DR. NATHALIE LAVALLEE MD
NPI 1457580102
Plastic Surgery in Mechanicsburg, PA

Active since July 02, 2009PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
950 WOODLAND ST, MECHANICSBURG, PA 17055(717) 988-8020 Get Directions Write a Review

NPPES record last updated: May 8, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 8, 2023, Dec 23, 2022, Aug 2, 2019 (3 updates tracked since 2019).

About Dr. Nathalie Lavallee Md NPPES

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

DR. NATHALIE LAVALLEE MD (NPI 1457580102) is an individual plastic surgery provider in Mechanicsburg, Pennsylvania, licensed in Pennsylvania (MD438464) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains a secondary practice location in Williamsport.

NPPES Registry Identity

NPI1457580102
Entity TypeIndividualFemale
Primary Taxonomy208200000X
Provider Legal NameDR. NATHALIE LAVALLEECredential: MD
Location Address950 WOODLAND STMechanicsburg, PA 17055-4373
Mailing Address950 Woodland StMechanicsburg, PA 17055-4373
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 2, 2009
Last NPPES UpdateMay 8, 20233 updates tracked since enumeration
NPPES CertifiedMay 8, 2023
NPI 1457580102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208200000X
License Licensed in PA · MD438464
Definition
A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.
Also ListedSurgery · Plastic and Reconstructive SurgeryTaxonomy 2086S0122X · License MD438464 (PA)
950 WOODLAND ST, Mechanicsburg, PA 17055

Secondary Practice Location 1

Location 11100 Grampian BlvdWilliamsport, PA 17701-1909 · Phone (570) 326-8005 · Fax (570) 326-8006

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. Nathalie Lavallee Md 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 ID6406996057
PECOS Enrollment IDI20091214000012
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.

New patient office or other outpatient visit with straightforward medical decision making, if using time, 15 minutes or more 99202
This service involves an initial visit to the doctor's office or other outpatient setting. It typically lasts between 15-29 minutes. The doctor will review your medical history, conduct a physical examination, and discuss your health concerns. It's a chance to establish your health baseline and address any immediate medical issues.
24 services24 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.
19 services18 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
16 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17055 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Plastic Surgery
950 WOODLAND ST
MECHANICSBURG, PA 17055
Physician Assistant (Medical)
950 WOODLAND ST
MECHANICSBURG, PA 17055
General Practice
950 WOODLAND ST
MECHANICSBURG, PA 17055
Surgery (Plastic and Reconstructive Surgery)
950 WOODLAND ST
MECHANICSBURG, PA 17055
Plastic Surgery
950 WOODLAND ST
MECHANICSBURG, PA 17055
Physician Assistant (Medical)
950 WOODLAND ST
MECHANICSBURG, PA 17055

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 Nathalie Lavallee's NPI number?

The NPI number for Nathalie Lavallee is 1457580102. It was assigned to this individual provider in the NPPES registry on July 2, 2009.

Where is Nathalie Lavallee located?

Nathalie Lavallee practices at 950 Woodland St, Mechanicsburg, PA 17055. The listed phone number is (717) 988-8020.

What is Nathalie Lavallee's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Nathalie Lavallee enrolled in Medicare?

Yes. Nathalie Lavallee 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 Nathalie Lavallee affiliated with any hospitals?

According to CMS data, Nathalie Lavallee is affiliated with Upmc Pinnacle Hospitals.

When was this NPI record last updated?

The NPPES record for Nathalie Lavallee was last updated on May 8, 2023. 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.