JAMES DYLAN PAGANA MD
NPI 1194163964
Family Medicine in Selinsgrove, PA

Active since June 13, 2013PECOS EnrolledAccepts Medicare Assignment
270 SUSQUEHANNA VALLEY MALL DR STE 800, SELINSGROVE, PA 17870(570) 884-7925(570) 374-7932 Get Directions Write a Review

NPPES record last updated: July 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 25, 2022, Mar 20, 2017, Jul 15, 2016 (3 updates tracked since 2016).

About James Dylan Pagana Md NPPES

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

JAMES DYLAN PAGANA MD (NPI 1194163964) is an individual family medicine provider in Selinsgrove, Pennsylvania, licensed in Pennsylvania (MD458288) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2013).

NPPES Registry Identity

NPI1194163964
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES DYLAN PAGANACredential: MD
Location Address270 SUSQUEHANNA VALLEY MALL DR STE 800Selinsgrove, PA 17870-9124
Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185
Fax(570) 374-7932
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2013
Enumeration DateJune 13, 2013
Last NPPES UpdateJuly 25, 20223 updates tracked since enumeration
NPPES CertifiedJuly 25, 2022
NPI 1194163964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in PA · MD458288
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.
270 SUSQUEHANNA VALLEY MALL DR STE 800, Selinsgrove, PA 17870

Other Identifiers 1

Medicaid103129940PA

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 Dylan Pagana Md 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 ID648565820
PECOS Enrollment IDI20160826001611
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 22

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
745 services117 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
528 services119 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.
301 services174 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
301 services71 patients
Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439
Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.
181 services56 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
112 services112 patients

Hospital Affiliations CMS Care Compare 2

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Evangelical Community Hospital

Acute Care Hospitals · Lewisburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390013
LocationOne Hospital DriveLewisburg, PA 17837 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17870 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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers42 claims68 services$5.92 avg. paid by Medicare
Ostomy pouch, drainable; for use on barrier with flange (2 piece system), each A5063
DME-Orthotic Devices · category DF010N
3 suppliers11 claims184 services$2.33 avg. paid by Medicare
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
3 suppliers19 claims19 services$119.01 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 6

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

Family Medicine
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Physician Assistant
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Physician Assistant
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Nurse Practitioner
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Nurse Practitioner
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870
Family Medicine
270 SUSQUEHANNA VALLEY MALL DR STE 800
SELINSGROVE, PA 17870

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 Pagana's NPI number?

The NPI number for James Pagana is 1194163964. It was assigned to this individual provider in the NPPES registry on June 13, 2013.

Where is James Pagana located?

James Pagana practices at 270 Susquehanna Valley Mall Dr Ste 800, Selinsgrove, PA 17870. The listed phone number is (570) 884-7925.

What is James Pagana's specialty?

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

Is James Pagana enrolled in Medicare?

Yes. James Pagana 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 James Pagana affiliated with any hospitals?

According to CMS data, James Pagana is affiliated with Geisinger Medical Center and Evangelical Community Hospital.

When was this NPI record last updated?

The NPPES record for James Pagana was last updated on July 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.