DAVID T SUPERDOCK M.D.
NPI 1326023045
Family Medicine in Lititz, PA

Q: What is David Superdock's NPI number?

The NPI number for David Superdock is 1326023045. It was assigned to this individual provider in the NPPES registry on December 15, 2005.

Q: What is David Superdock's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for David Superdock was last updated on September 1, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since December 15, 2005PECOS Enrolled

562 W 2ND AVE, LITITZ, PA 17543(717) 626-2167(717) 626-1915 Get Directions Write a Review

NPPES record last updated: September 1, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About David T Superdock M.d. NPPES

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

DAVID T SUPERDOCK M.D. (NPI 1326023045) is an individual family medicine provider in Lititz, Pennsylvania, licensed in Pennsylvania (MD041940L) and active in the NPI registry since December 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326023045

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDAVID T SUPERDOCKCredential: M.D.

Location Address562 W 2ND AVELititz, PA 17543-1816

Mailing Address562 W 2nd AveLititz, PA 17543-1816 · (717) 626-2167 · Fax (717) 626-1915

Phone(717) 626-2167

Fax(717) 626-1915

Sole ProprietorNo

Enumeration DateDecember 15, 2005

Last NPPES UpdateSeptember 1, 2007

✔ NPI 1326023045 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 · MD041940L

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.

562 W 2ND AVE, Lititz, PA 17543

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Other Identifiers 10

Other37716 S1QGPA · Geisinger Health Plan

OtherP002303PA · Gateway Health Plan

Medicaid0012090930001PA

OtherE23590PA · Health Assurance

Other01971402PA · Capital Blue Cross

Medicare UPINE23590PA

Other578406PA · Aetna Hmo

Medicare PIN615224JZEPA

Other615224PA · Highmark Blue Shield

Other5659089PA · Aetna Non-hmo

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

David T Superdock M.d. 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 Reassignment

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

Lancaster General Medical Group

Same address

Family Medicine

562 WEST 2ND AVENUE
Lititz, PA 17543

Reassigned Medicare billing, Pennsylvania enrollment
727 clinicians in this Medicare group

NPI 1164405593 (717) 626-2167

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

Areas of Expertise CMS Part B claims 6

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 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.

259 services192 patients

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.

105 services93 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.

32 services32 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

28 services28 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.

28 services28 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17543 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 11

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

11 suppliers58 claims141 services$5.65 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers25 claims28 services$1.09 avg. paid by Medicare

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

4 suppliers16 claims16 services$36.34 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

2 suppliers13 claims17 services$33.37 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

5 suppliers19 claims94 services$17.03 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims56 services$14.98 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 15

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

BROCK CROMLEIGH CRNP, FNP-BC

Nurse Practitioner (Family)