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DR. ANDREW BRACKBILL M.D.
NPI 1447455209
Internal Medicine - Endocrinology, Diabetes & Metabolism in Allentown, PA

Active since June 20, 2007PECOS EnrolledAccepts Medicare Assignment
1243 S CEDAR CREST BLVD, SUITE 2800, ALLENTOWN, PA 18103(610) 402-6790(610) 402-6979 Get Directions Write a Review

NPPES record last updated: November 18, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Andrew Brackbill M.d. NPPES

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

DR. ANDREW BRACKBILL M.D. (NPI 1447455209) is an individual endocrinology, diabetes & metabolism provider in Allentown, Pennsylvania, licensed in Pennsylvania (MD455998) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Jefferson Medical College Of Thomas Jefferson University (2006).

NPPES Registry Identity

NPI1447455209
Entity TypeIndividualMale
Primary Taxonomy207RE0101X
Provider Legal NameDR. ANDREW BRACKBILLCredential: M.D.
Location Address1243 S CEDAR CREST BLVD, SUITE 2800Allentown, PA 18103-6268
Mailing AddressPo Box 783311Philadelphia, PA 19178-3311
Phone(610) 402-6790
Fax(610) 402-6979
Sole ProprietorNo
Medical School CMSJefferson Medical College Of Thomas Jefferson UniversityGraduated 2006
Enumeration DateJune 20, 2007
Last NPPES UpdateNovember 18, 2015
✔ NPI 1447455209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License✔ Licensed in PA · MD455998
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
1243 S CEDAR CREST BLVD, Allentown, PA 18103
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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. Andrew Brackbill 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 ID3870815400
PECOS Enrollment IDI20151001001459
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 11

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.

Injection, denosumab, 1 mg J0897
Denosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
1,020 services11 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.
303 services213 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.
139 services65 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.
92 services89 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services55 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
49 services45 patients

Hospital Affiliations CMS Care Compare 4

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

St Luke's Hospital Bethlehem

Acute Care Hospitals · Bethlehem, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390049
Location801 Ostrum StreetBethlehem, PA 18015 · Northampton 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 - 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 6

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

Supplies for maintenance of insulin infusion catheter, per week A4224
DME-Other DME · category DE017N
6 suppliers42 claims538 services$18.09 avg. paid by Medicare
Supplies for external insulin infusion pump, syringe type cartridge, sterile, each A4225
DME-Other DME · category DE017N
6 suppliers42 claims1,400 services$2.32 avg. paid by Medicare
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
50 suppliers148 claims662 services$5.89 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
23 suppliers48 claims119 services$0.97 avg. paid by Medicare
Insulin for administration through dme (i.e., insulin pump) per 50 units J1817
Treatment-Injections and Infusions (nononcologic) · category RI000N
7 suppliers23 claims1,740 services$6.40 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
16 suppliers256 claims256 services$189.27 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.

LEHIGH VALLEY PHYSICIAN GROUP
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
KATHLEEN DRISCOLL POST CRNP
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD, STE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
DR. ROBERT B DOLL JR. M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
GRETCHEN PERILLI MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1243 S CEDAR CREST BLVD, SUITE 2800
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790
THERESA SHELHAMER
Nurse Practitioner (Family)
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-9230
DR. ROBIN SPERDUTO SCHROEDER MD
Family Medicine (Obesity Medicine)
1243 S CEDAR CREST BLVD, SUITE 2300
ALLENTOWN, PA 18103
Lehigh County (610) 969-3500
MS. DONNA G BODEN RD
Dietitian, Registered
1243 S CEDAR CREST BLVD, SUITE 300
ALLENTOWN, PA 18103
Lehigh County (610) 402-4783
JESSICA HAASE RD
Dietitian, Registered
1243 S CEDAR CREST BLVD
ALLENTOWN, PA 18103
Lehigh County (610) 402-6790

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 Andrew Brackbill's NPI number?

The NPI number for Andrew Brackbill is 1447455209. It was assigned to this individual provider in the NPPES registry on June 20, 2007.

Where is Andrew Brackbill located?

Andrew Brackbill practices at 1243 S Cedar Crest Blvd Suite 2800, Allentown, PA 18103. The listed phone number is (610) 402-6790.

What is Andrew Brackbill's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Andrew Brackbill enrolled in Medicare?

Yes. Andrew Brackbill 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 Andrew Brackbill accept?

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

According to CMS data, Andrew Brackbill is affiliated with St Luke's Hospital Bethlehem, Lehigh Valley Hospital, Lehigh Valley Hospital - Pocono and Lehigh Valley Hospital - Dickson City.

When was this NPI record last updated?

The NPPES record for Andrew Brackbill was last updated on November 18, 2015. 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.