DR. PIUS OCHIENG M.D.
NPI 1376813279
Internal Medicine - Pulmonary Disease in Allentown, PA

Active since January 09, 2012PECOS EnrolledAccepts Medicare Assignment
1250 S CEDAR CREST BLVD STE 205, ALLENTOWN, PA 18103(610) 402-9116 Get Directions Write a Review

NPPES record last updated: March 2, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 2, 2023, Aug 27, 2020, Jun 22, 2017 (3 updates tracked since 2017).

About Dr. Pius Ochieng M.d. NPPES

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

DR. PIUS OCHIENG M.D. (NPI 1376813279) is an individual pulmonary disease provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD452890) and active in the NPI registry since January 2012. He is enrolled in Medicare PECOS, is affiliated with Schuylkill Medical Center - South Jackson Street, and maintains a secondary practice location in Scranton.

NPPES Registry Identity

NPI1376813279
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. PIUS OCHIENGCredential: M.D.
Location Address1250 S CEDAR CREST BLVD STE 205Allentown, PA 18103-6271
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 271-6144
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateJanuary 9, 2012
Last NPPES UpdateMarch 2, 20233 updates tracked since enumeration
NPPES CertifiedMarch 2, 2023
NPI 1376813279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License Licensed in PA · MD452890
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License MD452890 (PA)
1250 S CEDAR CREST BLVD STE 205, Allentown, PA 18103

Secondary Practice Location 1

Location 11800 Mulberry St.Scranton, PA 18510-6800 · Phone (570) 703-8231

Accepted Insurance

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. Pius Ochieng M.d. 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 ID6103147830
PECOS Enrollment IDI20150608000541
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 19

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
389 services221 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
207 services205 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
190 services189 patients
Test to measure rate of airflow 94375
This test, known as spirometry, measures how much air you can breathe in and out, and how quickly you can do so. It helps assess your lung function and can be used to diagnose or monitor conditions like asthma or COPD.
132 services131 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.
121 services76 patients
Test to measure expiratory airflow and volume changes before and after medication administration 94060
This procedure measures how air flows in and out of your lungs. It's done before and after medication to see if the treatment improves your breathing. It's a simple, non-invasive test that involves breathing into a device called a spirometer.
89 services88 patients

Hospital Affiliations CMS Care Compare 5

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

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Lehigh Valley Hospital - Pocono

Acute Care Hospitals · East Stroudsburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390201
Location206 East Brown StreetEast Stroudsburg, PA 18301 · Monroe County
Emergency services Birthing friendly

Lehigh Valley Hospital - Dickson City

Acute Care Hospitals · Dickson City, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390338
Location330 Main StreetDickson City, PA 18519 · Lackawanna County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18103 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 5

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
5 suppliers52 claims52 services$16.01 avg. paid by Medicare
Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier15 claims15 services$3.54 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
8 suppliers190 claims190 services$68.21 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
5 suppliers107 claims107 services$33.30 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier23 claims23 services$34.33 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.

Nurse Practitioner (Acute Care)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Physician Assistant (Medical)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Hematology & Oncology)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Hospice and Palliative Medicine)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103
Internal Medicine (Pulmonary Disease)
1250 S CEDAR CREST BLVD STE 205
ALLENTOWN, PA 18103

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 Pius Ochieng's NPI number?

The NPI number for Pius Ochieng is 1376813279. It was assigned to this individual provider in the NPPES registry on January 9, 2012.

Where is Pius Ochieng located?

Pius Ochieng practices at 1250 S Cedar Crest Blvd Ste 205, Allentown, PA 18103. The listed phone number is (610) 402-9116.

What is Pius Ochieng's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Pius Ochieng enrolled in Medicare?

Yes. Pius Ochieng 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.

What insurance does Pius Ochieng accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Pius Ochieng 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 Pius Ochieng affiliated with any hospitals?

According to CMS data, Pius Ochieng is affiliated with Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Pius Ochieng was last updated on March 2, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.