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MICHAEL G. JUSINSKI M.D.
NPI 1518046465
Family Medicine - Sports Medicine in Palmerton, PA

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
614 DELAWARE AVE., PALMERTON, PA 18071(484) 822-5320(484) 822-5321 Get Directions Write a Review

NPPES record last updated: August 28, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Michael G. Jusinski M.d. NPPES

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

MICHAEL G. JUSINSKI M.D. (NPI 1518046465) is an individual sports medicine provider in Palmerton, Pennsylvania, licensed in Pennsylvania (MD429684) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with St Lukes Quakertown Hospital, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1518046465
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameMICHAEL G. JUSINSKICredential: M.D.
Location Address614 DELAWARE AVE.Palmerton, PA 18071-1518
Mailing Address614 Delaware AvePalmerton, PA 18071 · (484) 822-5320 · Fax (484) 822-8321
Phone(484) 822-5320
Fax(484) 822-5321
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateNovember 3, 2006
Last NPPES UpdateAugust 28, 2025
NPPES CertifiedAugust 21, 2025
✔ NPI 1518046465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License✔ Licensed in PA · MD429684
Definition
A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.
614 DELAWARE AVE., Palmerton, PA 18071
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Other Identifiers 9

Other113835Geisinger Health Plan
Other1985190Highmark Blue Shield
Other3120202Cigna Healthcare
Other732955Health America/health Assurance
Other2840104United Healthcare
Other50073442Capital Blue Cross
Other50073442Keystone Health Plan Central
Other1749244Aetna - Hmo
Other9571068Aetna - Ppo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael G. Jusinski 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 ID5294821435
PECOS Enrollment IDI20071018000531
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.

Medicare Billing Reassignments

6

Medicare enrollment records show Michael Jusinski reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

St Luke Hospital
Same address
Urgent Care
614A DELAWARE AVE
Palmerton, PA 18071
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Luke's Hospital
  • 128 clinicians in this Medicare group
NPI 1245809425 (484) 822-5320
The Carbon Schuylkill Community Hospital, Inc.
6.4 mi
Urgent Care
575 S 9TH ST STE 7
Lehighton, PA 18235
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 145 clinicians in this Medicare group
NPI 1386185452 (570) 645-1000
St. Luke's Hospital Monroe Campus
14 mi
Urgent Care
111 ROUTE 715 STE 102
Brodheadsville, PA 18322
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 106 clinicians in this Medicare group
NPI 1831618560 (272) 212-0420
St. Luke's Hosptial
16 mi
Urgent Care
487 E MOORESTOWN RD
Wind Gap, PA 18091
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: St Lukes Hospital-Anderson Campus
  • 104 clinicians in this Medicare group
NPI 1376965731 (484) 526-7850
St. Luke's Quakertown Hospital
28 mi
Urgent Care
2793 GERYVILLE PIKE
Pennsburg, PA 18073
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 128 clinicians in this Medicare group
NPI 1679976211 (267) 424-8005
Gsl Hospital
34 mi
Urgent Care
2650 WOODGLEN RD
Pottsville, PA 17901
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 90 clinicians in this Medicare group
NPI 1073256608 (484) 526-1000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims

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 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.
16 services14 patients

Hospital Affiliations CMS Care Compare 5

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

St Lukes Quakertown Hospital

Acute Care Hospitals · Quakertown, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390035
Location3000 St. Luke's DriveQuakertown, PA 18951 · Bucks County
Emergency services Birthing friendly

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

St Luke's Miners Memorial Hospital

Acute Care Hospitals · Coaldale, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390183
Location360 W Ruddle StreetCoaldale, PA 18218 · Schuylkill County
Emergency services

Geisinger St. Luke's Hospital

Acute Care Hospitals · Orwigsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390332
Location100 Paramount BoulevardOrwigsburg, PA 17961 · Schuylkill County

St Luke's Hospital - Carbon Campus

Acute Care Hospitals · Lehighton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390335
Location500 St Luke's DriveLehighton, PA 18235 · Carbon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18071 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.

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 Michael Jusinski's NPI number?

The NPI number for Michael Jusinski is 1518046465. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Where is Michael Jusinski located?

Michael Jusinski practices at 614 Delaware Ave., Palmerton, PA 18071. The listed phone number is (484) 822-5320.

What is Michael Jusinski's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Michael Jusinski enrolled in Medicare?

Yes. Michael Jusinski 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.

Which organizations bill Medicare for Michael Jusinski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Jusinski reassigns Medicare benefits to 6 organizations: St Luke Hospital (Palmerton, PA), The Carbon Schuylkill Community Hospital, Inc. (Lehighton, PA), St. Luke's Hospital Monroe Campus (Brodheadsville, PA), St. Luke's Hosptial (Wind Gap, PA), St. Luke's Quakertown Hospital (Pennsburg, PA) and 1 more organization, listed in the Medicare section above. Each 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 Michael Jusinski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Michael Jusinski affiliated with any hospitals?

According to CMS data, Michael Jusinski is affiliated with St Lukes Quakertown Hospital, St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for Michael Jusinski was last updated on August 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.