MAIN LINE RADIATION ONCOLOGY PC – Radiation Oncology Physician, NPI 1962402172
Radiation Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MAIN LINE RADIATION ONCOLOGY PC
PO BOX 689
BOALSBURG, PA 168270689
Phone: (814) 237-8627
Fax: (814) 238-0083
Type: Mailing
Lankenau Medical Center, 100, East Lancaster Avenue, Wynnewood, Lower Merion Township, Montgomery County, Pennsylvania, 19096, United States
WYNNEWOOD, PA 190963450
Phone: (610) 645-2433
Type: Location
PO BOX 825854
PHILADELPHIA, PA 191825854
Phone: (903) 255-7373
Fax: (615) 807-3078
Type: Mailing
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: 2004-08-04
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 |
|---|---|---|---|---|
| O20040804001299 | O | Clinic/Group Practice | 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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 16827)
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