Active NPI 1821067265 Individual Practitioner Male Practitioner

Dr. Thomas A. Hepner , MD

Internal Medicine • Sunbury, PA

✓ Accepts Medicare Assignment Telehealth Available

Professional Overview & Biography Verified Profile Summary

Dr. Thomas Hepner, MD is a certified Internal Medicine practicing in Sunbury, PA. With approximately 37 years of clinical experience since graduating from Temple University School Of Medicine in 1989, Dr. Hepner delivers high-quality medical care to the local community at 385 STATE ST.

Dr. Hepner maintains professional affiliations with Phoenix Rehabilitation And Health Services Inc, Geisinger Clinic and accepts Medicare assignment . Telehealth and virtual consultation options are available for eligible patients.

Frequently performed procedures and clinical services include 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, established patient outpatient office visit, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

385 State St

Sunbury, PA 178012531

Telephone 5702866773

Fax 5702867967

Associated Practice Facility / Clinic

🏢 Geisinger Clinic Sunbury Facility NPI 1740239243

Medicare Profile & Education

Medical School

Temple University School Of Medicine

Graduation Year

1989

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

Telehealth Services Available

Specialty Benchmarks & Practice Insights

Comparative analytics for Internal Medicine in Sunbury, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

37 Yrs +7.0 yrs vs City Avg

City Avg: 30.0 Yrs

State Avg: 28.2 Yrs

Regional Practice Density

3 Specialists

Practicing in Sunbury, PA (7609 Statewide)

Telehealth Adoption Rate

66.7% Regional Adoption

✓ Offers Virtual Consultations

Medicare Pricing Discount

56.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Hepner (37 Years) 37 Yrs

Sunbury Specialty Average (30.0 Years) 30.0 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
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	350	242	$42.00	$15.51
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	342	236	$317.02	$120.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	112	14	$6.46	$0.96
G0008 Administration of influenza virus vaccine	107	105	$73.13	$30.77
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	101	33	$159.02	$70.44
90662 Influenza vaccine split virus, preservative free	94	92	$135.00	$80.98
99213 Established patient office or other outpatient visit, typically 15 minutes	75	62	$214.80	$82.36
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	54	50	$280.00	$126.20
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	49	30	$206.80	$101.77
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	41	40	$441.83	$170.60
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	27	27	$93.30	$5.69
90471 Administration of 1 vaccine	23	21	$68.04	$19.26
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	18	18	$490.00	$288.00
G0009 Administration of pneumococcal vaccine	18	18	$60.56	$30.77
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	17	17	$260.24	$122.56
20610 Aspiration and/or injection of fluid from large joint	13	13	$171.00	$61.30
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	13	13	$95.00	$38.13
36415 Insertion of needle into vein for collection of blood sample	12	12	$39.50	$8.65

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	439	321	$301.70	$120.44
99213 Established patient office or other outpatient visit, typically 15 minutes	264	220	$202.69	$85.59
G0008 Administration of influenza virus vaccine	150	150	$54.67	$29.25
90662 Influenza vaccine split virus, preservative free	130	130	$118.59	$67.84
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	84	34	$155.05	$71.30
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	78	73	$420.26	$169.81
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	43	40	$288.70	$128.05
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	38	21	$209.79	$102.31
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	34	34	$289.88	$119.67
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$320.00	$271.80
G0009 Administration of pneumococcal vaccine	29	29	$51.90	$28.43
90471 Administration of 1 vaccine	25	24	$52.00	$19.16
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	19	19	$108.68	$21.81
36415 Insertion of needle into vein for collection of blood sample	16	15	$28.69	$8.40
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	16	16	$69.00	$37.77
81003 Automated urinalysis test	15	15	$73.87	$2.20
99495 Transitional care management services for problem of at least moderate complexity	13	12	$475.00	$194.76
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	12	12	$100.00	$5.92
99306 Initial nursing facility visit, typically 45 minutes per day	12	12	$369.00	$174.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	600	393	$287.53	$122.63
99213 Established patient office or other outpatient visit, typically 15 minutes	275	212	$196.04	$87.23
G0008 Administration of influenza virus vaccine	237	234	$50.00	$28.33
90662 Influenza vaccine split virus, preservative free	191	189	$56.00	$54.95
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	180	16	$6.54	$1.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	109	96	$404.84	$171.74
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	80	33	$226.40	$87.44
36415 Insertion of needle into vein for collection of blood sample	53	51	$23.43	$2.96
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	52	52	$316.42	$124.00
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	49	46	$317.96	$123.96
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	47	45	$35.00	$21.03
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	42	20	$174.71	$66.54
G0009 Administration of pneumococcal vaccine	40	40	$50.00	$28.42
81003 Automated urinalysis test	29	26	$81.52	$2.23
90677 Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use	29	29	$318.28	$277.68
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	27	25	$130.00	$22.32
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	27	26	$112.00	$5.77
90471 Administration of 1 vaccine	24	24	$50.00	$16.04
20610 Aspiration and/or injection of fluid from large joint	21	16	$195.60	$64.79
99310 Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes	19	13	$329.74	$128.73
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	11	11	$69.00	$36.14
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	11	11	$122.00	$121.45
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	11	11	$165.27	$54.54

