ALLEN ANTHONY WETZEL MD
NPI 1265453609
Family Medicine in Hughesville, PA

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment
246 S MAIN ST, HUGHESVILLE, PA 17737(570) 584-5144(570) 584-5416 Get Directions Write a Review

NPPES record last updated: December 24, 2015. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Allen Anthony Wetzel Md NPPES

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

ALLEN ANTHONY WETZEL MD (NPI 1265453609) is an individual family medicine provider in Hughesville, Pennsylvania, licensed in Pennsylvania (MD427248) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (2003).

NPPES Registry Identity

NPI1265453609
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameALLEN ANTHONY WETZELCredential: MD
Location Address246 S MAIN STHughesville, PA 17737-1614
Mailing Address7 Dock Hill RdMiddleburg, PA 17842-8910 · (570) 837-2123 · Fax (570) 837-2185
Fax(570) 584-5416
Sole ProprietorYes
Medical School CMSPennsylvania State University College Of MedicineGraduated 2003
Enumeration DateJuly 21, 2006
Last NPPES UpdateDecember 24, 2015
NPI 1265453609 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 · MD427248
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.
246 S MAIN ST, Hughesville, PA 17737

Other Identifiers 2

Medicaid1017330250003PA
Medicare PIN102979F6KPA

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

Allen Anthony Wetzel 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 ID4587667027
PECOS Enrollment IDI20060823000036
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 20

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
478 services295 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.
413 services204 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.
246 services50 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.
143 services143 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.
125 services37 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
98 services96 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Upmc Muncy

Critical Access Hospitals · Muncy, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391301
Location215 East Water StreetMuncy, PA 17756 · Lycoming County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17737 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 4

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
6 suppliers39 claims90 services$4.92 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
4 suppliers31 claims32 services$82.05 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier11 claims12 services$29.02 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$23.66 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 14

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

Nurse Practitioner (Family)
246 S MAIN ST
HUGHESVILLE, PA 17737
Nurse Practitioner
246 S MAIN ST
HUGHESVILLE, PA 17737
Physician Assistant
246 S MAIN ST
HUGHESVILLE, PA 17737
Nurse Practitioner
246 S MAIN ST
HUGHESVILLE, PA 17737
Physician Assistant
246 S MAIN ST
HUGHESVILLE, PA 17737
Nurse Practitioner (Acute Care)
246 S MAIN ST
HUGHESVILLE, PA 17737
Physician Assistant
246 S MAIN ST
HUGHESVILLE, PA 17737
Nurse Practitioner
246 S MAIN ST
HUGHESVILLE, PA 17737

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 Allen Wetzel's NPI number?

The NPI number for Allen Wetzel is 1265453609. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Allen Wetzel located?

Allen Wetzel practices at 246 S Main St, Hughesville, PA 17737. The listed phone number is (570) 584-5144.

What is Allen Wetzel's specialty?

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

Is Allen Wetzel enrolled in Medicare?

Yes. Allen Wetzel 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 Allen Wetzel affiliated with any hospitals?

According to CMS data, Allen Wetzel is affiliated with Geisinger Medical Center, Evangelical Community Hospital, Upmc Williamsport and Upmc Muncy.

When was this NPI record last updated?

The NPPES record for Allen Wetzel was last updated on December 24, 2015. NPI Profile syncs with the weekly NPPES data releases published by CMS.