Medicare billing address
CMS Medicare provider billing file
310 Stock StSuite 3
Hanover, PA 17331
CMS public data · NPI 1609038298
Dr. J. Andre Garabedian: Medicare prescribing and billing data
CMS public files list billing, prescribing, location, and participation fields for this NPI. Current plan networks, appointment availability, clinical outcomes, and patient-specific medical advice require separate verification.
CMS display name
J. Andre Garabedian, D.O.
Specialty
Credential
D.O.
NPI
1609038298
Primary source state
PA
Data retrieval date
July 26, 2026
What related Medicare data is on this site?
Pennsylvania doctorsState Doctor hubCardiologyState-specialty hubHanover, PAPrimary city link if this route exists
Where these numbers come from, and what they cannot tell you
Public CMS records, 2024 reporting year. These are historical Medicare fields, not proof of current coverage, appointment availability, quality, or what someone will pay.
How should you read this Doctor page?
This page shows Medicare billing and Part D prescribing data for J. Andre Garabedian, D.O. from CMS public files. It covers 2024 claims data: services billed, the beneficiary panel, and the most-prescribed Part D drugs. It does not show current coverage, appointment availability, or quality ratings.
A licensed agent, not a call center
Do your doctors and prescriptions fit before you enroll?
Peter Abilla, Licensed Medicare Insurance Sales Agent, NPN 22265186. Bring the doctors and prescriptions that matter to you, then check the details before you enroll.
What Medicare source indicators are listed for this NPI?
Medicare participating
Yes
Individual assignment
Yes
Group assignment
Yes
CMS opt-out records
0
Which practice locations appear in CMS files?
When CMS files list more than one address for the same NPI, each address stays tied to the CMS file that reported it.
Suite 3
Hanover, PA 17331
PINNACLE HEALTH MEDICAL SERVICES
CMS Doctors & Clinicians file
111 S Front StHarrisburg, PA 17101
PINNACLE HEALTH REGIONAL PHYSICIANS
CMS Doctors & Clinicians file
1600 6Th AveSuite 105
York, PA 17403
PINNACLE HEALTH MEDICAL SERVICES
CMS Doctors & Clinicians file
1701 Innovation DrYork, PA 17408
What does the Medicare billing file show?
In the 2024 CMS provider billing file, this NPI had 2,343 Medicare beneficiaries and 5,410 total services. The average beneficiary age was 77, and the average HCC risk score was 1.6.
Total Medicare allowed amount
$221,733.73
Total Medicare payment amount
$164,744.78
Medicare beneficiaries
2,343
Total services
5,410
Which patient-panel condition fields does CMS report?
These percentages describe the Medicare beneficiary panel in the CMS utilization file. They are not a diagnosis for any individual patient and are not a quality score.
Hyperlipidemia
75%
CMS beneficiary-panel share
Hypertension
75%
CMS beneficiary-panel share
Ischemic heart disease
49%
CMS beneficiary-panel share
Chronic kidney disease
38%
CMS beneficiary-panel share
Diabetes
38%
CMS beneficiary-panel share
Atrial fibrillation
36%
CMS beneficiary-panel share
Where these service numbers come from, and what they cannot tell you
Amounts shown are average Medicare-approved amounts per billed unit in CMS records. What a person pays depends on current coverage and cannot be read from this table alone.
Which Medicare services appear most often?
| CMS service description | Services | Avg allowed |
|---|---|---|
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 2,152 | $7.71 |
| Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more | 647 | $121.43 |
| Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report | 405 | $13.37 |
| Ultrasound of heart with color-depicted blood flow, rate, direction and valve function | 307 | $64.66 |
| Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes | 190 | $112.21 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician | 137 | $19.90 |
| Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician | 137 | $13.16 |
| Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 114 | $124.10 |
| Nuclear medicine studies of heart muscle at rest and with stress and spect | 111 | $71.77 |
| Ultrasound of heart with color-depicted blood flow, rate and valve function | 103 | $2.90 |
Where these Part D numbers come from, and what they cannot tell you
CMS data reports historical prescription drug events attributed to NPI 1609038298. Formularies, copays, prior authorization, and step therapy rules vary by current coverage.
Which drugs did J. Andre Garabedian, D.O. prescribe most often under Medicare Part D?
| Rank | Drug | Generic name | Total claims | 30-day fills | Total drug cost |
|---|---|---|---|---|---|
| 1 | Metoprolol Succinate | Metoprolol Succinate | 806 | 2,024.7 | $10,239.67 |
| 2 | Eliquis | Apixaban | 701 | 1,186.1 | $659,594.08 |
| 3 | Atorvastatin Calcium | Atorvastatin Calcium | 683 | 1,837.6 | $6,549.26 |
| 4 | Amlodipine Besylate | Amlodipine Besylate | 462 | 1,152.7 | $2,718.86 |
| 5 | Carvedilol | Carvedilol | 376 | 981.9 | $2,537.88 |
| 6 | Furosemide | Furosemide | 363 | 819.2 | $1,667.01 |
| 7 | Metoprolol Tartrate | Metoprolol Tartrate | 329 | 756.1 | $1,880.81 |
| 8 | Lisinopril | Lisinopril | 320 | 836.3 | $2,555.28 |
| 9 | Ezetimibe | Ezetimibe | 262 | 602.3 | $6,214.95 |
| 10 | Rosuvastatin Calcium | Rosuvastatin Calcium | 198 | 531.1 | $2,178.42 |
CMS Part D records are historical aggregate claims data. They do not include current formulary status, pharmacy price, prior-authorization rules, network-directory status, or clinical-outcome data.
What background fields does CMS report?
Medical school
Lake Erie College Of Osteopathic Medicine, Erie
Graduation year
2008
Group/practice field
Pinnacle Health Medical Services
Telehealth reported
Yes
What can this data not tell us?
- Billing data and prescribing data come from different CMS files. Neither one measures clinical outcomes, and neither one tells you whether this doctor is in a specific plan's network.
- Part D records do not report current medication use, plan coverage, price, pharmacy availability, or plan-directory status.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.
- CMS billing data does not list Medicare Advantage plan-directory status for this doctor.
- CMS service and prescribing records are historical public-use aggregates; they do not report current appointment availability, clinical outcomes, or patient-specific medical advice.
- Part D provider-and-drug records do not include current formulary status, copay amount, pharmacy price, prior-authorization rules, or step-therapy rules.
What should you verify separately?
Verify plan-directory status, drug formulary rules, pharmacy pricing, appointment availability, and clinical questions against current plan documents and the relevant provider or care team.
Which CMS sources support this page?
The numbers above come from CMS public-use files for this NPI. Each link identifies the CMS release used and the retrieval date.
- Medicare Physician & Other Practitioners - by Provider · 1 records for this NPI · retrieved July 26, 2026
- Medicare Physician & Other Practitioners - by Provider and Service · 36 records for this NPI · retrieved July 26, 2026
- Doctors and Clinicians National Downloadable File · 13 records for this NPI · retrieved July 26, 2026
- Opt-Out Affidavits · 0 records for this NPI · retrieved July 26, 2026
- Medicare Part D Prescribers - by Provider and Drug · 59 records for this NPI · retrieved July 26, 2026
What caveats apply to this page?
- CMS billing and utilization files do not list Medicare Advantage plan networks, appointment availability, or clinical outcomes.
- Part D provider-and-drug files are historical aggregate claims data; they do not report current medication lists, plan coverage, pharmacy price, or prior-authorization rules.
- Where CMS withholds a count for privacy, we show that note instead of a number. A withheld count is not zero.