NPIMap

Individual provider Active NPI

Lance Wayne Pysher, MD

  • Diagnostic Radiology Physician
  • Scranton, PA
National Provider Identifier
1417051145
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD471642 Issued in PA
Practice address
300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001
Phone
(570) 342-7864
Fax
(570) 800-7514
NPI assigned
Sep 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35261 CO
Diagnostic Radiology Physician 2085R0202X 11194 MT
Diagnostic Radiology Physician 2085R0202X MD471642 PA Primary

Addresses

Primary practice location

300 Lackawanna Ave Ste 200
Scranton, PA 18503-2001

Mailing address

PO Box 637
Hamilton, MT 59840-0637
Phone (406) 375-4427

Other practice location 1

1200 Westwood Dr
Hamilton, MT 59840-2345
Phone (406) 375-4427 ext. 406

Other identifiers 6

IdentifierTypeStateIssuer
300073804OtherCORAILROAD MEDICARE
P00350389OtherMTRAILROAD MEDICARE
807619700MedicaidID
000095346OtherMTBLUE CROSS BLUE SHIELD
0038129MedicaidMT
01352616MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20061024000376 MT Practitioner - Diagnostic Radiology 3476550088
I20210526003421 PA Practitioner - Diagnostic Radiology 3476550088 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Colorado School of Medicine, Denver, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Imaging of Lehigh Valley PCGroup PAC ID 1557265212, 115 clinicians
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

300 Lackawanna Ave
Suite 200
Scranton, PA 18503-2001
Phone (570) 343-3400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35261COMDDiagnostic Radiology Physician
11194MTMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delta Medix PC CurrentSince May 15, 2021 Accepting new patients
Medical Imaging of Lehigh Valley PC Diagnostic Radiology CurrentSince Mar 1, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Regional Health Services Inc Family Medicine CurrentSince Jun 21, 2021 Accepting new patients
Lehigh Valley Physician Group CurrentSince Apr 15, 2022 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Apr 15, 2022 Accepting new patients
Lehigh Valley Diagnostic Imaging Past Accepting new patients
Red Mountain Radiology Professional LLC Past Accepting new patients
Vascular Diagnostic Center PC Diagnostic Radiology Past Accepting new patients
Scranton Hospitalist Physician Services LLC Diagnostic Radiology PastSince May 7, 2025 Accepting new patients
Lehigh Valley Hospital Past Accepting new patients

Locations (25 of 71)

1230 S Cedar Crest Blvd
Ste 202
Allentown, PA 18103
Phone (610) 402-4691

1230 S Cedar Crest Blvd
Ste 104
Allentown, PA 18103
Phone (610) 402-4237

4815 W Tilghman St
Allentown, PA 18104
Phone (610) 402-3903

1250 S Cedar Crest Blvd
Ste 100
Allentown, PA 18103
Phone (610) 435-1600

1243 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 402-9230

1621 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 402-3300

1220 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 740-0400

250 Cetronia Rd
Ste 100
Allentown, PA 18104
Phone (610) 973-1510

1230 S Cedar Crest Blvd
Ste 103
Allentown, PA 18103
Phone (610) 402-4691

1240 S Cedar Crest Blvd
Ste 203
Allentown, PA 18103
Phone (610) 402-0690

1247 S Cedar Crest Blvd
Allentown, PA 18103
Phone (610) 628-1228

1247 S Cedar Crest Blvd
Ste 102
Allentown, PA 18103
Phone (610) 402-1022

1503 N Cedar Crest Blvd
Allentown, PA 18104
Phone (610) 871-9110

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

1250 S Cedar Crest Blvd
Ste 110
Allentown, PA 18103
Phone (610) 435-1003

2100 Mack Blvd
Fl 4
Allentown, PA 18103

1405 N Cedar Crest Blvd
Ste 200
Allentown, PA 18104
Phone (610) 402-8378

1255 S Cedar Crest Blvd
Ste 2600
Allentown, PA 18103

1255 S Cedar Crest Blvd
Ste 2500
Allentown, PA 18103
Phone 6103724957550

6649 Chrisphalt Dr
Bath, PA 18014
Phone (484) 287-1111

2597 Schoenersville Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-2075

1770 Bathgate Rd
Ste 200
Bethlehem, PA 18017
Phone (484) 884-2249

2597 Schoenersville Rd
Ste 202
Bethlehem, PA 18017
Phone (484) 884-2460

1770 Bathgate Rd
Ste 100
Bethlehem, PA 18017
Phone (484) 884-1032

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

Organizations & group practices 12

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": "1158019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1417051145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 637",
            "city": "HAMILTON",
            "state": "MT",
            "postal_code": "598400637",
            "telephone_number": "406-375-4427",
            "fax_number": "888-522-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 LACKAWANNA AVE STE 200",
            "city": "SCRANTON",
            "state": "PA",
            "postal_code": "185032001",
            "telephone_number": "570-342-7864",
            "fax_number": "570-800-7514"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 Westwood Dr",
            "address_purpose": "LOCATION",
            "city": "Hamilton",
            "state": "MT",
            "postal_code": "598402345",
            "country_code": "US",
            "telephone_number": "406-375-4427 x406",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PYSHER",
        "first_name": "LANCE",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-12",
        "last_updated": "2022-07-14",
        "certification_date": "2022-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "35261",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MT",
            "license": "11194",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "PA",
            "license": "MD471642",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "300073804",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350389",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "807619700",
            "state": "ID"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "000095346",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0038129",
            "state": "MT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01352616",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Scranton, PA

Sources for this page

Verify at the official NPI Registry.