Individual provider Active NPI

John Joseph Moffitt, M.D.

  • Otolaryngology Physician
  • Lebanon, PA
National Provider Identifier
1528095171
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
MD042944L Issued in PA
Practice address
927 Russell Dr
Lebanon, PA 17042-7487
Phone
(717) 274-9775
Fax
(717) 274-9894
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MD042944L PA Primary

Addresses

Primary practice location

927 Russell Dr
Lebanon, PA 17042-7487

Mailing address

927 Russell Dr
Lebanon, PA 17042-7487
Phone (717) 274-9775

Other identifiers 1

IdentifierTypeStateIssuer
1236724MedicaidPA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110323000911 PA Practitioner - Otolaryngology 7315970027 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Jefferson Medical College of Thomas Jefferson University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Howard B Melnick MD PCGroup PAC ID 4486692258, 4 clinicians
Pinnacle ENT Alliance LLCGroup PAC ID 7416963988, 70 clinicians

Practice addresses (Care Compare)

927 Russell Dr
Lebanon, PA 17042-7487
Phone (717) 274-9775

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.14 of 100Reported as group
Quality
65.71
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle ENT Alliance LLC CurrentSince Oct 24, 2025 Accepting new patients

Locations

301 W Chester Pike
Ste 101
Havertown, PA 19083
Phone (610) 446-6900

927 Russell Dr
Lebanon, PA 17042
Phone (717) 228-0505

994 Old Eagle School Rd
Ste 1017
Wayne, PA 19087
Phone (610) 902-6092

Organizations & group practices 2

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 6

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

NPI Registry JSON

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

{
    "created_epoch": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1528095171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "927 RUSSELL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427487",
            "telephone_number": "717-274-9775",
            "fax_number": "717-274-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "927 RUSSELL DR",
            "city": "LEBANON",
            "state": "PA",
            "postal_code": "170427487",
            "telephone_number": "717-274-9775",
            "fax_number": "717-274-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOFFITT",
        "first_name": "JOHN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MD042944L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1236724",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lebanon, PA

Sources for this page

Verify at the official NPI Registry.