Mailing Address801 Ostrum StBethlehem, PA 18015-1000 · (484) 526-6643 · Fax (484) 526-4658
Fax(484) 526-4658
Sole ProprietorNo
Medical School CMSNew York Medical CollegeGraduated 1996
Enumeration DateSeptember 16, 2006
Last NPPES UpdateAugust 29, 2013
NPI 1124124037 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD067260L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
801 OSTRUM ST, Bethlehem, PA 18015

Other Identifiers 3

Medicare UPING81578PA
Medicare PIN080367PA
Medicaid101043640PA

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

Justin P. Psaila 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 ID1850287632
PECOS Enrollment IDI20040723000141
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
187 services99 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
65 services65 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
57 services57 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton County
Emergency services Birthing friendly

St Luke's Hospital - Easton Campus

Acute Care Hospitals · Easton, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390162
Location250 South 21st StreetEaston, PA 18042 · Northampton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18015 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier17 claims17 services$62.36 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.

Emergency Medicine
801 OSTRUM ST, DEPT. OF EMERGENCY MEDICINE
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Obstetrics & Gynecology
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Practitioner (Acute Care)
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015
Internal Medicine (Critical Care Medicine)
801 OSTRUM ST
BETHLEHEM, PA 18015
Nurse Anesthetist, Certified Registered
801 OSTRUM ST
BETHLEHEM, PA 18015
Emergency Medicine
801 OSTRUM ST
BETHLEHEM, PA 18015

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 Justin Psaila's NPI number?

The NPI number for Justin Psaila is 1124124037. It was assigned to this individual provider in the NPPES registry on September 16, 2006.

Where is Justin Psaila located?

Justin Psaila practices at 801 Ostrum St, Bethlehem, PA 18015. The listed phone number is (484) 526-6643.

What is Justin Psaila's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Justin Psaila enrolled in Medicare?

Yes. Justin Psaila 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 Justin Psaila affiliated with any hospitals?

According to CMS data, Justin Psaila is affiliated with St Luke's Hospital Bethlehem and St Luke's Hospital - Easton Campus.

When was this NPI record last updated?

The NPPES record for Justin Psaila was last updated on August 29, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.