AMARIS H ALLAN (MD) – Family Medicine Physician, NPI 1457670002

AMARIS H ALLAN (MD) is a healthcare provider. based in Fredericksburg, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MT196943 (PA). The NPI Number for AMARIS H ALLAN (MD) is 1457670002

Main info

Female
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
AMARIS H ALLAN (MD)
NPI
1457670002
Phone
(717) 865-6644
Address
120 S TAN ALY STE 1
Enumeration Date
21 May 2010
Last Update Date
9 January 2021

Doctor Profile

Medical School Name
JEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Secondary Phone
7178656644
Graduation Year
2010 (16 years ago)
PAC ID
7911148739
Group Practice PAC ID
7618960493
Professional Enrollment ID
I20130720000104
Address ID
PA170269349FR120XXALYX401

Contacts

Secure Messaging
aallan176442@phsdirect.pinnaclehealth.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience65
Completeness85
Years active:16State licenses:2Other namesUpdated within 12 months

6,123 FAMILY PRACTICE in PA

Provider Addresses for AMARIS H ALLAN (MD)

  • 120 S TAN ALY STE 1

    FREDERICKSBURG, PA 170269349

    Phone: (717) 865-6644

    Fax: (717) 865-5666

    Type: Mailing

  • 3156 KENSINGTON AVE STE 1

    PHILADELPHIA, PA 191342400

    Phone: (215) 831-1100

    Fax: (215) 807-8951

    Type: Location

  • 120 S Tan Aly Ste 1

    Fredericksburg, PA 170269349

    Phone: (717) 865-6644

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-07-20

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130720000104IFamily PracticePATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes15672$0
36415Insertion of needle into vein for collection of blood sample15278$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit4747$0
G0444Annual depression screening, 5 to 15 minutes3838$0
90682Influenza vaccine, quadrivalent derived from recombinant dna2929$0
View full utilization report →

Insurance plans in this area (ZIP 17026)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7618960493View full group profile
NameSpecialtyState
Nurse PractitionerPA
-PA
Nurse PractitionerPA
-PA
O B S T E T R I C S/ G Y N E C O L O G YIL
O B S T E T R I C S/ G Y N E C O L O G YPA
-TN
Hospitalist, Internal MedicinePA
Internal MedicinePA
Endocrinology, Internal MedicinePA

Reviews

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Frequently asked questions

How is AMARIS H ALLAN (MD) identified in CMS data?
CMS-hosted NPPES data lists AMARIS H ALLAN (MD) with NPI 1457670002.
Does CMS list AMARIS H ALLAN (MD) as active?
Yes — AMARIS H ALLAN (MD) is active in the NPI listing used on this page.
What is AMARIS H ALLAN (MD)'s primary classification?
Family Medicine Physician is the headline specialty for AMARIS H ALLAN (MD) here. Clinical services aligned with this taxonomy classification.
Where is AMARIS H ALLAN (MD) based?
AMARIS H ALLAN (MD) is tied to Fredericksburg, Pennsylvania in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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