DR. EDWARD K LEVENTHAL M.D.
NPI 1528098910
Urology in Hanover, PA

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
250 FAME AVE, SUITE 235, HANOVER, PA 17331(717) 646-7011(717) 646-7437 Get Directions Write a Review

NPPES record last updated: January 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 29, 2021, Sep 20, 2016 (2 updates tracked since 2016).

About Dr. Edward K Leventhal M.d. NPPES

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

DR. EDWARD K LEVENTHAL M.D. (NPI 1528098910) is an individual urology provider in Hanover, Pennsylvania, licensed in Pennsylvania (MD048429L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and is a graduate of Medical College Of Pennsylvania (1988).

NPPES Registry Identity

NPI1528098910
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDR. EDWARD K LEVENTHALCredential: M.D.
Location Address250 FAME AVE, SUITE 235Hanover, PA 17331-1587
Mailing Address250 Fame Ave, Suite 235Hanover, PA 17331-1587 · (717) 646-7011 · Fax (717) 646-7437
Fax(717) 646-7437
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1988
Enumeration DateJuly 3, 2006
Last NPPES UpdateJanuary 29, 20212 updates tracked since enumeration
NPPES CertifiedJanuary 29, 2021
NPI 1528098910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses Licensed in PA · MD048429L Licensed in MD · D38789
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
250 FAME AVE, Hanover, PA 17331

Other Identifiers 2

Medicaid1029028840001PA
Medicaid786602000MD

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. Edward K Leventhal 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 ID4688670813
PECOS Enrollment IDI20140428000659
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 17

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.
427 services357 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.
401 services301 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
130 services114 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.
104 services91 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
71 services66 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.
65 services65 patients

Hospital Affiliations CMS Care Compare 5

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

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

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Upmc Hanover

Acute Care Hospitals · Hanover, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390233
Location300 Highland AveHanover, PA 17331 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17331 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
$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

Reported Quality Measures

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%525 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 9

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

Insertion tray without drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4311
DME-Orthotic Devices · category DF000N
1 supplier30 claims30 services$10.90 avg. paid by Medicare
Insertion tray with drainage bag with indwelling catheter, foley type, two-way latex with coating (teflon, silicone, silicone elastomer or hydrophilic, etc.) A4314
DME-Orthotic Devices · category DF000N
2 suppliers48 claims48 services$21.21 avg. paid by Medicare
Lubricant, individual sterile packet, each A4332
DME-Medical/Surgical Supplies · category DA000N
3 suppliers63 claims9,450 services$0.11 avg. paid by Medicare
Urinary catheter anchoring device, leg strap, each A4334
DME-Orthotic Devices · category DF000N
2 suppliers29 claims29 services$4.43 avg. paid by Medicare
Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers129 claims14,420 services$1.60 avg. paid by Medicare
Intermittent urinary catheter; coude (curved) tip, with or without coating (teflon, silicone, silicone elastomeric, or hydrophilic, etc.), each A4352
DME-Orthotic Devices · category DF008N
5 suppliers51 claims6,732 services$6.11 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.

Internal Medicine (Gastroenterology)
250 FAME AVE, SUITE 201
HANOVER, PA 17331
Durable Medical Equipment & Medical Supplies
250 FAME AVE, SUITE 105
HANOVER, PA 17331
Internal Medicine
250 FAME AVE, SUITE 135
HANOVER, PA 17331
Internal Medicine (Pulmonary Disease)
250 FAME AVE, STE 202
HANOVER, PA 17331
Internal Medicine (Pulmonary Disease)
250 FAME AVE, SUITE 202
HANOVER, PA 17331
Dentist (Orthodontics and Dentofacial Orthopedics)
250 FAME AVE, SUITE 206
HANOVER, PA 17331
Internal Medicine (Geriatric Medicine)
250 FAME AVE, SUITE 235
HANOVER, PA 17331
Podiatrist (Foot & Ankle Surgery)
250 FAME AVE, SUITE 220
HANOVER, PA 17331

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 Edward Leventhal's NPI number?

The NPI number for Edward Leventhal is 1528098910. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Where is Edward Leventhal located?

Edward Leventhal practices at 250 Fame Ave Suite 235, Hanover, PA 17331. The listed phone number is (717) 646-7011.

What is Edward Leventhal's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Edward Leventhal enrolled in Medicare?

Yes. Edward Leventhal 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 Edward Leventhal affiliated with any hospitals?

According to CMS data, Edward Leventhal is affiliated with Wellspan York Hospital, Gettysburg Hospital, Upmc Pinnacle Hospitals, Upmc Memorial and Upmc Hanover.

When was this NPI record last updated?

The NPPES record for Edward Leventhal was last updated on January 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.