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DR. MICHAEL LAVIN M.D.
NPI 1568426732
Psychiatry & Neurology - Psychiatry in South Waverly, PA

Active since April 14, 2006PECOS EnrolledAccepts Medicare Assignment
93.38/100
CMS Quality Rating
356 LODER ST, SOUTH WAVERLY, PA 18840(570) 882-7414(570) 888-1204 Get Directions Write a Review

NPPES record last updated: February 14, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Michael Lavin M.d. NPPES

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

DR. MICHAEL LAVIN M.D. (NPI 1568426732) is an individual psychiatry provider in South Waverly, Pennsylvania, licensed in Pennsylvania (MD072058L) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1568426732
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. MICHAEL LAVINCredential: M.D.
Location Address356 LODER STSouth Waverly, PA 18840-2611
Mailing Address356 Loder StSouth Waverly, PA 18840-2611 · (570) 882-7414 · Fax (570) 888-1204
Phone(570) 882-7414
Fax(570) 888-1204
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateApril 14, 2006
Last NPPES UpdateFebruary 14, 2012
✔ NPI 1568426732 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in PA · MD072058L
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
356 LODER ST, South Waverly, PA 18840
Open in Google Maps ↗

Other Identifiers 4

Other1439241PA · Highmark Blue Shield Numb
Medicaid001815370PA
Medicare ID-Type Unspecified041674K2MPA · Provider Number
Medicare UPINF97352PA

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Michael Lavin 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 ID2062540842
PECOS Enrollment IDI20220920000594
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

5

Medicare enrollment records show Michael Lavin reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Guthrie Medical Group, P.C.
1.7 mi
Obstetrics & Gynecology
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Guthrie Medical Group PC
  • 830 clinicians in this Medicare group
NPI 1053363408 (570) 888-5858
Robert Packer Hospital
3.0 mi
General Acute Care Hospital
1 GUTHRIE SQ
Sayre, PA 18840
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 84 clinicians in this Medicare group
NPI 1083614382 (570) 888-6666
Our Lady Of Lourdes Memorial Hospital Inc.
32 mi
General Acute Care Hospital
169 RIVERSIDE DR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • Also billed through NPI 1649947649 (New York)
  • 386 clinicians in this Medicare group
NPI 1629087580 (607) 798-5111
Mccd Psychiatry Services PLLC
158 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, New York and Pennsylvania enrollments
  • 590 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311
Mccd Fl Psychiatry Services PA
854 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 96 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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 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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
176 services19 patients
Psychotherapy, 30 minutes 90832
Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.
45 services13 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.
33 services16 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.
13 services12 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
13 services11 patients

Hospital Affiliations CMS Care Compare

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18840 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

93.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality87.11
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

MR. PHILLIP ZAGOZEWSKI
Counselor (Addiction (Substance Use Disorder))
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MR. CHARLES NIVEN LSW
Social Worker
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. KATHLEEN MORRIS L.C.S.W
Social Worker (Clinical)
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. CHARLENE MOYER
Social Worker
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414
MS. JULIET CAROLYN STOKE LMFT
Marriage & Family Therapist
356 LODER ST
SOUTH WAVERLY, PA 18840
Bradford County (570) 882-7414

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 Lavin's NPI number?

The NPI number for Michael Lavin is 1568426732. It was assigned to this individual provider in the NPPES registry on April 14, 2006.

Where is Michael Lavin located?

Michael Lavin practices at 356 Loder St, South Waverly, PA 18840. The listed phone number is (570) 882-7414.

What is Michael Lavin's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Michael Lavin enrolled in Medicare?

Yes. Michael Lavin 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 Lavin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Lavin reassigns Medicare benefits to 5 organizations: Guthrie Medical Group, P.C. (Sayre, PA), Robert Packer Hospital (Sayre, PA), Our Lady Of Lourdes Memorial Hospital Inc. (Binghamton, NY), Mccd Psychiatry Services PLLC (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, FL). 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 Lavin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Lavin accept?

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

According to CMS data, Michael Lavin is affiliated with Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Michael Lavin was last updated on February 14, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.