Wellspan Radiology and Radiation Oncology – Diagnostic Radiology Physician, NPI 1952587727
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Wellspan Radiology and Radiation Oncology
8353 S Sagebrush Rd
North Platte, NE 691010472
Phone: (800) 840-5905
Type: Location
844 Tuck St
Lebanon, PA 170427477
Phone: (717) 639-3915
Type: Location
35 Erick Rd
Lancaster, PA 176013111
Phone: (717) 690-0785
Type: Location
40 V Twin Dr
Gettysburg, PA 173257875
Phone: (717) 339-2640
Type: Location
22 St Paul Dr
Chambersburg, PA 172011036
Phone: (717) 216-6020
Type: Location
3421, Concord Road, Spring Plains, Springettsbury Township, York County, Pennsylvania, 17402, United States
YORK, PA 174029001
Phone: (717) 812-4083
Fax: (717) 812-2244
Type: Mailing
12 St Paul Dr
Chambersburg, PA 172011035
Phone: (717) 217-6026
Type: Location
25 Monument Rd
York, PA 174035060
Phone: (717) 741-8180
Type: Location
169 Martin Ave
Ephrata, PA 175221734
Phone: (717) 738-6414
Type: Location
1201 Letort Springs Way
Carlisle, PA 170158011
Phone: (717) 674-7600
Fax: (717) 674-7626
Type: Location
260 N 7th St
Chambersburg, PA 172011722
Phone: (717) 262-4660
Type: Location
671 Wilson Ave
Hanover, PA 173319519
Phone: (717) 632-1559
Type: Location
112 N 7th St
Chambersburg, PA 172011720
Phone: (717) 262-4499
Type: Location
36 Robinhood Dr
Etters, PA 173199528
Phone: (717) 388-7300
Fax: (717) 388-7326
Type: Location
147 Gettys St
Gettysburg, PA 173252534
Phone: (717) 337-4207
Type: Location
252 S 4th St
Lebanon, PA 170426111
Phone: (717) 270-7732
Type: Location
14781 Wolfe Rd
New Freedom, PA 173499571
Phone: (717) 326-1880
Fax: (717) 326-1885
Type: Location
460 N Reading Rd
Ephrata, PA 175229606
Phone: (717) 721-4840
Type: Location
601 MEMORY LN
YORK, PA 174022231
Phone: (717) 851-1405
Type: Mailing
35, Monument Road, Chanticleer, York Township, York County, Pennsylvania, 17403, United States
SUITE 201
YORK, PA 174035074
Phone: (717) 812-4083
Fax: (717) 812-2244
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: 2025-12-15
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20251215002326 | O | Clinic/Group Practice | NE | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 69101)
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