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Dr. Bryan Joseph Cusack , DO

Pediatrics β€’ Harrisburg, PA

Active NPI 1700463536 Individual Practitioner Male Practitioner
Practice location in NPPES

111 S Front St
Harrisburg, PA 171012010

Call 7172318772 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

111 S Front St

Harrisburg, PA 171012010

Telephone 7172318772
Fax 7177828435
Organization at the Same NPPES Address or Phone
Select Specialty Hospital - Central Pa L.p Facility NPI 1346248333

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

NPPES lists 1 additional practice-address record in Hershey, PA. See the list

Source: CMS NPPES NPI Registry, practice location records; release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2019–2025.

Guide: How to read an Open Payments record

NPI first issued

2021

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cusack has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cusack as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Harrisburg and Pennsylvania

41 active clinicians are listed under Pediatrics with a practice address in Harrisburg, PA (3,383 in Pennsylvania).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Harrisburg

0% of these 41 clinicians have the CMS telehealth indicator.

2.4% of these 41 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-03-27
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES PA OS024159

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Pennsylvania Department of State Licensing.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20241015001389

Enrollment State Jurisdiction

PA

PECOS Control ID

4789088246

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Secondary Practice Locations

500 University Dr

Hershey, PA 170332360

Phone: 7175316597

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

40 listed
Dr. Joseph Abraham , MD

Internal Medicine

NPI 1013538115

Doctor of Medicine (M.D.)

Dr. Rabin Adhikari , MD

Internal Medicine

NPI 1205410610

Doctor of Medicine (M.D.)

NPI 1629445721

Doctor of Medicine (M.D.)

Dr. Alexis Aiman , DO

Internal Medicine

NPI 1114660651

Doctor of Osteopathic Medicine (D.O.)

Dr. David Albright , MD

Internal Medicine

NPI 1528000619

Doctor of Medicine (M.D.)

NPI 1144696576

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

13 Historical Events
πŸ“
Updated Practice Location March 27, 2025

Registered at 111 S FRONT ST, HARRISBURG, PA 171012010 (Tel: 7172318772)

πŸ“
Updated Business Mailing Address March 27, 2025

Registered at 111 S FRONT ST, HARRISBURG, PA 171012010 (Tel: 7172318772)

πŸ“
Updated Practice Location October 03, 2024

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 7175316597)

πŸ“
Updated Business Mailing Address October 03, 2024

Registered at PO BOX 858, MC CA410, HERSHEY, PA 170330858 (Tel: 8002431455)

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) October 03, 2024

Pediatrics (license number reported to NPPES: PA OS024159)

πŸ“
Updated Practice Location May 24, 2024

Registered at 26901 76TH AVE, NEW HYDE PARK, NY 110401433 (Tel: 7175311368)

πŸ“
Updated Business Mailing Address May 24, 2024

Registered at 26901 76TH AVE, NEW HYDE PARK, NY 110401433

βœ…
NPI Profile Active March 28, 2021

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) March 28, 2021

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360 (Tel: 7175311368)

πŸ“
Business Mailing Address (Initial Record) March 28, 2021

Registered at 500 UNIVERSITY DR, HERSHEY, PA 170332360

πŸ‘€
Provider Name / Credentials (Initial Record) March 28, 2021

Recorded as BRYAN CUSACK, DO

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2021

Student in an Organized Health Care Education/Training Program

🟒
Initial NPI Registration & Enumeration March 26, 2021

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1700463536
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 26, 2021
Last Update: March 27, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Harrisburg

Healthcare providers in Harrisburg

Mailing Address

111 S Front St

Harrisburg, PA 171012010

Phone: 7172318772

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.