THOMAS D SCANLON III CRNP
NPI 1285000109
Nurse Practitioner - Family in Hershey, PA

Active since August 14, 2015PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
500 UNIVERSITY DR, HERSHEY, PA 17033(800) 243-1455(717) 531-4077 Get Directions Write a Review

NPPES record last updated: May 17, 2019. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: May 17, 2019, Jul 7, 2017, Jan 11, 2017 (3 updates tracked since 2017).

About Thomas D Scanlon Iii Crnp NPPES

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

THOMAS D SCANLON III CRNP (NPI 1285000109) is an individual family provider in Hershey, Pennsylvania, licensed in Pennsylvania (SP015238) and active in the NPI registry since August 2015. He is enrolled in Medicare PECOS, is affiliated with Milton S Hershey Medical Center, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1285000109
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameTHOMAS D SCANLON IIICredential: CRNP
Location Address500 UNIVERSITY DRHershey, PA 17033-2360
Mailing AddressPo Box 858, Mc A410Hershey, PA 17033-0858 · (800) 243-1455
Fax(717) 531-4077
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateAugust 14, 2015
Last NPPES UpdateMay 17, 20193 updates tracked since enumeration
NPI 1285000109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in PA · SP015238
500 UNIVERSITY DR, Hershey, PA 17033

Other Identifiers 1

Medicaid103037867PA

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

Thomas D Scanlon Iii Crnp 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 ID6305153727
PECOS Enrollment IDI20150917001950
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

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.

Evaluation of lower heart chamber assist device 93750
An evaluation of a lower heart chamber assist device is a procedure to check the function of an implanted device aiding your heart's lower chambers. This helps ensure optimal heart function by monitoring the device's performance and your heart's response to it.
121 services21 patients

Hospital Affiliations CMS Care Compare 2

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

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17033 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.

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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

Referred Medical Equipment & Supplies CMS DME claims 5

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

Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers44 claims5,175 services$0.32 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers11 claims1,650 services$0.01 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers37 claims4,380 services$0.18 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
8 suppliers54 claims54 services$18.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
7 suppliers44 claims44 services$11.76 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.

Physician Assistant
500 UNIVERSITY DR
HERSHEY, PA 17033
Internal Medicine
500 UNIVERSITY DR, H088
HERSHEY, PA 17033
Otolaryngology
500 UNIVERSITY DR
HERSHEY, PA 17033
Surgery (Trauma Surgery)
500 UNIVERSITY DR
HERSHEY, PA 17033
Anesthesiology (Critical Care Medicine)
500 UNIVERSITY DR, BOX 3951, DAVISON BLDG, TRENT DRIVE
HERSHEY, PA 17033
Pathology (Clinical Pathology/Laboratory Medicine)
500 UNIVERSITY DR, HERSHEY MEDICAL CENTER
HERSHEY, PA 17033
Family Medicine
500 UNIVERSITY DR
HERSHEY, PA 17033
Pediatrics (Pediatric Endocrinology)
500 UNIVERSITY DR
HERSHEY, PA 17033

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 Thomas Scanlon's NPI number?

The NPI number for Thomas Scanlon is 1285000109. It was assigned to this individual provider in the NPPES registry on August 14, 2015.

Where is Thomas Scanlon located?

Thomas Scanlon practices at 500 University Dr, Hershey, PA 17033. The listed phone number is (800) 243-1455.

What is Thomas Scanlon's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Thomas Scanlon enrolled in Medicare?

Yes. Thomas Scanlon 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 Thomas Scanlon affiliated with any hospitals?

According to CMS data, Thomas Scanlon is affiliated with Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Thomas Scanlon was last updated on May 17, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.