JOHN T PILLA
NPI 1548929359
Nurse Practitioner in Bethlehem, PA

Active since December 09, 2021PECOS EnrolledAccepts Medicare Assignment
95.64/100
CMS Quality Rating
1521 8TH AVE STE 201, BETHLEHEM, PA 18018(484) 526-2598(866) 522-4710 Get Directions Write a Review

NPPES record last updated: December 9, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About John T Pilla NPPES

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

JOHN T PILLA (NPI 1548929359) is an individual nurse practitioner in Bethlehem, Pennsylvania, licensed in Pennsylvania (SP025019) and active in the NPI registry since December 2021. He is enrolled in Medicare PECOS, is affiliated with St Luke's Hospital Bethlehem, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1548929359
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NameJOHN T PILLA
Location Address1521 8TH AVE STE 201Bethlehem, PA 18018-1893
Mailing Address1521 8th Ave Ste 201Bethlehem, PA 18018-1893 · (484) 526-2598 · Fax (866) 522-4710
Fax(866) 522-4710
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateDecember 9, 2021
NPPES CertifiedDecember 9, 2021
NPI 1548929359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in PA · SP025019
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1521 8TH AVE STE 201, Bethlehem, PA 18018

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

John T Pilla 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 ID2860888575
PECOS Enrollment IDI20220406000571
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 5

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.
631 services519 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.
191 services191 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
188 services182 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.
159 services144 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.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

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

St Luke's Hospital - Monroe Campus

Acute Care Hospitals · Stroudsburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390330
Location100 St Luke's LaneStroudsburg, PA 18360 · Monroe 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 18018 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.

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.

95.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.57
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Nurse Practitioner
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Physician Assistant
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Physician Assistant
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Urology
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Physician Assistant
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Nurse Practitioner
1521 8TH AVE STE 201
BETHLEHEM, PA 18018
Urology
1521 8TH AVE STE 201
BETHLEHEM, PA 18018

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 John Pilla's NPI number?

The NPI number for John Pilla is 1548929359. It was assigned to this individual provider in the NPPES registry on December 9, 2021.

Where is John Pilla located?

John Pilla practices at 1521 8th Ave Ste 201, Bethlehem, PA 18018. The listed phone number is (484) 526-2598.

What is John Pilla's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is John Pilla enrolled in Medicare?

Yes. John Pilla 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 John Pilla affiliated with any hospitals?

According to CMS data, John Pilla is affiliated with St Luke's Hospital Bethlehem, St Luke's Miners Memorial Hospital, St Luke's Hospital - Monroe Campus, Geisinger St. Luke's Hospital and St Luke's Hospital - Carbon Campus.

When was this NPI record last updated?

The NPPES record for John Pilla was last updated on December 9, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.