BENJAMIN HAGAN MD
NPI 1639796642
Emergency Medicine in Lebanon, PA

Active since June 25, 2020PECOS EnrolledAccepts Medicare Assignment
252 S 4TH ST, LEBANON, PA 17042(717) 270-7688(717) 270-3790 Get Directions Write a Review

NPPES record last updated: February 3, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 3, 2026, Jun 25, 2020 (2 updates tracked since 2020).

About Benjamin Hagan Md NPPES

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

BENJAMIN HAGAN MD (NPI 1639796642) is an individual emergency medicine provider in Lebanon, Pennsylvania, licensed in Pennsylvania (MD484854) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS, is affiliated with Wellspan Good Samaritan Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1639796642
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameBENJAMIN HAGANCredential: MD
Location Address252 S 4TH STLebanon, PA 17042-6111
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-1405 · Fax (717) 851-6969
Fax(717) 270-3790
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 2020
Enumeration DateJune 25, 2020
Last NPPES UpdateFebruary 3, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 3, 2026
NPI 1639796642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses Licensed in PA · MD484854 Licensed in RI · LP05100
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
252 S 4TH ST, Lebanon, PA 17042

Secondary Practice Locations 2

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-6489 · Fax (401) 444-6662
Location 2169 Martin AveEphrata, PA 17522-1734 · Phone (717) 738-6420

Other Identifiers 1

Medicaid104318002PA

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

Benjamin Hagan 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 ID5193140713
PECOS Enrollment IDI20240717003348
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 3

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
138 services129 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
37 services35 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17042 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.

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.

Hospitalist
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST, GOOD SAMARITAN HOSPITAL
LEBANON, PA 17042
Physician Assistant
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Emergency Medicine
252 S 4TH ST
LEBANON, PA 17042
Nurse Anesthetist, Certified Registered
252 S 4TH ST
LEBANON, PA 17042
Hospitalist
252 S 4TH ST
LEBANON, PA 17042

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 Benjamin Hagan's NPI number?

The NPI number for Benjamin Hagan is 1639796642. It was assigned to this individual provider in the NPPES registry on June 25, 2020.

Where is Benjamin Hagan located?

Benjamin Hagan practices at 252 S 4th St, Lebanon, PA 17042. The listed phone number is (717) 270-7688.

What is Benjamin Hagan's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Benjamin Hagan enrolled in Medicare?

Yes. Benjamin Hagan 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 Benjamin Hagan affiliated with any hospitals?

According to CMS data, Benjamin Hagan is affiliated with Wellspan Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Benjamin Hagan 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 6 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.