DR. LOUIS JOHN OBOYLE D.O.
NPI 1700828894
Hospitalist in Wilkes Barre, PA

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
94.51/100
CMS Quality Rating
575 N RIVER ST, FOURTH FLOOR, WILKES BARRE, PA 18764(570) 552-4450(570) 552-4455 Get Directions Write a Review

NPPES record last updated: October 16, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 16, 2020, Aug 26, 2016 (2 updates tracked since 2016).

About Dr. Louis John Oboyle D.o. NPPES

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

DR. LOUIS JOHN OBOYLE D.O. (NPI 1700828894) is an individual hospitalist provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (OS007508L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and maintains a secondary practice location in Wilmington.

NPPES Registry Identity

NPI1700828894
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. LOUIS JOHN OBOYLECredential: D.O.
Location Address575 N RIVER ST, FOURTH FLOORWilkes Barre, PA 18764-0999
Mailing AddressPo Box 1473Kingston, PA 18704-0473 · (570) 208-5534 · Fax (570) 208-5548
Fax(570) 552-4455
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1990
Enumeration DateJune 12, 2006
Last NPPES UpdateOctober 16, 20202 updates tracked since enumeration
NPPES CertifiedOctober 16, 2020
NPI 1700828894 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses Licensed in PA · OS007508L Licensed in OH · 34.0147778
Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS007508L (PA)
575 N RIVER ST, Wilkes Barre, PA 18764

Secondary Practice Location 1

Location 1610 W Main StWilmington, OH 45177-2125 · Phone (937) 382-6611

Other Identifiers 5

OtherOB143593PA · Highmark Blue Shield
Medicaid0014672670006PA
Other002999PA · First Priority Health
Other02094397NY · Ny Medical Assistance
Other41116PA · Geisinger Health Plan

Accepted 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

Dr. Louis John Oboyle D.o. 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 ID2668408121
PECOS Enrollment IDI20050715000606
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
481 services244 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services144 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
144 services136 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
123 services73 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
36 services26 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
30 services12 patients

Hospital Affiliations CMS Care Compare 5

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

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Schuylkill Medical Center - South Jackson Street

Acute Care Hospitals · Pottsville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390030
Location420 South Jackson StreetPottsville, PA 17901 · Schuylkill County
Emergency services Birthing friendly

Lehigh Valley Hospital

Acute Care Hospitals · Allentown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390133
Location1200 South Cedar Crest BoulevardAllentown, PA 18103 · Lehigh County
Emergency services Birthing friendly

Lehigh Valley Hospital - Hazleton

Acute Care Hospitals · Hazleton, PA
3/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number390185
Location700 East Broad StreetHazleton, PA 18201 · Luzerne County
Emergency services Birthing friendly

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18764 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.

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.

94.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40
Cost48.39

Referred Medical Equipment & Supplies CMS DME claims 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$19.76 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers27 claims27 services$83.07 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 20

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

Nurse Practitioner
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Practitioner (Family)
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Clinic/Center
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764
Emergency Medicine
575 N RIVER ST
WILKES BARRE, PA 18764
Nurse Anesthetist, Certified Registered
575 N RIVER ST
WILKES BARRE, PA 18764

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 Louis Oboyle's NPI number?

The NPI number for Louis Oboyle is 1700828894. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is Louis Oboyle located?

Louis Oboyle practices at 575 N River St Fourth Floor, Wilkes Barre, PA 18764. The listed phone number is (570) 552-4450.

What is Louis Oboyle's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Louis Oboyle enrolled in Medicare?

Yes. Louis Oboyle 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 Louis Oboyle accept?

Health plans from CareSource list Louis Oboyle 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 Louis Oboyle affiliated with any hospitals?

According to CMS data, Louis Oboyle is affiliated with Geisinger Medical Center, Schuylkill Medical Center - South Jackson Street, Lehigh Valley Hospital, Lehigh Valley Hospital - Hazleton and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Louis Oboyle was last updated on October 16, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.