NPIMap

Individual provider Active NPI

Christopher Mark Pogodzinski, MD

  • Family Medicine Physician
  • Nazareth, PA
National Provider Identifier
1124025952
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD066347L Issued in PA
Practice address
4059 Jandy Blvd Ste 103
Nazareth, PA 18064-8893
Phone
(484) 503-6450
Fax
(484) 503-6445
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD066347L PA Primary

Addresses

Primary practice location

4059 Jandy Blvd Ste 103
Nazareth, PA 18064-8893

Mailing address

4059 Jandy Blvd Ste 103
Nazareth, PA 18064-8893
Phone (484) 503-6450

Other identifiers 1

IdentifierTypeStateIssuer
1748150MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040408000096 PA Practitioner - Family Practice 8729071238 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Massachusetts Medical School, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Lukes Physician Group IncGroup PAC ID 6709798333, 2,161 clinicians

Practice addresses (Care Compare)

4311 Easton Ave
Bethlehem, PA 18020-1431
Phone (610) 954-3600

4379 Easton Ave
101 Family Prac Palmer
Bethlehem, PA 18020-1431
Phone (610) 814-2424

Hospital & facility affiliations

  • Ahc Home Health and Hospice of Lehigh Valley Home health agency, Bethlehem, PA, CCN 398364
  • St Lukes Hospital Hospital, Bethlehem, PA, CCN 390049
  • St Luke'S Hospital - Easton Campus Hospital, Easton, PA, CCN 390162
  • St Luke'S Hospital - Monroe Campus Hospital, Stroudsburg, PA, CCN 390330
  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133
  • St Luke'S Warren Hospital Hospital, Phillipsburg, NJ, CCN 310060

Merit-based Incentive Payment System (MIPS)

Final score
97.13 of 100Reported as apm
Quality
82.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD066347LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Physician Group, Inc. Family Medicine Current Accepting new patients
St Luke'S Physician Group Inc Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
St. Luke'S Physician Group Inc. Family Medicine CurrentSince Jan 1, 2011 Accepting new patients
St. Luke'S Physician Group, Inc Past Accepting new patients
Two Rivers Hospital Corporation Past Accepting new patients

Locations

4311 Easton Ave
Bethlehem, PA 18020
Phone (610) 954-3600

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

25 S Broad St
Ste 104
Nazareth, PA 18064
Phone (610) 759-1200

4059 Jandy Blvd
Ste 103
Nazareth, PA 18064
Phone (484) 503-6450

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1124025952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4059 JANDY BLVD STE 103",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648893",
            "telephone_number": "484-503-6450",
            "fax_number": "484-503-6445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4059 JANDY BLVD STE 103",
            "city": "NAZARETH",
            "state": "PA",
            "postal_code": "180648893",
            "telephone_number": "484-503-6450",
            "fax_number": "484-503-6445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POGODZINSKI",
        "first_name": "CHRISTOPHER",
        "middle_name": "MARK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD066347L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1748150",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nazareth, PA

Sources for this page

Verify at the official NPI Registry.