DR. MARK ANTHONY GOEDECKER (MD) – Family Medicine Physician, NPI 1760417455

DR. MARK ANTHONY GOEDECKER (MD) is a healthcare provider. based in Lebanon, Pennsylvania. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. MD422476 (PA). The NPI Number for DR. MARK ANTHONY GOEDECKER (MD) is 1760417455

Main info

Male
29 Years Of Experience
Accepts Medicare Assignment
Name
DR. MARK ANTHONY GOEDECKER (MD)
NPI
1760417455
Phone
(717) 356-2222
Address
300 Willow St
Enumeration Date
11 July 2006
Last Update Date
30 April 2026

Doctor Profile

Medical School Name
PENNSYLVANIA STATE UNIVERSITY COLLEGE OF MEDICINE
Secondary Phone
7178517227
Graduation Year
1997 (29 years ago)
PAC ID
8022915305
Group Practice PAC ID
1951213115
Professional Enrollment ID
I20031215000943
Address ID
PA173621123SP430XXSTXX403
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness85
Years active:19State licenses:1Digital endpointsOther names

6,103 FAMILY PRACTICE in PA

Provider Addresses for DR. MARK ANTHONY GOEDECKER (MD)

  • 300 Willow St

    Lebanon, PA 170464871

    Phone: (717) 356-2222

    Type: Location

  • 96 Sofia Dr Ste 208

    Shrewsbury, PA 173615201

    Phone: (717) 812-2400

    Fax: (717) 812-3005

    Type: Location

  • 9 Nathan Ln

    Annville, PA 170036500

    Phone: (717) 639-3350

    Fax: (717) 303-3546

    Type: Location

  • 717 Town Center Dr

    York, PA 174084824

    Phone: (717) 356-4240

    Fax: (717) 356-4241

    Type: Location

  • 100 Eisenhower Dr Ste 360

    Hanover, PA 173315241

    Phone: (717) 646-4201

    Fax: (717) 646-4202

    Type: Location

  • 455 S Washington St Ste 12

    Gettysburg, PA 173252516

    Phone: (717) 339-2875

    Fax: (717) 334-3921

    Type: Location

  • 101 W Airport Rd

    Lititz, PA 175439274

    Phone: (717) 466-2445

    Fax: (717) 466-2447

    Type: Location

  • 446 N Reading Rd

    Ephrata, PA 175229802

    Phone: (717) 738-5275

    Fax: (717) 738-5278

    Type: Location

  • 1575 Bannister St Ste 1

    York, PA 174044946

    Phone: (717) 812-2000

    Fax: (717) 812-2010

    Type: Location

  • 720 Norman Dr

    Lebanon, PA 170427481

    Phone: (717) 639-3230

    Fax: (717) 274-1659

    Type: Location

  • 6 Perri Ave

    Myerstown, PA 170673200

    Phone: (717) 949-6581

    Fax: (717) 949-2816

    Type: Location

  • 264 Granite Run Dr

    Lancaster, PA 176016804

    Phone: (717) 721-8205

    Fax: (717) 721-8251

    Type: Location

  • 4131A Oregon Pike

    Ephrata, PA 175229550

    Phone: (717) 859-1123

    Fax: (717) 859-2898

    Type: Location

  • 25 Monument Rd Ste 140-145

    York, PA 174035060

    Phone: (717) 741-8003

    Fax: (717) 461-7404

    Type: Location

  • 40 V Twin Dr Ste 204

    Gettysburg, PA 173257878

    Phone: (717) 339-2424

    Fax: (717) 334-6659

    Type: Location

  • 2250 E Market St

    York, PA 174022857

    Phone: (717) 851-1566

    Fax: (717) 812-3950

    Type: Location

  • 13515 Wolfe Rd Ste C

    New Freedom, PA 173499346

    Phone: (717) 812-2501

    Fax: (717) 461-7178

    Type: Location

  • 4050 N George Street Ext

    Manchester, PA 173459347

    Phone: (717) 356-4370

    Fax: (717) 260-3316

    Type: Location

  • 2149 S Queen St

    York, PA 174034845

    Phone: (717) 356-4460

    Fax: (717) 260-3326

    Type: Location

  • 820 Chambersburg Rd

    Gettysburg, PA 173253310

    Phone: (717) 337-4410

    Fax: (717) 337-0267

    Type: Location

  • 430 N Main St

    Spring Grove, PA 173621123

    Phone: (717) 851-6500

    Fax: (717) 775-3435

    Type: Location

  • 1227 Baltimore St

    Hanover, PA 173314406

    Phone: (717) 812-5190

    Fax: (717) 637-2245

    Type: Location

  • 601 MEMORY LN

    YORK, PA 174022231

    Phone: (717) 851-1405

    Type: Mailing

  • 2003 SPRINGWOOD RD

    YORK, PA 174034836

    Phone: (717) 851-2521

    Fax: (717) 260-3330

    Type: Location

  • 3193 Cape Horn Rd

    Red Lion, PA 173568810

    Phone: (717) 812-5888

    Fax: (717) 741-3709

    Type: Location

  • 2060 Carlisle Rd

    Aspers, PA 173049707

    Phone: (717) 339-2585

    Fax: (717) 677-4781

    Type: Location

  • 354 Alexander Spring Rd Ste 3

    Carlisle, PA 170157451

    Phone: (717) 477-2764

    Fax: (717) 839-2772

