LIBERTY WOODRUFF DEEGAN PA
NPI 1164921631
Physician Assistant in Danville, PA

Q: What is Liberty Deegan's NPI number?

The NPI number for Liberty Deegan is 1164921631. It was assigned to this individual provider in the NPPES registry on February 9, 2018.

Q: What is Liberty Deegan's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Liberty Deegan was last updated on August 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.

Active since February 09, 2018PECOS Enrolled

16 WOODBINE LANE, DANVILLE, PA 17822(570) 271-6700(570) 214-6700 Get Directions Write a Review

NPPES record last updated: August 31, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 31, 2020, Feb 15, 2018 (2 updates tracked since 2018).

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About Liberty Woodruff Deegan Pa NPPES

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

LIBERTY WOODRUFF DEEGAN PA (NPI 1164921631) is an individual physician assistant in Danville, Pennsylvania, licensed in Pennsylvania (MA059699) and active in the NPI registry since February 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1164921631

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLIBERTY WOODRUFF DEEGANCredential: PA

Location Address16 WOODBINE LANEDanville, PA 17822-9800

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144 · Fax (570) 271-6578

Phone(570) 271-6700

Fax(570) 214-6700

Sole ProprietorNo

Enumeration DateFebruary 9, 2018

Last NPPES UpdateAugust 31, 20202 updates tracked since enumeration

NPPES CertifiedAugust 31, 2020

✔ NPI 1164921631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA059699

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

16 WOODBINE LANE, Danville, PA 17822

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Liberty Woodruff Deegan Pa 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 17822 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 7

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

Addition to lower extremity, test socket, below knee L5620

DME-Orthotic Devices · category DF003N

4 suppliers12 claims20 services$178.92 avg. paid by Medicare

Addition to lower extremity, below knee, acrylic socket L5629

DME-Orthotic Devices · category DF003N

4 suppliers11 claims11 services$314.90 avg. paid by Medicare

Addition to lower extremity, below knee, total contact L5637

DME-Orthotic Devices · category DF003N

4 suppliers13 claims13 services$263.75 avg. paid by Medicare

Addition to lower extremity, below knee / above knee suspension locking mechanism (shuttle, lanyard or equal), excludes socket insert L5671

DME-Orthotic Devices · category DF003N

3 suppliers12 claims12 services$415.43 avg. paid by Medicare

Addition to lower extremity, below knee/above knee, custom fabricated from existing mold or prefabricated, socket insert, silicone gel, elastomeric or equal, for use with locking mechanism L5673

DME-Orthotic Devices · category DF003N

3 suppliers14 claims27 services$587.41 avg. paid by Medicare

Prosthetic sock, multiple ply, below knee, each L8420

DME-Orthotic Devices · category DF003N

4 suppliers16 claims96 services$16.03 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.

MARCY A MCINTOSH MD

Radiology (Diagnostic Radiology)