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PRATIMA PATHAK BEHARI MD
NPI 1588725865
Internal Medicine - Sleep Medicine in Camp Hill, PA

Active since December 12, 2006PECOS EnrolledAccepts Medicare Assignment
355 N 21ST ST STE 211B, CAMP HILL, PA 17011(717) 801-1540 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 3, 2026, Jul 2, 2024, Apr 7, 2021 and 4 more (7 updates tracked since 2017).

About Pratima Pathak Behari Md NPPES

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

PRATIMA PATHAK BEHARI MD (NPI 1588725865) is an individual sleep medicine provider in Camp Hill, Pennsylvania, licensed in Pennsylvania (MD420216) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with Wellspan Chambersburg Hospital, and maintains a secondary practice location in Chambersburg.

NPPES Registry Identity

NPI1588725865
Entity TypeIndividualFemale
Primary Taxonomy207RS0012X
Provider Legal NamePRATIMA PATHAK BEHARICredential: MD
Location Address355 N 21ST ST STE 211BCamp Hill, PA 17011-3707
Mailing Address355 N 21st St Ste 211bCamp Hill, PA 17011-3707 · (717) 801-1540
Phone(717) 801-1540
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateDecember 12, 2006
Last NPPES UpdateFebruary 3, 20267 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
✔ NPI 1588725865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Sleep MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0012X
License✔ Licensed in PA · MD420216
Definition
An Internist who practices Sleep Medicine is certified in the subspecialty of sleep medicine and specializes in the clinical assessment, physiologic testing, diagnosis, management and prevention of sleep and circadian rhythm disorders. Sleep specialists treat patients of any age and use multidisciplinary approaches. Disorders managed by sleep specialists include, but are not limited to, sleep related breathing disorders, insomnia, hypersomnias, circadian rhythm sleep disorders, parasomnias and sleep related movement disorders.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD420216 (PA)
Also ListedPreventive Medicine · Obesity MedicineTaxonomy 2083B0002X · License MD420216 (PA)
355 N 21ST ST STE 211B, Camp Hill, PA 17011
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Secondary Practice Location 1

Location 1601 Norland Ave Ste 100Chambersburg, PA 17201-4235 · Phone (717) 264-1600 · Fax (717) 264-6319

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

Pratima Pathak Behari Md 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 ID6507894334
PECOS Enrollment IDI20110823000779
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 Pratima Behari reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Smart Loss Medical PLLC
Same address
Obesity Medicine
355 N 21ST ST STE 211B
Camp Hill, PA 17011
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
NPI 1902756430 (717) 801-1540
Physician Insights LLC
0.9 mi
Specialist
355 N 21ST ST STE 211B
Camp Hill, PA 17011
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1386408458 (717) 801-1540
Wellspan Medical Group
8.9 mi
Family Medicine
1790 OLD TRAIL RD STE A
Etters, PA 17319
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1760550883 (717) 938-6588
Fulton County Medical Center
61 mi
Critical Access
214 PEACH ORCHARD RD
Mc Connellsburg, PA 17233
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
NPI 1326044694 (717) 485-3155
University Of Penn - Medical Group
93 mi
Nephrology
3737 MARKET ST FL 12
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 289 clinicians in this Medicare group
NPI 1629181912 (215) 662-8730

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 6

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.

Sleep study including heart rate, breathing, and sleep time 95800
A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.
71 services70 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.
70 services59 patients
Sleep study in sleep lab (6 years or older) 95810
A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.
51 services51 patients
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.
30 services30 patients
Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811
A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.
29 services29 patients
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.
27 services23 patients

Hospital Affiliations CMS Care Compare 2

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

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Fulton County Medical Center

Critical Access Hospitals · Mcconnellsburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391303
Location214 Peach Orchard RoadMcconnellsburg, PA 17233 · Fulton County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17011 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
$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.

Referred Medical Equipment & Supplies CMS DME claims 16

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
11 suppliers94 claims94 services$36.69 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers127 claims127 services$89.00 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers114 claims234 services$32.28 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers26 claims78 services$15.17 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
9 suppliers38 claims136 services$14.89 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
15 suppliers75 claims75 services$52.73 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 2

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

PHYSICIAN INSIGHTS LLC
Specialist
355 N 21ST ST STE 211B
CAMP HILL, PA 17011
Cumberland County (717) 801-1540
SMART LOSS MEDICAL PLLC
Preventive Medicine (Obesity Medicine)
355 N 21ST ST STE 211B
CAMP HILL, PA 17011
Cumberland County (717) 801-1540

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 Pratima Behari's NPI number?

The NPI number for Pratima Behari is 1588725865. It was assigned to this individual provider in the NPPES registry on December 12, 2006.

Where is Pratima Behari located?

Pratima Behari practices at 355 N 21st St Ste 211B, Camp Hill, PA 17011. The listed phone number is (717) 801-1540.

What is Pratima Behari's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sleep Medicine, with taxonomy code 207RS0012X.

Is Pratima Behari enrolled in Medicare?

Yes. Pratima Behari 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 Pratima Behari's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pratima Behari reassigns Medicare benefits to 5 organizations: Smart Loss Medical PLLC (Camp Hill, PA), Physician Insights LLC (Camp Hill, PA), Wellspan Medical Group (Etters, PA), Fulton County Medical Center (Mc Connellsburg, PA) and University Of Penn - Medical Group (Philadelphia, PA). 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 Pratima Behari's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pratima Behari accept?

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

According to CMS data, Pratima Behari is affiliated with Wellspan Chambersburg Hospital and Fulton County Medical Center.

When was this NPI record last updated?

The NPPES record for Pratima Behari was last updated on February 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.