NPIMap

Individual provider Active NPI

Henry C Yeager III, MD

  • Case Manager/Care Coordinator
  • Scranton, PA
National Provider Identifier
1376685164
Registry record updated Sep 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
License
MD016373E Issued in PA
Practice address
746 Jefferson Ave
Suite 201
Scranton, PA 18510-1624
Phone
(570) 347-8391
Fax
(570) 347-8396
NPI assigned
Feb 12, 2007
Last updated
Sep 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X MD016373E PA Primary

Addresses

Primary practice location

746 Jefferson Ave
Suite 201
Scranton, PA 18510-1624

Mailing address

PO Box 407
Waverly, PA 18471-0407
Phone (570) 563-1012

Other identifiers 1

IdentifierTypeStateIssuer
0001188663002MedicaidPA

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
I20100222000550 PA Practitioner - NephrologyPractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 4587708060 Practice locations: Old Forge, PA; Tunkhannock, PA; South Abington Township, PA; Scranton, PA; Dunmore, PA; Childs, PA

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Critical Care (Intensivists), Internal Medicine
Education
Perelman School of Med at the University of Pennsylvania, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 Northern Blvd
Suite 4
South Abington Township, PA 18411-9189
Phone (570) 585-1001

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
67.83 of 100Reported as individual
Quality
35.56
Improvement activities
40
Cost
62.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kimball Dialysis LLC Past Accepting new patients
Renal Life Link Inc Past Accepting new patients
Scranton Cardiovascular Physician Services LLC Past Accepting new patients
Renal Life Link Inc Past Accepting new patients
Kimball Dialysis LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 38

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

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1171238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789862400000",
    "number": "1376685164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 407",
            "city": "WAVERLY",
            "state": "PA",
            "postal_code": "184710407",
            "telephone_number": "570-563-1012",
            "fax_number": "570-563-2993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "746 JEFFERSON AVE",
            "address_2": "SUITE 201",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185101624",
            "telephone_number": "570-347-8391",
            "fax_number": "570-347-8396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAGER",
        "first_name": "HENRY",
        "middle_name": "C",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-12",
        "last_updated": "2026-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "PA",
            "license": "MD016373E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0001188663002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.