DR. MARK EDWARD LAVALLEE (MD) – Sports Medicine (Family Medicine) Physician, NPI 1679564330
Sports Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
440 SPORTS MEDICINE in PA
Provider Addresses for DR. MARK EDWARD LAVALLEE (MD)
4310 LONDONDERRY RD STE 1
HARRISBURG, PA 171095302
Phone: (717) 791-2620
Fax: (717) 791-2621
Type: Mailing
1207 S Queen St
York, PA 174033922
Phone: (717) 846-8869
Type: Location
320 Market St Ste 165
Harrisburg, PA 171012225
Phone: (717) 988-9330
Fax: (717) 221-5690
Type: Location
1830 Good Hope Rd
Enola, PA 170251233
Phone: (717) 988-8135
Fax: (717) 221-5600
Type: Location
689 Yorktown Rd Ste 204
Lewisberry, PA 173399258
Phone: (717) 988-8351
Fax: (717) 221-5480
Type: Location
2005 TECHNOLOGY PKWY STE 100
MECHANICSBURG, PA 170509413
Phone: (717) 791-2620
Fax: (717) 791-2621
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $155.
Total Amount is formed as General ($155) + Research ($0) + Ownership ($0) = $155.
Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Boston Scientific Corporation ($155).
Total Amount
$155
General + Research + Ownership
Payments
9
Total payment records
General Amount
$155
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Boston Scientific Corporation | $155 |
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: 2013-09-25
PECOS data refreshed: 2026-05-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130925000331 | I | Sports Medicine | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99215 | Established patient office or other outpatient visit, 40-54 minutes | 15 | 13 | $0 |
Insurance plans in this area (ZIP 17109)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | PA | 20610 | Aspiration and/or injection of large joint or joint capsule | 28 | 13 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | PA | |
| - | PA | |
| - | PA | |
| N E U R O L O G Y | SC | |
| Physician Assistant | PA | |
| Hospitalist, Internal Medicine | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA | |
| Family Practice | PA | |
| Internal Medicine, Pulmonary Disease, Sleep Medicine | PA |
Reviews
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