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JOSE ERNESTO LOPEZ TABLAS MD
NPI 1235494568
Pediatrics in Hanover, PA

Active since July 12, 2012PECOS Enrolled
300 HIGHLAND AVE, HANOVER, PA 17331(717) 316-3711(717) 316-3049 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 26, 2025, Jan 29, 2021, May 18, 2020 and 2 more (5 updates tracked since 2016).

About Jose Ernesto Lopez Tablas Md NPPES

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

JOSE ERNESTO LOPEZ TABLAS MD (NPI 1235494568) is an individual pediatrics provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD450276) and active in the NPI registry since July 2012. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1235494568
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJOSE ERNESTO LOPEZ TABLASCredential: MD
Location Address300 HIGHLAND AVEHanover, PA 17331-2297
Mailing Address300 Highland AveHanover, PA 17331-2297 · (717) 316-3711 · Fax (717) 316-3049
Phone(717) 316-3711
Fax(717) 316-3049
Sole ProprietorNo
Enumeration DateJuly 12, 2012
Last NPPES UpdateFebruary 26, 20255 updates tracked since enumeration
NPPES CertifiedFebruary 26, 2025
✔ NPI 1235494568 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in PA · MD450276✔ Licensed in OR · MD158669✔ Licensed in SC · 82513
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
300 HIGHLAND AVE, Hanover, PA 17331
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1BEAUFORT MEMORIAL EXPRESS CARE & OCCUPATIONAL HEALTH, 974 RIBAUT RDBEAUFORT, SC 29902-5486 · Phone (843) 524-3344 · Fax (844) 295-9894
Location 21000 E Mountain BlvdWilkes Barre, PA 18711-0027 · Phone (570) 808-7333 · Fax (570) 808-7325

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Ernesto Lopez Tablas Md 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.

Medicare Billing Reassignments

5

Medicare enrollment records show Jose Lopez Tablas reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pinnacle Health Medical Services
Same address
Pediatrics
300 HIGHLAND AVE
Hanover, PA 17331
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1104385707 (717) 316-3711
Geisinger Clinic
57 mi
Family Medicine
56 JAM HOUSE RD
Mifflin, PA 17058
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1255382651 (717) 436-8986
Upmc Altoona
90 mi
General Acute Care Hospital
620 HOWARD AVE.
Altoona, PA 16601
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 291 clinicians in this Medicare group
NPI 1497831655 (814) 889-2223
University Of Pittsburgh Physicians
156 mi
Internal Medicine
3436 WILLIAM PENN HWY, SUITE 166
Pittsburgh, PA 15235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1407985674 (412) 823-6222
Beaufort County Memorial Hospital
535 mi
Specialist
BEAUFORT MEMORIAL SURGICAL SPECIALISTS, 1000 PINE STREET
Varnville, SC 29944
  • Reassigned Medicare billing, South Carolina enrollment
  • 113 clinicians in this Medicare group
NPI 1366676769 (842) 524-8171

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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 20

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

UPMC HANOVER
Clinical Medical Laboratory
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 316-3711
DR. JOSE ANIBAL SERRANO M.D.
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 988-0000
LIZA GERGENTI MD
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 988-0000
TIMOTHY COOK RCIS
Specialist/Technologist Cardiovascular (Cardiovascular Invasive Specialist)
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 637-3711
ERIC SHAWN TAUSCHER MD
Emergency Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 633-2000
PINNACLE HEALTH MEDICAL SERVICES
Pediatrics
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 316-3711
ALEKSEI GODOK MD
Internal Medicine
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 316-3711
MS. DANIELLE NICOLE REDDING ATC, CSCS
Specialist/Technologist (Athletic Trainer)
300 HIGHLAND AVE
HANOVER, PA 17331
York County (717) 359-4078

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 Jose Lopez Tablas's NPI number?

The NPI number for Jose Lopez Tablas is 1235494568. It was assigned to this individual provider in the NPPES registry on July 12, 2012.

Where is Jose Lopez Tablas located?

Jose Lopez Tablas practices at 300 Highland Ave, Hanover, PA 17331. The listed phone number is (717) 316-3711.

What is Jose Lopez Tablas's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Jose Lopez Tablas enrolled in Medicare?

Yes. Jose Lopez Tablas is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jose Lopez Tablas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Lopez Tablas reassigns Medicare benefits to 5 organizations: Pinnacle Health Medical Services (Hanover, PA), Geisinger Clinic (Mifflin, PA), Upmc Altoona (Altoona, PA), University Of Pittsburgh Physicians (Pittsburgh, PA) and Beaufort County Memorial Hospital (Varnville, SC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Lopez Tablas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Lopez Tablas was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.