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KAUSTAV MUKHERJEE
NPI 1295465086
Family Medicine in Jersey Shore, PA

Active since June 14, 2022PECOS Enrolled
1020 THOMPSON ST, JERSEY SHORE, PA 17740(570) 398-1991(570) 398-4607 Get Directions Write a Review

NPPES record last updated: July 1, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 28, 2025, Jan 7, 2025 (2 updates tracked since 2025).

About Kaustav Mukherjee NPPES

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

KAUSTAV MUKHERJEE (NPI 1295465086) is an individual family medicine provider in Jersey Shore, Pennsylvania, licensed in Pennsylvania (MD493957) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Geisinger Jersey Shore Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1295465086
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKAUSTAV MUKHERJEE
Location Address1020 THOMPSON STJersey Shore, PA 17740-1729
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 398-1991 · Fax (570) 398-4607
Phone(570) 398-1991
Fax(570) 398-4607
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 14, 2022
Last NPPES UpdateJuly 1, 20262 updates tracked since enumeration
NPPES CertifiedJuly 1, 2026
✔ NPI 1295465086 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 · MD493957
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.
1020 THOMPSON ST, Jersey Shore, PA 17740
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kaustav Mukherjee is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628458304
PECOS Enrollment IDI20260722001300
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 Reassignment

Medicare enrollment records show Kaustav Mukherjee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Geisinger Clinic
Same address
Internal Medicine
1020 THOMPSON ST
Jersey Shore, PA 17740
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 4,429 clinicians in this Medicare group
NPI 1023616471 (570) 398-1991

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

Hospital Affiliations CMS Care Compare

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

Geisinger Jersey Shore Hospital

Critical Access Hospitals · Jersey Shore, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391300
Location1020 Thompson StreetJersey Shore, PA 17740 · Lycoming County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17740 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.

DR. MICHAEL LAWRENCE ROBINSON M.D.
Hospitalist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3117
ANGELA ROSE EARLY OTR/L
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3111
GEISINGER CLINIC
Internal Medicine
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-1991
RHONDA BIRD SCHLORFF LDN
Dietitian, Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-0100
DR. CHRISTOPHER JAMES LESHER PHARMD
Pharmacist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-0100
LYNN ANN GROVE CRNA, CRNP
Nurse Anesthetist, Certified Registered
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-5131
THOMAS MCBRIDE OTR/L
Occupational Therapist
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (570) 398-3111
KIERSTEN LEIGH BETZ RT (R), PA-C
Physician Assistant
1020 THOMPSON ST
JERSEY SHORE, PA 17740
Lycoming County (507) 398-0100

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 Kaustav Mukherjee's NPI number?

The NPI number for Kaustav Mukherjee is 1295465086. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Kaustav Mukherjee located?

Kaustav Mukherjee practices at 1020 Thompson St, Jersey Shore, PA 17740. The listed phone number is (570) 398-1991.

What is Kaustav Mukherjee's specialty?

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

Is Kaustav Mukherjee enrolled in Medicare?

Yes. Kaustav Mukherjee is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kaustav Mukherjee's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kaustav Mukherjee reassigns Medicare benefits to Geisinger Clinic (Jersey Shore, PA). The 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 Kaustav Mukherjee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kaustav Mukherjee accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kaustav Mukherjee as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Kaustav Mukherjee affiliated with any hospitals?

According to CMS data, Kaustav Mukherjee is affiliated with Geisinger Jersey Shore Hospital.

When was this NPI record last updated?

The NPPES record for Kaustav Mukherjee was last updated on July 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.