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DR. SUSAN ELIZABETH LIGHTBOURN M.D.
NPI 1730274317
Internal Medicine in Ebensburg, PA

Active since October 03, 2006PECOS EnrolledAccepts Medicare Assignment
4501 ADMIRAL PEARY HIGHWAY, EBENSBURG, PA 15931(814) 472-7350(814) 472-8624 Get Directions Write a Review

NPPES record last updated: December 12, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Dr. Susan Elizabeth Lightbourn M.d. NPPES

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

DR. SUSAN ELIZABETH LIGHTBOURN M.D. (NPI 1730274317) is an individual internal medicine provider in Ebensburg, Pennsylvania, licensed in Pennsylvania (MD034281E) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Howard University College Of Medicine (1981).

NPPES Registry Identity

NPI1730274317
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SUSAN ELIZABETH LIGHTBOURNCredential: M.D.
Location Address4501 ADMIRAL PEARY HIGHWAYEbensburg, PA 15931
Mailing Address203 Royalwood DrEbensburg, PA 15931 · (814) 472-7350 · Fax (814) 472-8624
Phone(814) 472-7350
Fax(814) 472-8624
Sole ProprietorNo
Medical School CMSHoward University College Of MedicineGraduated 1981
Enumeration DateOctober 3, 2006
Last NPPES UpdateDecember 12, 2007
✔ NPI 1730274317 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 · MD034281E
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 ListedPediatricsTaxonomy 208000000X · License MD034281E (PA)
4501 ADMIRAL PEARY HIGHWAY, Ebensburg, PA 15931
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Other Identifiers 2

Medicare UPINF48834PA
Medicare ID-Type Unspecified481333PA

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Susan Elizabeth Lightbourn 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 ID9537197132
PECOS Enrollment IDI20050803000486
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.

Medicare Billing Reassignment

Medicare enrollment records show Susan Lightbourn reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pennsylvania Department Of Human Services
0.9 mi
Intermediate Care Facility, Intellectual Disabilities
4051 ADMIRAL PEARY HWY
Ebensburg, PA 15931
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 9 clinicians in this Medicare group
NPI 1154304483 (814) 472-0200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
241 services81 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.
157 services64 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
80 services33 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.
68 services68 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
46 services46 patients

Hospital Affiliations CMS Care Compare 2

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA
OwnershipProprietary
CMS Certification Number391317
Location290 Haida AvenueHastings, PA 16646 · Cambria County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15931 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 14

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

Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier20 claims600 services$6.33 avg. paid by Medicare
Foam dressing, wound cover, sterile, pad size 16 sq. in. or less, with any size adhesive border, each dressing A6212
DME-Medical/Surgical Supplies · category DA023N
1 supplier23 claims276 services$9.38 avg. paid by Medicare
Tracheostomy tube collar/holder, each A7526
DME-Orthotic Devices · category DF000N
1 supplier21 claims630 services$3.28 avg. paid by Medicare
Enteral feeding supply kit; syringe fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4034
Other-Enteral and Parenteral · category OB006N
1 supplier24 claims336 services$3.28 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier117 claims1,652 services$5.69 avg. paid by Medicare
Enteral formula, nutritionally complete with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4150
Other-Enteral and Parenteral · category OB006N
1 supplier22 claims4,250 services$0.38 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

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

DR. KRISHEN KESAV NAYAK MD
Psychiatry & Neurology (Psychiatry)
4501 ADMIRAL PEARY HIGHWAY, EBENSBURG CENTER
EBENSBURG, PA 15931
Cambria County (814) 472-0226

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 Susan Lightbourn's NPI number?

The NPI number for Susan Lightbourn is 1730274317. It was assigned to this individual provider in the NPPES registry on October 3, 2006.

Where is Susan Lightbourn located?

Susan Lightbourn practices at 4501 Admiral Peary Highway, Ebensburg, PA 15931. The listed phone number is (814) 472-7350.

What is Susan Lightbourn's specialty?

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

Is Susan Lightbourn enrolled in Medicare?

Yes. Susan Lightbourn 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.

Which organization bills Medicare for Susan Lightbourn's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Lightbourn reassigns Medicare benefits to Pennsylvania Department Of Human Services (Ebensburg, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Susan Lightbourn's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Susan Lightbourn affiliated with any hospitals?

According to CMS data, Susan Lightbourn is affiliated with Conemaugh Memorial Medical Center and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Susan Lightbourn was last updated on December 12, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.