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	778	474	$261.36	$126.19
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	195	171	$361.40	$176.84
99213 Established patient office or other outpatient visit, typically 15 minutes	187	138	$175.03	$88.51
36415 Insertion of needle into vein for collection of blood sample	172	151	$22.65	$2.99
G0008 Administration of influenza virus vaccine	114	112	$48.16	$16.39
90662 Influenza vaccine split virus, preservative free	66	66	$56.00	$56.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	59	27	$235.05	$88.64
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	51	24	$177.71	$67.18
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	46	46	$320.78	$126.64
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	38	37	$35.00	$20.41
99211 Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional	35	29	$131.14	$21.99
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	33	28	$334.55	$126.29
G0009 Administration of pneumococcal vaccine	28	28	$41.43	$16.47
81003 Automated urinalysis test	28	27	$50.29	$2.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$122.00	$121.31
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	21	21	$131.43	$6.21
99495 Transitional care management services for problem of at least moderate complexity	19	17	$426.05	$191.90
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	12	11	$234.00	$88.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	698	453	$224.69	$105.94
G0008 Administration of influenza virus vaccine	256	255	$34.84	$16.27
90694 Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage	195	195	$60.00	$60.00
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	151	48	$215.92	$90.05
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	144	11	$6.24	$1.46
99213 Established patient office or other outpatient visit, typically 15 minutes	108	94	$150.64	$72.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	65	65	$285.23	$113.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	56	56	$35.00	$19.55
99441 Telephone medical discussion with physician, 5-10 minutes	45	43	$68.00	$44.16
81002 Urinalysis, manual test	43	39	$74.84	$3.41
G0009 Administration of pneumococcal vaccine	40	40	$32.90	$15.41
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	38	37	$294.47	$143.33
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	38	37	$284.97	$127.79
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	31	31	$122.00	$111.41
99495 Transitional care management services for problem of at least moderate complexity	22	20	$366.23	$180.53
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	17	17	$250.41	$105.70
20610 Aspiration and/or injection of fluid from large joint	15	11	$299.73	$65.70
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	14	$144.33	$8.10
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	11	11	$361.73	$152.52

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	598	367	$195.00	$106.32
G0008 Administration of influenza virus vaccine	274	265	$29.00	$15.95
36415 Insertion of needle into vein for collection of blood sample	252	179	$18.01	$2.94
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	240	24	$6.63	$1.60
90653 Vaccine for influenza for injection into muscle	213	213	$58.85	$57.32
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	199	47	$204.00	$90.78
99213 Established patient office or other outpatient visit, typically 15 minutes	108	91	$132.00	$71.86
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	102	92	$273.00	$140.24
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	94	94	$275.00	$114.08
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	61	60	$35.00	$18.65
G0009 Administration of pneumococcal vaccine	45	44	$29.00	$15.95
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	44	40	$260.00	$129.45
99495 Transitional care management services for problem of at least moderate complexity	42	38	$264.86	$160.75
20610 Aspiration and/or injection of fluid from large joint	29	24	$325.52	$61.85
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	28	28	$275.00	$168.88
90471 Administration of 1 vaccine	27	27	$32.78	$16.25
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	27	27	$117.93	$110.74
81002 Urinalysis, manual test	27	23	$101.56	$3.41
90715 Diphtheria, tetanus, and acellular pertussis vaccine (7 years or older)	18	18	$69.00	$32.21
90670 Pneumococcal vaccine for injection into muscle	17	17	$272.00	$208.08
69209 Removal of impacted ear wax by washing	16	15	$74.75	$15.41
93005 Routine electrocardiogram (ecg) using at least 12 leads with tracing	15	15	$145.00	$8.12