    Type: Location

  • 1000 Norland Ave

    Chambersburg, PA 172014229

    Phone: (717) 267-6363

    Type: Location

  • 1135 Georgetown Rd Unit 201

    Christiana, PA 175099543

    Phone: (717) 466-2462

    Fax: (717) 798-8433

    Type: Location

  • 105 4th St # 727

    East Berlin, PA 173169638

    Phone: (717) 812-4900

    Fax: (717) 255-0951

    Type: Location

  • 1790 Old Trail Rd Ste A

    Etters, PA 173199600

    Phone: (717) 938-6588

    Fax: (717) 938-9601

    Type: Location

  • 8131 Spyglass Hill Dr

    Fayetteville, PA 172225500

    Phone: (717) 749-3181

    Type: Location

  • 24 Antrim Commons Dr

    Greencastle, PA 172251623

    Phone: (717) 593-0512

    Type: Location

  • 100 Frederick St Ste 101

    Hanover, PA 173313518

    Phone: (717) 851-7050

    Fax: (717) 632-7478

    Type: Location

  • 101 Fairview Cir

    Lebanon, PA 170429581

    Phone: (717) 279-7303

    Fax: (717) 279-7471

    Type: Location

  • 30 N 4th St

    Lebanon, PA 170465606

    Phone: (717) 274-0474

    Fax: (717) 270-2374

    Type: Location

  • 7055 Westbranch Hwy

    Lewisburg, PA 178376808

    Phone: (570) 524-4141

    Type: Location

  • 7095 Westbranch Hwy Ste 1100

    Lewisburg, PA 178376864

    Phone: (570) 524-5050

    Type: Location

  • 300 W King St Ste C

    Littlestown, PA 173401446

    Phone: (717) 339-2390

    Type: Location

  • 2 Keefer Dr

    Mercersburg, PA 172361732

    Phone: (717) 328-2119

    Fax: (717) 328-0071

    Type: Location

  • 30 W Swartzville Rd

    Reinholds, PA 175699641

    Phone: (717) 484-4347

    Fax: (717) 484-0968

    Type: Location

  • 935 Route 522

    Selinsgrove, PA 178709714

    Phone: (570) 372-6102

    Type: Location

  • 46 Walnut Bottom Rd

    Shippensburg, PA 172578219

    Phone: (717) 477-2764

    Type: Location

  • 601 E Main St

    Waynesboro, PA 172682332

    Phone: (717) 765-5088

    Type: Location

  • 1401 Roosevelt Ave

    York, PA 174042244

    Phone: (717) 851-6250

    Fax: (717) 553-1269

    Type: Location

  • 3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States

    YORK, PA 174029001

    Phone: (717) 851-2521

    Fax: (717) 851-3535

    Type: Mailing

  • WellSpan York Hospital, 1001, South George Street, Farquhar Estates, Spring Garden Township, York County, Pennsylvania, 17403, United States

    BLDG MKB

    YORK, PA 17405

    Phone: (717) 851-2521

    Fax: (717) 851-3535

    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: 2003-12-15

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20031215000943IFamily 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 minutes6448$0
99213Established patient office or other outpatient visit, 20-29 minutes2928$0
View full utilization report →

Insurance plans in this area (ZIP 17046)

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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: 1951213115View full group profile
NameSpecialtyState
Family PracticePA
-PA
-PA
N E U R O L O G YSC
Physician AssistantPA
Hospitalist, Internal MedicinePA
Certified Registered Nurse Anesthetist (Crna)PA
Physician AssistantPA
Family PracticePA
Internal Medicine, Pulmonary Disease, Sleep MedicinePA

Reviews

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Frequently asked questions

What unique ID ties claims to DR. MARK ANTHONY GOEDECKER (MD)?
NPI 1760417455 is assigned to DR. MARK ANTHONY GOEDECKER (MD) under the national enumeration system.
Is DR. MARK ANTHONY GOEDECKER (MD) currently active in the NPI registry?
CMS-published data lists DR. MARK ANTHONY GOEDECKER (MD) as an active registrant.
Does DR. MARK ANTHONY GOEDECKER (MD) list a primary specialty?
If you are matching referrals, note Family Medicine Physician for DR. MARK ANTHONY GOEDECKER (MD). Clinical services aligned with this taxonomy classification.
What location shows for DR. MARK ANTHONY GOEDECKER (MD)?
We surface Lebanon, Pennsylvania for DR. MARK ANTHONY GOEDECKER (MD) based on available NPPES addresses.
Is DR. MARK ANTHONY GOEDECKER (MD) a real provider?
This page reflects official NPPES data for NPI 1760417455. Always confirm identity and privileges with the practice and licensing boards.

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