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SARAH ANNE HOUTMANN
NPI 1518315688
Internal Medicine - Hematology & Oncology in West Chester, PA

Active since May 31, 2016PECOS EnrolledAccepts Medicare Assignment
440 E MARSHALL ST STE 101, WEST CHESTER, PA 19380(610) 738-2500 Get Directions Write a Review

NPPES record last updated: March 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Mar 10, 2024, Jun 18, 2019 (2 updates tracked since 2019).

About Sarah Anne Houtmann NPPES

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

SARAH ANNE HOUTMANN (NPI 1518315688) is an individual hematology & oncology provider in West Chester, Pennsylvania, licensed in Pennsylvania (MD467601) and active in the NPI registry since May 2016. She is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and is a graduate of Drexel University College Of Medicine (2016).

NPPES Registry Identity

NPI1518315688
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameSARAH ANNE HOUTMANN
Location Address440 E MARSHALL ST STE 101West Chester, PA 19380-5414
Mailing Address833 Chestnut St Ste 220Philadelphia, PA 19107-4405 · (215) 955-8465
Phone(610) 738-2500
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2016
Enumeration DateMay 31, 2016
Last NPPES UpdateMarch 10, 20242 updates tracked since enumeration
NPPES CertifiedMarch 10, 2024
✔ NPI 1518315688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in PA · MD467601
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD467601 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
440 E MARSHALL ST STE 101, West Chester, PA 19380
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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

Sarah Anne Houtmann 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 ID2567759152
PECOS Enrollment IDI20190729003434
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 9

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 high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
265 services146 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.
168 services124 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.
165 services125 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.
122 services115 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
65 services65 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.
38 services37 patients

Hospital Affiliations CMS Care Compare 4

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

Paoli Hospital

Acute Care Hospitals · Paoli, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390153
Location255 West Lancaster AvenuePaoli, PA 19301 · Chester County
Emergency services Birthing friendly

Chester County Hospital

Acute Care Hospitals · West Chester, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390179
Location701 East Marshall StreetWest Chester, PA 19380 · Chester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19380 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
$180.99 typical visit price
range $59.88 – $180.99
Typical copayment $45.24 (range $14.97 – $45.24)
Most-billed visit code 99205
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 4

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

DYLANE MICHELLE WINELAND MS
Genetic Counselor, MS
440 E MARSHALL ST STE 101
WEST CHESTER, PA 19380
Chester County (610) 732-6739
DR. MARIA VERSHVOVSKY M.D.
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST STE 101
WEST CHESTER, PA 19380
Chester County (610) 738-2500
ROBERT L GIUNTOLI II MD
Obstetrics & Gynecology (Gynecologic Oncology)
440 E MARSHALL ST STE 101
WEST CHESTER, PA 19380
Chester County (610) 738-2500
ZACHARY LUCAS CARL QUINN M.D.
Internal Medicine (Hematology & Oncology)
440 E MARSHALL ST STE 101
WEST CHESTER, PA 19380
Chester County (484) 401-2618

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 Sarah Houtmann's NPI number?

The NPI number for Sarah Houtmann is 1518315688. It was assigned to this individual provider in the NPPES registry on May 31, 2016.

Where is Sarah Houtmann located?

Sarah Houtmann practices at 440 E Marshall St Ste 101, West Chester, PA 19380. The listed phone number is (610) 738-2500.

What is Sarah Houtmann's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Sarah Houtmann enrolled in Medicare?

Yes. Sarah Houtmann 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 Sarah Houtmann accept?

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

According to CMS data, Sarah Houtmann is affiliated with Lancaster General Hospital, Hospital Of Univ Of Pennsylvania, Paoli Hospital and Chester County Hospital.

When was this NPI record last updated?

The NPPES record for Sarah Houtmann was last updated on March 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.