WELLSPAN UROLOGY - LEBANON
NPI 1558749846
Urology in Lebanon, PA
About Wellspan Urology - Lebanon NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
WELLSPAN UROLOGY - LEBANON (NPI 1558749846) is a healthcare organization registered as an urology in Lebanon, Pennsylvania and active in the NPI registry since May 2015. The organization holds a CLIA Waiver certificate valid through June 9, 2028 and lists Jody M Boger, Credentialing Coordinator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Wellspan Urology - Lebanon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
141Medicare enrollment records show 141 clinicians reassign Medicare billing to Wellspan Urology - Lebanon, which bills Medicare for the services they deliver. Of these, 16 practice within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 13
Nearest to this location (20)
See all 141Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D2114286
Wellspan Urology Lebanon · Lebanon, PAFrequently 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 Good Samaritan Physician Services's NPI number?
The NPI number for Good Samaritan Physician Services is 1558749846. It was assigned to this organization in the NPPES registry on May 7, 2015. The provider is doing business as Wellspan Urology - Lebanon.
Where is Good Samaritan Physician Services located?
Good Samaritan Physician Services is located at 735 Norman Dr Suite B, Lebanon, PA 17042. The listed phone number is (717) 270-7908.
What is Good Samaritan Physician Services's specialty?
The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.
Is Good Samaritan Physician Services enrolled in Medicare?
Yes. Good Samaritan Physician Services is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Good Samaritan Physician Services?
According to the CMS Revalidation Reassignment List (October 2026 release), 141 clinicians in 13 Medicare specialties reassign their Medicare billing to Good Samaritan Physician Services. A 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 the clinician's services. The largest specialties are Nurse Practitioner (69), Family Practice (21) and Hematology/Oncology (11). Of these, 16 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Good Samaritan Physician Services hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D2114286) is associated with this NPI, valid through June 9, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Good Samaritan Physician Services was last updated on October 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Wellspan Urology - Lebanon · NPI 1558749846
Urology organization in Lebanon, Pennsylvania. Organization record, active in the CMS NPPES registry since May 7, 2015.
## Identity
- **NPI:** 1558749846 (Entity type: Organization)
- **Enumerated:** May 7, 2015
- **Primary specialty:** Urology · taxonomy 208800000X
- **Legal business name:** Good Samaritan Physician Services
- **Organization subpart:** No
- **Authorized official:** Jody Boger, CREDENTIALING COORDINATOR
## Practice location
- **Address:** 735 NORMAN DR, SUITE B, Lebanon, PA 17042-7497
- **Phone:** (717) 270-7908 · **Fax:** (717) 272-1734
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 141 clinicians in 13 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (69), Family Practice (21), Hematology/Oncology (11); 16 practice within 10 miles; [full list](https://npiprofile.com/npi/1558749846/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2016
- **Other identifiers:** Medicare PIN 047659 (PA); Medicaid 001864024 (PA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1558749846) · Data from the CMS NPPES public registry.