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BRYAN JOSEPH CUSACK DO
NPI 1700463536
Pediatrics in Harrisburg, PA

Active since March 26, 2021PECOS Enrolled
111 S FRONT ST, HARRISBURG, PA 17101(717) 231-8772(717) 782-8435 Get Directions Write a Review

NPPES record last updated: March 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 27, 2025, Oct 3, 2024, Sep 17, 2024 and 1 more (4 updates tracked since 2021).

About Bryan Joseph Cusack Do NPPES

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

BRYAN JOSEPH CUSACK DO (NPI 1700463536) is an individual pediatrics provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (OS024159) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hershey.

NPPES Registry Identity

NPI1700463536
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameBRYAN JOSEPH CUSACKCredential: DO
Location Address111 S FRONT STHarrisburg, PA 17101-2010
Mailing Address111 S Front StHarrisburg, PA 17101-2010 · (717) 231-8772 · Fax (717) 782-8435
Phone(717) 231-8772
Fax(717) 782-8435
Sole ProprietorNo
Enumeration DateMarch 26, 2021
Last NPPES UpdateMarch 27, 20254 updates tracked since enumeration
NPPES CertifiedMarch 27, 2025
✔ NPI 1700463536 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · OS024159
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
111 S FRONT ST, Harrisburg, PA 17101
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Secondary Practice Location 1

Location 1500 University DrHershey, PA 17033-2360 · Phone (717) 531-6597 · Fax (717) 531-7790

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bryan Joseph Cusack Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17101 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.

JOSEPH ELI BENAKNIN D.O.
Emergency Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5908
DAVID BITTNER METZGER MD
Family Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
MRS. HOLLY ANN MALEY CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
DOUGLAS JOHNSON CRNA
Nurse Anesthetist, Certified Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-5118
QUAN TRAN M.D.
Internal Medicine
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 231-8772
SHOUK MANSOUR RD, CDCES
Dietitian, Registered
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3131
THERESA NGUYEN PHARMD
Student in an Organized Health Care Education/Training Program
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3338
JONELLE R DERK CRNP
Nurse Practitioner (Family)
111 S FRONT ST
HARRISBURG, PA 17101
Dauphin County (717) 782-3380

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 Bryan Cusack's NPI number?

The NPI number for Bryan Cusack is 1700463536. It was assigned to this individual provider in the NPPES registry on March 26, 2021.

Where is Bryan Cusack located?

Bryan Cusack practices at 111 S Front St, Harrisburg, PA 17101. The listed phone number is (717) 231-8772.

What is Bryan Cusack's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bryan Cusack enrolled in Medicare?

Yes. Bryan Cusack is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bryan Cusack was last updated on March 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.