WELLSPAN CARDIOTHORACIC SURGERY - LEBANON
NPI 1407096951
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lebanon, PA
About Wellspan Cardiothoracic Surgery - Lebanon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN CARDIOTHORACIC SURGERY - LEBANON (NPI 1407096951) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Lebanon, Pennsylvania and active in the NPI registry since February 2009. The organization lists Jody M Boger, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspan Cardiothoracic Surgery - Lebanon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
141Medicare enrollment records show 141 clinicians reassign Medicare billing to Wellspan Cardiothoracic Surgery - Lebanon, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 141Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Good Samaritan Physician Services's NPI number?
The NPI number for Good Samaritan Physician Services is 1407096951. It was assigned to this organization in the NPPES registry on February 24, 2009. The provider is doing business as Wellspan Cardiothoracic Surgery - Lebanon.
Where is Good Samaritan Physician Services located?
Good Samaritan Physician Services is located at 4th & Walnut Streets 2nd Floor, Lebanon, PA 17042. The listed phone number is (717) 270-3751.
What is Good Samaritan Physician Services's specialty?
The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.
Is Good Samaritan Physician Services enrolled in Medicare?
Yes. Good Samaritan Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Good Samaritan Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 141 clinicians in 13 Medicare specialties reassign their Medicare billing to Good Samaritan Physician Services. A 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 the clinician's services. The largest specialties are Nurse Practitioner (69), Family Practice (21) and Hematology/Oncology (11). Of these, 2 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Good Samaritan Physician Services was last updated on October 5, 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.
# Wellspan Cardiothoracic Surgery - Lebanon · NPI 1407096951
Thoracic Surgery (Cardiothoracic Vascular Surgery) organization in Lebanon, Pennsylvania. Organization record, active in the CMS NPPES registry since February 24, 2009.
## Identity
- **NPI:** 1407096951 (Entity type: Organization)
- **Enumerated:** February 24, 2009
- **Primary specialty:** Thoracic Surgery (Cardiothoracic Vascular Surgery) · taxonomy 208G00000X
- **Legal business name:** Good Samaritan Physician Services
- **Organization subpart:** No
- **Authorized official:** Jody Boger, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 4TH & WALNUT STREETS, 2ND FLOOR, Lebanon, PA 17042-6123
- **Phone:** (717) 270-3751 · **Fax:** (717) 270-3754
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 141 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (69), Family Practice (21), Hematology/Oncology (11); 2 practice at this address and 16 within 10 miles; [full list](https://npiprofile.com/npi/1407096951/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2016
- **Other identifiers:** Medicare PIN 047659 (PA); Medicaid 001864024 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1407096951) · Data from the CMS NPPES public registry.