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MICHAEL ROBINSON MD
NPI 1861986952
Family Medicine in Lancaster, PA

Active since June 21, 2018PECOS EnrolledAccepts Medicare Assignment
538 NORTH QUEEN ST, SUITE 100, LANCASTER, PA 17603(717) 394-8908(717) 207-0400 Get Directions Write a Review

NPPES record last updated: April 17, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Robinson Md NPPES

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

MICHAEL ROBINSON MD (NPI 1861986952) is an individual family medicine provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD474483) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Lancaster General Hospital, and maintains a secondary practice location in Lancaster.

NPPES Registry Identity

NPI1861986952
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL ROBINSONCredential: MD
Location Address538 NORTH QUEEN ST, SUITE 100Lancaster, PA 17603-3027
Mailing Address538 North Queen St, Suite 100Lancaster, PA 17603-3027 · (717) 394-8908 · Fax (717) 207-0400
Phone(717) 394-8908
Fax(717) 207-0400
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 2018
Enumeration DateJune 21, 2018
Last NPPES UpdateApril 17, 2025
NPPES CertifiedApril 17, 2025
✔ NPI 1861986952 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD474483
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
538 NORTH QUEEN ST, Lancaster, PA 17603
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Secondary Practice Location 1

Location 1555 N Duke StLancaster, PA 17602-2250 · Phone (717) 544-4940

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Michael Robinson Md 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 ID1850642109
PECOS Enrollment IDI20210723002988
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 Reassignments

2

Medicare enrollment records show Michael Robinson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lancaster General Medical Group
Same address
Family Medicine
538 N QUEEN ST STE 100
Lancaster, PA 17603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 727 clinicians in this Medicare group
NPI 1700692779 (717) 394-8908
Lancaster General Hospital
0.2 mi
Hospitalist
555 N DUKE ST
Lancaster, PA 17602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 151 clinicians in this Medicare group
NPI 1730323759 (717) 544-8144

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 10

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 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.
208 services99 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.
88 services53 patients
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.
77 services40 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.
46 services46 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.
38 services37 patients
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.
29 services23 patients

Hospital Affiliations CMS Care Compare

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

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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.

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
3 suppliers11 claims15 services$17.26 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 suppliers16 claims20 services$89.78 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Michael Robinson's NPI number?

The NPI number for Michael Robinson is 1861986952. It was assigned to this individual provider in the NPPES registry on June 21, 2018.

Where is Michael Robinson located?

Michael Robinson practices at 538 North Queen St Suite 100, Lancaster, PA 17603. The listed phone number is (717) 394-8908.

What is Michael Robinson's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Michael Robinson enrolled in Medicare?

Yes. Michael Robinson 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 organizations bill Medicare for Michael Robinson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Robinson reassigns Medicare benefits to 2 organizations: Lancaster General Medical Group (Lancaster, PA) and Lancaster General Hospital (Lancaster, PA). Each 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 Michael Robinson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Robinson accept?

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

According to CMS data, Michael Robinson is affiliated with Lancaster General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Robinson was last updated on April 17, 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.