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MR. ANDREW DAVID WAGENHEIM PA-C
NPI 1689701815
Physician Assistant - Medical in Harrisburg, PA

Active since February 27, 2007PECOS EnrolledAccepts Medicare Assignment
82.54/100
CMS Quality Rating
4310 LONDONDERRY RD STE 1B, HARRISBURG, PA 17109(717) 791-2620 Get Directions Write a Review

NPPES record last updated: May 7, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 7, 2024, Jan 23, 2021 (2 updates tracked since 2021).

About Mr. Andrew David Wagenheim Pa-c NPPES

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

MR. ANDREW DAVID WAGENHEIM PA-C (NPI 1689701815) is an individual medical provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MA052910) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Pinnacle Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689701815
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameMR. ANDREW DAVID WAGENHEIMCredential: PA-C
Location Address4310 LONDONDERRY RD STE 1BHarrisburg, PA 17109-5300
Mailing Address4310 Londonderry Rd Ste 1bHarrisburg, PA 17109-5300
Phone(717) 791-2620
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateFebruary 27, 2007
Last NPPES UpdateMay 7, 20242 updates tracked since enumeration
NPPES CertifiedMay 7, 2024
✔ NPI 1689701815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PA · MA052910
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA052910 (PA)
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License MA052910 (PA)
4310 LONDONDERRY RD STE 1B, Harrisburg, PA 17109
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12005 Technology Pkwy, Suite 100Mechanicsburg, PA 17050-9413 · Phone (717) 791-2620 · Fax (717) 791-2621
Location 2689 Yorktown Rd Ste 204Lewisberry, PA 17339-9258 · Phone (717) 988-8351

Other Identifiers 2

Other1954039PA · Highmark Blue Shield-wmg
Other1565334PA · Gateway-wmg

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

Mr. Andrew David Wagenheim Pa-c 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 ID5799888749
PECOS Enrollment IDI20070312000220
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 4

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 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.
80 services69 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.
71 services59 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.
44 services44 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
19 services19 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

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.

82.54/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.62
Promoting Interoperability100
Improvement Activities40
Cost65.18

Referred Medical Equipment & Supplies CMS DME claims

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

Neuromuscular stimulator, electronic shock unit E0745
DME-Other DME · category DE000N
1 supplier83 claims85 services$58.91 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.

JESWIN JACOB DO
Family Medicine (Sports Medicine)
4310 LONDONDERRY RD STE 1B
HARRISBURG, PA 17109
Dauphin County (717) 791-2620
PINNACLE HEALTH MEDICAL SERVICES
Orthopaedic Surgery
4310 LONDONDERRY RD STE 1B
HARRISBURG, PA 17109
Dauphin County (717) 791-2620

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 Andrew Wagenheim's NPI number?

The NPI number for Andrew Wagenheim is 1689701815. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Andrew Wagenheim located?

Andrew Wagenheim practices at 4310 Londonderry Rd Ste 1B, Harrisburg, PA 17109. The listed phone number is (717) 791-2620.

What is Andrew Wagenheim's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Andrew Wagenheim enrolled in Medicare?

Yes. Andrew Wagenheim 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 Andrew Wagenheim affiliated with any hospitals?

According to CMS data, Andrew Wagenheim is affiliated with Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for Andrew Wagenheim was last updated on May 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.