MEDICAL PROFESIONAL SERVICE, PC
NPI 1821136227
General Practice in Kingston, PA
About Medical Profesional Service, Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MEDICAL PROFESIONAL SERVICE, PC (NPI 1821136227) is a healthcare organization registered as a general practice in Kingston, Pennsylvania and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through September 3, 2028 and lists Philip James Mertz, Director Of Clinical Services, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Medical Profesional Service, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Medical Profesional Service, PC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 39D1003581
Medical Professional Service PC · Kingston, PAFrequently 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 Medical Profesional Service, PC's NPI number?
The NPI number for Medical Profesional Service, PC is 1821136227. It was assigned to this organization in the NPPES registry on February 1, 2007.
Where is Medical Profesional Service, PC located?
Medical Profesional Service, PC is located at 675 Wyoming Ave, Kingston, PA 18704. The listed phone number is (570) 288-4205.
What is Medical Profesional Service, PC's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Medical Profesional Service, PC enrolled in Medicare?
Yes. Medical Profesional Service, PC is registered in the Medicare PECOS enrollment system.
When is Medical Profesional Service, PC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Pennsylvania, Clinic/Group Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Medical Profesional Service, PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Medical Profesional Service, PC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Medical Profesional Service, PC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 39D1003581) is associated with this NPI, valid through September 3, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Medical Profesional Service, PC was last updated on October 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Medical Profesional Service, Pc · NPI 1821136227
General Practice organization in Kingston, Pennsylvania. Organization record, active in the CMS NPPES registry since February 1, 2007.
## Identity
- **NPI:** 1821136227 (Entity type: Organization)
- **Enumerated:** February 1, 2007
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Organization subpart:** No
- **Authorized official:** Philip Mertz, DIRECTOR OF CLINICAL SERVICES
## Practice location
- **Address:** 675 WYOMING AVE, Kingston, PA 18704-3831
- **Phone:** (570) 288-4205
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, Pennsylvania, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Internal Medicine) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 22, 2010
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1821136227) · Data from the CMS NPPES public registry.