SCOTT TIEDEBOHL M.D.
NPI 1992097562
Thoracic Surgery (Cardiothoracic Vascular Surgery) in York, PA

Active since May 13, 2011PECOS EnrolledAccepts Medicare Assignment
25 MONUMENT RD STE 295, YORK, PA 17403(717) 356-5864(717) 409-6221 Get Directions Write a Review

NPPES record last updated: February 27, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 3, 2021, May 19, 2021, Dec 12, 2018 (3 updates tracked since 2018).

About Scott Tiedebohl M.d. NPPES

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

SCOTT TIEDEBOHL M.D. (NPI 1992097562) is an individual thoracic surgery (cardiothoracic vascular surgery) provider in York, Pennsylvania, licensed in Pennsylvania (MD464828) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1992097562
Entity TypeIndividualMale
Primary Taxonomy208G00000X
Provider Legal NameSCOTT TIEDEBOHLCredential: M.D.
Location Address25 MONUMENT RD STE 295York, PA 17403-5049
Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 356-5864 · Fax (717) 409-6221
Fax(717) 409-6221
Sole ProprietorYes
Medical School CMSEastern Virginia Medical SchoolGraduated 2000
Enumeration DateMay 13, 2011
Last NPPES UpdateFebruary 27, 20243 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2024
NPI 1992097562 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License Licensed in PA · MD464828
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
25 MONUMENT RD STE 295, York, PA 17403

Secondary Practice Locations 2

Location 1446 N Reading Rd Fl 2Ephrata, PA 17522-9802 · Phone (717) 356-5864 · Fax (717) 409-6221
Location 2252 S 4th St Fl 2Lebanon, PA 17042-6111 · Phone (717) 812-4095 · Fax (717) 409-6221

Other Identifiers 1

Medicaid1035840960001PA

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

Scott Tiedebohl 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 ID547513129
PECOS Enrollment IDI20181029001854
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 12

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 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.
140 services122 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
70 services70 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.
62 services50 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
49 services40 patients
Removal of foreign body in lining of chest cavity using an endoscope 32653
This procedure involves using a thin, flexible tube called an endoscope to remove a foreign object from the lining of your chest cavity. It's a minimally invasive technique, which often results in quicker recovery times.
24 services22 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.
24 services24 patients

Hospital Affiliations CMS Care Compare 4

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

Wellspan York Hospital

Acute Care Hospitals · York, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390046
Location1001 South George StreetYork, PA 17403 · York County
Emergency services Birthing friendly

Gettysburg Hospital

Acute Care Hospitals · Gettysburg, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390065
Location147 Gettys StreetGettysburg, PA 17325 · Adams County
Emergency services Birthing friendly

Wellspan Waynesboro Hospital

Acute Care Hospitals · Waynesboro, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390138
Location501 East Main StWaynesboro, PA 17268 · Franklin County
Emergency services

Wellspan Chambersburg Hospital

Acute Care Hospitals · Chambersburg, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390151
Location112 North Seventh StreetChambersburg, PA 17201 · Franklin County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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.

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.

Nurse Practitioner (Gerontology)
25 MONUMENT RD STE 295
YORK, PA 17403
Surgery (Surgical Oncology)
25 MONUMENT RD STE 295
YORK, PA 17403
Internal Medicine (Hospice and Palliative Medicine)
25 MONUMENT RD STE 295
YORK, PA 17403
Nurse Practitioner
25 MONUMENT RD STE 295
YORK, PA 17403
Nurse Practitioner
25 MONUMENT RD STE 295
YORK, PA 17403
Surgery
25 MONUMENT RD STE 295
YORK, PA 17403
Obstetrics & Gynecology (Gynecologic Oncology)
25 MONUMENT RD STE 295
YORK, PA 17403
Nurse Practitioner (Primary Care)
25 MONUMENT RD STE 295
YORK, PA 17403

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 Scott Tiedebohl's NPI number?

The NPI number for Scott Tiedebohl is 1992097562. It was assigned to this individual provider in the NPPES registry on May 13, 2011.

Where is Scott Tiedebohl located?

Scott Tiedebohl practices at 25 Monument Rd Ste 295, York, PA 17403. The listed phone number is (717) 356-5864.

What is Scott Tiedebohl's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

Is Scott Tiedebohl enrolled in Medicare?

Yes. Scott Tiedebohl 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 Scott Tiedebohl affiliated with any hospitals?

According to CMS data, Scott Tiedebohl is affiliated with Wellspan York Hospital, Gettysburg Hospital, Wellspan Waynesboro Hospital and Wellspan Chambersburg Hospital.

When was this NPI record last updated?

The NPPES record for Scott Tiedebohl was last updated on February 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.