JUSTIN T LOUNDER DO
NPI 1417417775
Internal Medicine in Harrisburg, PA

Active since March 22, 2019PECOS EnrolledAccepts Medicare Assignment
86.18/100
CMS Quality Rating
4300 LONDONDERRY RD, HARRISBURG, PA 17109(717) 657-7468 Get Directions Write a Review

NPPES record last updated: December 1, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 1, 2022, Feb 4, 2021, Mar 22, 2019 (3 updates tracked since 2019).

About Justin T Lounder Do NPPES

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

JUSTIN T LOUNDER DO (NPI 1417417775) is an individual internal medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS020876) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS, is affiliated with Upmc Carlisle, and is a graduate of Lincoln Mem Univ, Debusk Col Of Osteopathic Med (2019).

NPPES Registry Identity

NPI1417417775
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJUSTIN T LOUNDERCredential: DO
Location Address4300 LONDONDERRY RDHarrisburg, PA 17109-5317
Mailing Address4300 Londonderry RdHarrisburg, PA 17109-5317 · (717) 657-7468
Sole ProprietorNo
Medical School CMSLincoln Mem Univ, Debusk Col Of Osteopathic MedGraduated 2019
Enumeration DateMarch 22, 2019
Last NPPES UpdateDecember 1, 20223 updates tracked since enumeration
NPPES CertifiedDecember 1, 2022
NPI 1417417775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · OS020876
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.
4300 LONDONDERRY RD, Harrisburg, PA 17109

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

Justin T Lounder Do 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 ID2668850819
PECOS Enrollment IDI20220601000324
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 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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
298 services152 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
208 services115 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
135 services133 patients
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.
94 services46 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
55 services54 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
14 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17109 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.18/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality84.53
Improvement Activities40
Cost65.62

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.

Orthopaedic Surgery
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Occupational Therapist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Occupational Therapy Assistant
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Physical Therapist
4300 LONDONDERRY RD, 2ND FLOOR
HARRISBURG, PA 17109
Hospitalist
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Registered Nurse (Rehabilitation)
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109
Internal Medicine
4300 LONDONDERRY RD
HARRISBURG, PA 17109

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 Justin Lounder's NPI number?

The NPI number for Justin Lounder is 1417417775. It was assigned to this individual provider in the NPPES registry on March 22, 2019.

Where is Justin Lounder located?

Justin Lounder practices at 4300 Londonderry Rd, Harrisburg, PA 17109. The listed phone number is (717) 657-7468.

What is Justin Lounder's specialty?

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

Is Justin Lounder enrolled in Medicare?

Yes. Justin Lounder 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 Justin Lounder affiliated with any hospitals?

According to CMS data, Justin Lounder is affiliated with Upmc Carlisle, Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Justin Lounder was last updated on December 1, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.