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John Patch , PA-C

Physician Assistant โ€ข West Reading, PA

Active NPI 1548419294 Individual Practitioner Male Practitioner Accepts Medicare assignment
Practice location in NPPES

420 S 5th Ave
West Reading, PA 196112143

Call 4846284879 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

420 S 5th Ave

West Reading, PA 196112143

Telephone 4846284879
Organization at the Same NPPES Address or Phone
Tower Direct Llc Facility NPI 1194165183

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 West Reading, PA. See the list

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

CMS Doctors and Clinicians lists 1 group name: Reading Nephrology, Ltd. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

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

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2008

Medicare patients

109 people with Original Medicare in 2024

Different Original Medicare patients in 2024; counts below 11 are hidden; this does not show availability or quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider, 2024.

Medicare-allowed amount

About $16,081 in 2024

The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

Paid by Medicare

About $11,944 in 2024

The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners โ€“ by Provider and Service, 2024.

30-day fills

16 standardized 30-day fills in 2023

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$88 in 2023

The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers โ€“ by Provider and Drug, 2023.

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021โ€“2025.

Guide: How to read an Open Payments record

Years since graduation

18 years (graduated 2008)

CMS Doctors and Clinicians data list 2008 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2008

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.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

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, โ€œDoes your provider accept Medicare as full payment?โ€

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)

John Patch 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 John Patch 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 West Reading and Pennsylvania

Billing and prescribing volume is not a quality rating.

Medicare Part B services

Close to the middle for clinicians listed under Physician Assistant in West Reading, PA (2024, 24 clinicians with data). Median for this group: 194. Middle half: 98 to 325.

Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: 174. Middle half: 68 to 404.

Medicare-allowed amount

Close to the middle for clinicians listed under Physician Assistant in West Reading, PA (2024, 24 clinicians with data). Median for this group: $16,334. Middle half: $8,814 to $38,952.

Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $13,809. Middle half: $5,386 to $28,936.

Paid by Medicare

Close to the middle for clinicians listed under Physician Assistant in West Reading, PA (2024, 24 clinicians with data). Median for this group: $12,695. Middle half: $6,683 to $27,407.

Close to the middle for clinicians listed under Physician Assistant in Pennsylvania (2024, 3,979 clinicians with data). Median for this group: $10,019. Middle half: $3,950 to $20,945.

Medicare Part D

Comparisons use 2024 data. The latest CMS data for John Patch are from 2023.

45 active clinicians are listed under Physician Assistant with a practice address in West Reading, PA (8,021 in Pennsylvania).

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

Telehealth indicator in West Reading

2.2% of these 45 clinicians have the CMS telehealth indicator.

53.3% of these 45 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo ยท Report an error.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2024.

CMS Part B ยท Data Year 2024
Reporting Year:

CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2018โ€“2023 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners โ€“ by Provider and Service data, 2019โ€“2024; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes
59 41 $319.00 $95.95
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes
36 28 $221.00 $64.03
99239 Hospital discharge day management, more than 30 minutes
25 25 $327.00 $92.48
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes
18 18 $621.00 $140.53
99291 Critical care, first 30-74 minutes
16 14 $1123.00 $171.89
99231 Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes
13 11 $120.00 $40.26

Source: CMS Part B by Provider and Service, 2024; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2023.

CMS Part D ยท Data Year 2023
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Oxycodone Hcl Oxycodone Hcl 16 62 $88.13 15

Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES PA MA053569

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

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 - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20081010000414

Enrollment State Jurisdiction

PA

PECOS Control ID

8022186519

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.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Reading Nephrology, Ltd

220 N Park Rd, Wyomissing, PA 196102945

Phone: 4846288000

Secondary Practice Locations

601 Spruce St

West Reading, PA 196111443

Phone: 6103754567

Clinicians Sharing This Practice Address or Phone

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

11 listed
Dr. Christopher Butts , PhD, DO

Surgery - Surgical Critical Care

NPI 1609137348

Doctor of Philosophy (Ph.D.), Doctor of Osteopathic Medicine (D.O.)

NPI 1548414345

Doctor of Medicine (M.D.)

Laura Engle , PA-C

Physician Assistant

NPI 1811287162

Physician Assistant (Certified)

Shane Hess , CRNP

Nurse Practitioner - Gerontology

NPI 1629512629

Certified Registered Nurse Practitioner

NPI 1013300490

Doctor of Osteopathic Medicine (D.O.)

Abby Mccall , PA

Physician Assistant

NPI 1477748366

Physician Assistant

Career & Practice History Timeline

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

8 Historical Events
๐Ÿ“
Updated Practice Location April 23, 2018

Registered at 420 S 5TH AVE, WEST READING, PA 196112143 (Tel: 4846284879)

๐Ÿ“
Updated Business Mailing Address April 23, 2018

Registered at PO BOX 13579, READING, PA 196123579 (Tel: 4846280799)

โœ…
NPI Profile Active September 17, 2008

NPI status registered as active in NPPES database

๐Ÿ“
Practice Location (Initial Record) September 17, 2008

Registered at 601 SPRUCE ST, WEST READING, PA 196111443 (Tel: 6103754567)

๐Ÿ“
Business Mailing Address (Initial Record) September 17, 2008

Registered at 601 SPRUCE ST, WEST READING, PA 196111443 (Tel: 6103754567)

๐Ÿ‘ค
Provider Name / Credentials (Initial Record) September 17, 2008

Recorded as JOHN PATCH, PA-C

๐ŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) September 17, 2008

Physician Assistant (license number reported to NPPES: PA MA053569)

๐ŸŸข
Initial NPI Registration & Enumeration September 17, 2008

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1548419294
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 17, 2008
Last Update: April 23, 2018
Sole Proprietor: No

Other Physician Assistants in West Reading

All Physician Assistants in West Reading

Mailing Address

Po Box 13579

Reading, PA 196123579

Phone: 4846280799

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.