Active NPI 1316901481 Individual Practitioner Male Practitioner

Dr. Joseph E Scogna , MD, PhD, FACS

Specialist • Langhorne, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Joseph Scogna, MD, PhD, FACS is a certified Specialist practicing in Langhorne, PA. With approximately 51 years of clinical experience since graduating from Temple University School Of Medicine in 1975, Dr. Scogna delivers high-quality medical care to the local community at 1205 LANGHORNE NEWTOWN RD.

Dr. Scogna is affiliated with Methodist Associates In Healthcare, Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1205 Langhorne Newtown Rd
St Mary Mob Ste 210

Langhorne, PA 190471219

Telephone 2157501400

Fax 2157509034

Associated Practice Facility / Clinic

🏢 Neonatology Associates Facility NPI 1114927605

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1975

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Langhorne, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

51 Yrs +12.3 yrs vs City Avg

City Avg: 38.7 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

15 Specialists

Practicing in Langhorne, PA (2255 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

63.8% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Scogna (51 Years) 51 Yrs

Langhorne Specialty Average (38.7 Years) 38.7 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	79	69	$130.00	$57.64
99213 Established patient office or other outpatient visit, typically 15 minutes	65	58	$190.00	$92.01
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	64	64	$275.00	$113.09
99202 New patient office or other outpatient visit, typically 20 minutes	33	33	$200.00	$74.32
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	28	28	$275.00	$83.19
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's	21	21	$45.00	$16.63
99202 New patient office or other outpatient visit, typically 20 minutes	15	15	$200.00	$48.08
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	12	11	$60.00	$24.01
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	12	12	$130.00	$35.75

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	82	82	$275.00	$116.00
99213 Established patient office or other outpatient visit, typically 15 minutes	57	49	$190.00	$93.46
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	39	39	$275.00	$85.73
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	21	20	$130.00	$56.85
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$190.00	$67.97
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	11	11	$350.00	$172.95

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	65	65	$239.69	$118.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	35	35	$243.43	$88.99
99213 Established patient office or other outpatient visit, typically 15 minutes	24	23	$160.21	$97.68
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	18	15	$111.67	$38.64
99213 Established patient office or other outpatient visit, typically 15 minutes	16	15	$153.44	$71.12
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	14	12	$118.21	$61.05

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	38	38	$190.00	$110.37
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	34	34	$190.00	$88.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	132	81	$182.02	$76.30
99231 Follow-up hospital inpatient care per day, typically 15 minutes	82	48	$133.35	$40.27
99221 Initial hospital inpatient care per day, typically 30 minutes	79	79	$321.54	$104.26
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	48	48	$292.00	$111.81

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	143	94	$182.00	$75.11
99231 Follow-up hospital inpatient care per day, typically 15 minutes	86	46	$131.00	$40.28
99221 Initial hospital inpatient care per day, typically 30 minutes	85	85	$323.62	$104.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	52	52	$292.62	$111.88
62284 Injection of contrast for imaging of lower spinal canal	12	12	$811.00	$92.71
72100 X-ray of lower and sacral spine, 2-3 views	11	11	$175.00	$11.52
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	11	11	$8911.00	$1093.26

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	135	94	$152.74	$74.99
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	72	72	$257.14	$110.40
99231 Follow-up hospital inpatient care per day, typically 15 minutes	47	19	$119.34	$40.06
99221 Initial hospital inpatient care per day, typically 30 minutes	35	35	$265.91	$104.06
63048 Partial removal of spine bone with release of spinal cord and/or nerves	21	13	$3225.14	$230.87
62284 Injection of contrast for imaging of lower spinal canal	19	19	$740.89	$92.14
63047 Partial removal of middle spine bone with release of spinal cord and/or nerves	17	14	$8455.47	$1126.20
72100 X-ray of lower and sacral spine, 2-3 views	15	14	$147.67	$11.49

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD018979E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Commercial Insurance / Payer ID Highmark-Group

000049008 (PA)

Commercial Insurance / Payer ID Ibc-Individual

0045179000 (PA)

Commercial Insurance / Payer ID Ibc-Group

0045170000 (PA)

Commercial Insurance / Payer ID Aetna

111463 (PA)

Commercial Insurance / Payer ID Highmark-Individual

000412172 (PA)

Hospital & Practice Group Affiliations

Methodist Associates In Healthcare, Inc

2301 S Broad St, Philadelphia, PA 191483542

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Clarice Lunde , CRNA

Nurse Anesthetist, Certified Registered

NPI 1013905256

Certified Registered Nurse Anesthetist

Dr. Garvey Choi , DO

Surgery

NPI 1023031317

Doctor of Osteopathic Medicine (D.O.)

Dr. Victor Rivera , MD

Pediatrics

NPI 1023054509

Doctor of Medicine (M.D.)

Ambily Pailo , NP-C

Nurse Practitioner - Primary Care

NPI 1043664246

Nurse Practitioner (Certified)

Dr. Marc Segal , DDS

Dentist - General Practice

NPI 1093861254

Doctor of Dental Surgery

Dr. Terry Kanefsky , MD

Internal Medicine - Endocrinology, Diabetes & Metabolism

NPI 1124035589

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active April 27, 2015

NPI status registered as active in NPPES database

📍

Updated Practice Location April 27, 2015

Registered at 1205 LANGHORNE NEWTOWN RD, ST MARY MOB STE 210, LANGHORNE, PA 190471219 (Tel: 2157501400)

📍

Updated Business Mailing Address April 27, 2015

Registered at 1205 LANGHORNE NEWTOWN RD, ST MARY MOB STE 210, LANGHORNE, PA 190471219 (Tel: 2157501400)

👤

Provider Name / Credentials Updated April 27, 2015

Recorded as JOSEPH SCOGNA, M.D., PH.D., F.A.C.S

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 27, 2015

Specialist (License #MD018979E in PA)

🟢

Initial NPI Registration & Enumeration April 14, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews

No patient reviews submitted yet for Dr. Joseph Scogna. Be the first to share your experience!

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1316901481

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 14, 2006

Last Update: April 27, 2015

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1205 Langhorne Newtown Rd, St Mary Mob Ste 210

Langhorne, PA 190471219

Phone: 2157501400

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.