DR. PATRICIA ANN MARGETAS D.O.
NPI 1346475340
Internal Medicine in York, PA

Active since May 19, 2009PECOS EnrolledAccepts Medicare Assignment
4020 CARLISLE RD, YORK, PA 17315(717) 851-6400(717) 851-6410 Get Directions Write a Review

NPPES record last updated: July 21, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Patricia Ann Margetas D.o. NPPES

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

DR. PATRICIA ANN MARGETAS D.O. (NPI 1346475340) is an individual internal medicine provider in York, Pennsylvania, licensed in Pennsylvania (OS016139) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2009).

NPPES Registry Identity

NPI1346475340
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. PATRICIA ANN MARGETASCredential: D.O.
Location Address4020 CARLISLE RDYork, PA 17315-3508
Mailing Address3421 Concord RdYork, PA 17402-9001 · (717) 851-6400 · Fax (717) 851-6410
Fax(717) 851-6410
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2009
Enumeration DateMay 19, 2009
Last NPPES UpdateJuly 21, 2016
NPI 1346475340 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS016139
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4020 CARLISLE RD, York, PA 17315

Other Names 1

Former Name (1)Patricia Ann Burger

Other Identifiers 8

Other30141866PA · Amerihealth Mercy
Other2792924PA · Highmark Blue Shield
Other30147722PA · Amerihealth Caritas-eyfm
OtherP009460PA · Gateway
Other30147721PA · Amerihealth Caritas-dim
Other419611PA · Upmc
Medicaid102780683PA
Medicare PIN268003FLTPA

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

Dr. Patricia Ann Margetas D.o. 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 ID6507011228
PECOS Enrollment IDI20130304000334
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 7

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.
177 services135 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.
132 services96 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.
49 services49 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.
45 services45 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.
42 services42 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17315 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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 2

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
7 suppliers25 claims72 services$5.51 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers17 claims19 services$1.02 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 6

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

Technician, Other
4020 CARLISLE RD
DOVER, PA 17315
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
Internal Medicine
4020 CARLISLE RD
DOVER, PA 17315
Nurse Practitioner (Family)
4020 CARLISLE RD
YORK, PA 17315

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 Patricia Margetas's NPI number?

The NPI number for Patricia Margetas is 1346475340. It was assigned to this individual provider in the NPPES registry on May 19, 2009. The provider is also known as Patricia Ann Burger.

Where is Patricia Margetas located?

Patricia Margetas practices at 4020 Carlisle Rd, York, PA 17315. The listed phone number is (717) 851-6400.

What is Patricia Margetas's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Patricia Margetas enrolled in Medicare?

Yes. Patricia Margetas 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 Patricia Margetas affiliated with any hospitals?

According to CMS data, Patricia Margetas is affiliated with Wellspan York Hospital and Gettysburg Hospital.

When was this NPI record last updated?

The NPPES record for Patricia Margetas was last updated on July 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.