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ROBERT J TERNES M.D.
NPI 1699703215
Internal Medicine in Waynesboro, PA

Active since June 30, 2006PECOS EnrolledAccepts Medicare Assignment
1051 E MAIN ST STE 2, WAYNESBORO, PA 17268(717) 762-3050(717) 762-8254 Get Directions Write a Review

NPPES record last updated: January 24, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 27, 2024, Sep 16, 2024, Mar 7, 2023 and 1 more (4 updates tracked since 2019).

About Robert J Ternes M.d. NPPES

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

ROBERT J TERNES M.D. (NPI 1699703215) is an individual internal medicine provider in Waynesboro, Pennsylvania, licensed in Pennsylvania (MD021498E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Gettysburg Hospital, and is a graduate of Temple University School Of Medicine (1975).

NPPES Registry Identity

NPI1699703215
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT J TERNESCredential: M.D.
Location Address1051 E MAIN ST STE 2Waynesboro, PA 17268-2318
Mailing Address111 Chambers Hill Dr Ste 200Chambersburg, PA 17201-7304 · (717) 709-7922 · Fax (717) 263-2055
Phone(717) 762-3050
Fax(717) 762-8254
Sole ProprietorYes
Medical School CMSTemple University School Of MedicineGraduated 1975
Enumeration DateJune 30, 2006
Last NPPES UpdateJanuary 24, 20254 updates tracked since enumeration
NPPES CertifiedJanuary 24, 2025
✔ NPI 1699703215 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD021498E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License MD021498E (PA)
1051 E MAIN ST STE 2, Waynesboro, PA 17268
Open in Google Maps ↗

Other Identifiers 26

Other1487321PA · Aetna Hmo
Other25-1716306PA · Greatwest Healthcare
Other25-1716306PA · Healthnet/tricare
Other6023277PA · Aetna Hmo (pgi)
OtherV109PA · Carefirst
Other237298PA · Mamsi
Other25-1716306PA · Devon
Other4313111PA · Aetna Non-hmo (pgi)
Other50060240PA · Capital Bluecross (hfc)
OtherP00390470PA · Railroad Medicare
Other1560906PA · Gateway (hfc)
Other25-1716306PA · First Health
Other280084PA · Unison (pgi)
Other440481PA · Health America
Other5924028PA · Aetna Non-hmo (hfc)
Other930076041Medicare Railroad
Other200216PA · Unison (hfc)
Other867633PA · Medicare Group #
Other120420407PA · Dept Of Labor
Other25-1716306PA · Intergroup
Other50091631PA · Capital Bluecross (pgi)
Other76041PA · Highmark Blueshield
OtherMD021498EPA · License
Medicaid0643824PA
Other25-1716306PA · Multiplan/phcs
Medicaid0006438240002PA

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert J Ternes 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 ID2860594868
PECOS Enrollment IDI20070222000102
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 7

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 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.
880 services304 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.
484 services259 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
122 services122 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
111 services111 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.
40 services37 patients
Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016
An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.
36 services36 patients

Hospital Affiliations CMS Care Compare 3

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

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17268 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 11

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
16 suppliers94 claims231 services$5.70 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers26 claims32 services$1.15 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
7 suppliers17 claims17 services$89.44 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
4 suppliers18 claims18 services$51.82 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
7 suppliers20 claims20 services$17.70 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
6 suppliers26 claims26 services$13.23 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 3

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

BOBBI JO KIMPLE
Nurse Practitioner (Acute Care)
1051 E MAIN ST STE 2
WAYNESBORO, PA 17268
Franklin County (717) 762-3050
MRS. CARRANDA M BARKDOLL C.R.N.P.
Nurse Practitioner (Family)
1051 E MAIN ST STE 2
WAYNESBORO, PA 17268
Franklin County (717) 762-3050
DR. ROBERT FRANKLIN GOLDMAN M.D.
Hospitalist
1051 E MAIN ST STE 2
WAYNESBORO, PA 17268
Franklin County (717) 762-3050

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 Robert Ternes's NPI number?

The NPI number for Robert Ternes is 1699703215. It was assigned to this individual provider in the NPPES registry on June 30, 2006.

Where is Robert Ternes located?

Robert Ternes practices at 1051 E Main St Ste 2, Waynesboro, PA 17268. The listed phone number is (717) 762-3050.

What is Robert Ternes's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Robert Ternes enrolled in Medicare?

Yes. Robert Ternes 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.

What insurance does Robert Ternes accept?

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

According to CMS data, Robert Ternes is affiliated with Gettysburg Hospital, Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Robert Ternes was last updated on January 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.