David Russel Pater, MD
Individual provider Active NPI Family Medicine Physician · Etters, PA
NPI 1447280862 · NPPES record last updated Jan 6, 2026
Key facts
- NPI
- 1447280862
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD042238E (PA)
- Practice address
- 1790 Old Trail Rd Ste a
Etters, PA 17319-9600 - Phone
- (717) 938-6588
- Fax
- (717) 938-9601
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Pittsburgh School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wellspan Medical Group
Practice addresses (Care Compare)
1790 Old Trail Rd
Etters, PA 17319-9600
Phone (717) 938-6588
Hospital & facility affiliations
- Wellspan York Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050826000145 | PA | Practitioner - Family Practice | 2466483763 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD042238E | PA | Yes |
Addresses
Primary practice location
1790 Old Trail Rd Ste a
Etters, PA 17319-9600
Mailing address
601 Memory LN
York, PA 17402-2231
Phone (717) 851-1405
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4389925 | Other | PA | AETNA |
| 542987 | Other | MD | CAREFIRST MD BCBS |
| 001504020 | Medicaid | PA | |
| 071233 | Other | PA | HIGHMARK BLUE SHIELD |
| 1142447 | Other | PA | AMERIHEALTH MERCY-WMG |
| 233291 | Other | PA | MAMSI-WMG |
| 80864 | Other | PA | UNISON-WMG |
| 0147607000 | Other | PA | AMERIHEALTH 65 PA |
| 30048 | Other | PA | JOHNS HOPKINS |
| 35747 | Other | PA | GEISINGER |
| 01127903 | Other | PA | CAPITAL BLUE CROSS-WMG |
| P002884 | Other | PA | GATEWAY-WMG |
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- Jessica Noll
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All providers in Etters, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 6, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.