MR. DAVID G PAWLUSH MD
NPI 1952302663
Internal Medicine - Cardiovascular Disease in Wormleysburg, PA

Active since August 03, 2005PECOS EnrolledAccepts Medicare Assignment
78.97/100
CMS Quality Rating
1000 N FRONT ST, WORMLEYSBURG, PA 17043(717) 731-0101(717) 731-8359 Get Directions Write a Review

NPPES record last updated: April 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2021, Jan 16, 2021, Jan 19, 2018 and 3 more (6 updates tracked since 2016).

About Mr. David G Pawlush Md NPPES

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

MR. DAVID G PAWLUSH MD (NPI 1952302663) is an individual cardiovascular disease provider in Wormleysburg, Pennsylvania, licensed in Pennsylvania (MD033018E) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, is affiliated with Penn State Health Holy Spirit Medical Center, and is a graduate of Pennsylvania State University College Of Medicine (1983).

NPPES Registry Identity

NPI1952302663
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameMR. DAVID G PAWLUSHCredential: MD
Location Address1000 N FRONT STWormleysburg, PA 17043-1034
Mailing Address1000 N Front StWormleysburg, PA 17043-1034
Fax(717) 731-8359
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1983
Enumeration DateAugust 3, 2005
Last NPPES UpdateApril 14, 20216 updates tracked since enumeration
NPPES CertifiedApril 14, 2021
NPI 1952302663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in PA · MD033018E
Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

1000 N FRONT ST, Wormleysburg, PA 17043

Other Identifiers 1

Medicaid001058275PA

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

Mr. David G Pawlush 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 ID1759279441
PECOS Enrollment IDI20050601000559
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 22

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.

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.
452 services352 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
213 services206 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
156 services156 patients
Ultrasound of both sides of head and neck blood flow 93880
An ultrasound of the head and neck blood flow is a safe, non-invasive procedure that uses sound waves to create images of blood vessels. It helps detect abnormalities like blockages or clots, ensuring optimal blood flow.
65 services65 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
58 services58 patients
Ultrasound study of arm and leg arteries 93922
An ultrasound study of arm and leg arteries is a non-invasive procedure that uses sound waves to create images of your arteries. It helps in checking blood flow, identifying blockages, or detecting other abnormalities in your arteries.
56 services56 patients

Hospital Affiliations CMS Care Compare 5

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

Penn State Health Holy Spirit Medical Center

Acute Care Hospitals · Camp Hill, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390004
Location503 North 21st StreetCamp Hill, PA 17011 · Cumberland County
Emergency services

Upmc Carlisle

Acute Care Hospitals · Carlisle, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390058
Location361 Alexander Spring RoadCarlisle, PA 17015 · Cumberland County
Emergency services Birthing friendly

Wellspan Good Samaritan Hospital

Acute Care Hospitals · Lebanon, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390066
Location252 South 4th StreetLebanon, PA 17042 · Lebanon County
Emergency services Birthing friendly

Upmc Pinnacle Hospitals

Acute Care Hospitals · Harrisburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390067
Location409 South Second StreetHarrisburg, PA 17104 · Dauphin County
Emergency services Birthing friendly

Upmc Memorial

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390101
Location1701 Innovation DriveYork, PA 17408 · York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17043 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
$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.

78.97/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality66.63
Promoting Interoperability100
Improvement Activities40
Cost63.26

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.

Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Physician Assistant (Medical)
1000 N FRONT ST
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST, SUITE 200
WORMLEYSBURG, PA 17043
Internal Medicine (Cardiovascular Disease)
1000 N FRONT ST
WORMLEYSBURG, PA 17043

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 David Pawlush's NPI number?

The NPI number for David Pawlush is 1952302663. It was assigned to this individual provider in the NPPES registry on August 3, 2005.

Where is David Pawlush located?

David Pawlush practices at 1000 N Front St, Wormleysburg, PA 17043. The listed phone number is (717) 731-0101.

What is David Pawlush's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is David Pawlush enrolled in Medicare?

Yes. David Pawlush 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 David Pawlush affiliated with any hospitals?

According to CMS data, David Pawlush is affiliated with Penn State Health Holy Spirit Medical Center, Upmc Carlisle, Wellspan Good Samaritan Hospital, Upmc Pinnacle Hospitals and Upmc Memorial.

When was this NPI record last updated?

The NPPES record for David Pawlush was last updated on April 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.