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,171	503	$16.97	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	570	363	$187.39	$103.98
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	280	20	$6.97	$1.79
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	267	262	$35.00	$18.58
G0008 Administration of influenza virus vaccine	267	262	$29.00	$19.50
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	188	50	$204.00	$89.87
99213 Established patient office or other outpatient visit, typically 15 minutes	100	86	$124.72	$71.01
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	71	56	$267.68	$139.89
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	63	63	$273.98	$113.03
G0009 Administration of pneumococcal vaccine	50	50	$29.00	$19.57
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	50	46	$260.00	$128.21
81002 Urinalysis, manual test	43	36	$96.58	$3.41
20610 Aspiration and/or injection of fluid from large joint	36	20	$303.19	$57.67
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	33	33	$275.00	$166.85
99495 Transitional care management services for problem of at least moderate complexity	31	29	$264.00	$159.09
90670 Pneumococcal vaccine for injection into muscle	30	30	$272.00	$196.94
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	19	19	$107.26	$102.92
99308 Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes	12	11	$160.50	$67.99

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample	1,239	534	$15.37	$2.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	614	363	$177.21	$103.81
90686 Vaccine for influenza for administration into muscle, 0.5 ml dosage	263	251	$35.00	$18.51
G0008 Administration of influenza virus vaccine	262	250	$29.00	$23.96
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg	176	19	$7.01	$1.77
99309 Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes	152	45	$204.00	$89.04
99213 Established patient office or other outpatient visit, typically 15 minutes	137	116	$118.66	$68.21
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	113	94	$257.61	$137.09
99305 Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes	58	52	$260.00	$127.27
G0009 Administration of pneumococcal vaccine	52	52	$29.00	$24.05
G0438 Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit	40	40	$275.00	$161.68
81002 Urinalysis, manual test	38	30	$90.00	$3.43
99495 Transitional care management services for problem of at least moderate complexity	33	29	$257.70	$157.23
90670 Pneumococcal vaccine for injection into muscle	29	29	$272.00	$185.27
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention	29	14	$57.59	$23.35
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit	28	28	$275.00	$111.44
90732 Vaccine for pneumococcal polysaccharide for injection beneath the skin or into muscle, patient 2 years or older	25	25	$102.00	$91.25
20610 Aspiration and/or injection of fluid from large joint	23	18	$295.00	$57.66
G0010 Administration of hepatitis b vaccine	23	13	$29.00	$24.05
90746 Vaccine for hepatitis b adult dosage (3 dose schedule) injection into muscle	23	13	$105.00	$61.02

Medical Specialties & State Licenses

CMS Verified: 2020-08-17

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

State License PA MD044982L

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

001279688 (PA)

Hospital & Practice Group Affiliations

Geisinger Clinic

201 Roosevelt Ave, Selinsgrove, PA 178707969

Phone: 5703740151

Phoenix Rehabilitation And Health Services Inc

2000 Westinghouse Dr, Cranberry Twp, PA 160665238

Practice Associates & Co-Workers

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

8 Associated Practitioners

Dr. Olivia Fladmark , MD

Family Medicine

NPI 1275196008

Doctor of Medicine (M.D.)

Julie Hamilton , PA-C

Family Medicine

NPI 1437176211

Physician Assistant (Certified)

Dr. Matthew Wolcott , MD

Internal Medicine

NPI 1467871459

Doctor of Medicine (M.D.)

Dr. Stephen Lewis , DO

Pediatrics

NPI 1548203284

Doctor of Osteopathic Medicine (D.O.)

Stacey Lauffer , PA-C

Physician Assistant

NPI 1558634105

Physician Assistant (Certified)

Molly Breskiewicz , CRNP

Nurse Practitioner

NPI 1568723146

Certified Registered Nurse Practitioner

Career & Practice History Timeline

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

7 Historical Events

📍

Updated Business Mailing Address August 17, 2020

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178224903 (Tel: 5702716144)

✅

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍

Updated Practice Location July 08, 2007

Registered at 385 STATE ST, SUNBURY, PA 178012531 (Tel: 5702866773)

📍

Updated Business Mailing Address July 08, 2007

Registered at 100 N ACADEMY AVE, DANVILLE, PA 178223034 (Tel: 5702716144)

👤

Provider Name / Credentials Updated July 08, 2007

Recorded as THOMAS HEPNER, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Internal Medicine (License #MD044982L in PA)

🟢

Initial NPI Registration & Enumeration March 17, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1821067265

Entity Type:

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

Enumeration Date: March 17, 2006

Last Update: August 17, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

100 N Academy Ave

Danville, PA 178224903

Phone: 5702716144

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.