IndividualActive

Philip Carey, MD

NPI 1366435984 · Pulmonary Disease Physician · Lemoyne, PA

Provider details

NPI number: 1366435984
Entity type: Individual
Primary specialty: Pulmonary Disease PhysicianAllopathic & Osteopathic Physicians
Credential: MD
Sex: Male
Sole proprietor: Yes
License: MD019792E (PA)

Specialties & taxonomies

Pulmonary Disease PhysicianPrimary207RP1001XLicense MD019792E (PA)
Allopathic & Osteopathic Physicians

Profile Score

Established profile(72/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure28% of score
20 yrs in NPPES registry
Profile completeness28% of score
100% of core fields populated
Practice footprint17% of score
2 documented practice locations
Medicare service volume (vs. specialty peers)28% of score
308 Medicare services, 2024 (ranked within specialty)

Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.

What this provider does (Medicare)

Based on Medicare fee-for-service claims, 2024; not all care is captured.

Service (HCPCS)	Medicare services	Typical Medicare-allowed (2024)
Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213	294	$86
Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214	14	$122

Typical Medicare-allowed amounts for these services range $86–$122 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.

Practice location

50 N 12th St

Lemoyne, PA 17043-1440

Phone: (717) 234-2561

Fax: (717) 236-1121

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Mailing address