LORI GODOWN PA
NPI 1871644526
Physician Assistant in West Reading, PA

Active since January 16, 2007PECOS EnrolledAccepts Medicare Assignment
71.78/100
CMS Quality Rating
6TH AVENUE & SPRUCE STREET, WEST READING, PA 19611(610) 568-3637 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lori Godown Pa NPPES

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

LORI GODOWN PA (NPI 1871644526) is an individual physician assistant in West Reading, Pennsylvania, licensed in Pennsylvania (MA003582L) and active in the NPI registry since January 2007. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1871644526
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLORI GODOWNCredential: PA
Location Address6TH AVENUE & SPRUCE STREETWest Reading, PA 19611
Mailing Address50 Commerce DriveWyomissing, PA 19610-3335 · (610) 372-8044 · Fax (484) 334-7026
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJanuary 16, 2007
Last NPPES UpdateSeptember 6, 2012
NPI 1871644526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in PA · MA003582L
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
6TH AVENUE & SPRUCE STREET, West Reading, PA 19611

Other Names 1

Other Name (5)Lori Abarca Pa

Other Identifiers 1

Medicare PIN052310PA

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

Lori Godown Pa 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 ID8921148818
PECOS Enrollment IDI20091228000569
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 2

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
25 services25 patients

Hospital Affiliations CMS Care Compare

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19611 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

71.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality48.32
Promoting Interoperability100
Improvement Activities40
Cost57.63

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.

Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Physician Assistant (Medical)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychologist
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Social Worker
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Psychiatry & Neurology (Psychiatry)
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
READING, PA 19611
Obstetrics & Gynecology
6TH AVENUE & SPRUCE STREET
WEST READING, PA 19611
Anesthesiology
6TH AVENUE & SPRUCE STREET, READING ANESTHESIA ASSOCIATES LTD
WEST READING, PA 19611

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 Lori Godown's NPI number?

The NPI number for Lori Godown is 1871644526. It was assigned to this individual provider in the NPPES registry on January 16, 2007. The provider is also known as Lori Abarca PA.

Where is Lori Godown located?

Lori Godown practices at 6th Avenue & Spruce Street, West Reading, PA 19611. The listed phone number is (610) 568-3637.

What is Lori Godown's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lori Godown enrolled in Medicare?

Yes. Lori Godown 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.

Is Lori Godown affiliated with any hospitals?

According to CMS data, Lori Godown is affiliated with Penn State Health St. Joseph.

When was this NPI record last updated?

The NPPES record for Lori Godown was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.