JEFFREY NEWSWANGER DO
NPI 1427097120
Family Medicine in Ephrata, PA

Q: What is Jeffrey Newswanger's NPI number?

The NPI number for Jeffrey Newswanger is 1427097120. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Jeffrey Newswanger's specialty?

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

Active since June 06, 2006PECOS EnrolledAccepts Medicare Assignment

446 N READING RD, EPHRATA, PA 17522(717) 738-5275(717) 738-5278 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Jul 11, 2023 (2 updates tracked since 2023).

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About Jeffrey Newswanger Do NPPES

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

JEFFREY NEWSWANGER DO (NPI 1427097120) is an individual family medicine provider in Ephrata, Pennsylvania, licensed in Pennsylvania (OS022822) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1427097120

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameJEFFREY NEWSWANGERCredential: DO

Location Address446 N READING RDEphrata, PA 17522-9802

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969

Phone(717) 738-5275

Fax(717) 738-5278

Sole ProprietorNo

Medical School CMSOtherGraduated 1995

Enumeration DateJune 6, 2006

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1427097120 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 · OS022822

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.

446 N READING RD, Ephrata, PA 17522

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Other Identifiers 3

Other000000061568KY · Blue Cross

Medicaid64025604KY

OtherP00342786KY · Railroad Medicare

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

Jeffrey Newswanger 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 ID1052398260

PECOS Enrollment IDI20230731001945

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 4

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.

44 services43 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.

40 services40 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

17 services17 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.

11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390066

Location252 South 4th StreetLebanon, PA 17042 · Lebanon County

Emergency services Birthing friendly

Wellspan Ephrata Community Hospital

Acute Care Hospitals · Ephrata, PA

5/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390225

Location169 Martin AvenueEphrata, PA 17522 · Lancaster County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17522 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.

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.

THE PSYCHOLOGY AND MINDFULNESS CENTER, PLLC

Psychologist (Clinical)

446 N READING RD, SUITE 204
EPHRATA, PA 17522

Lancaster County (717) 466-6565

MS. SHANNON TRACEY GAGLIARDI PA-C

Physician Assistant