TERESA M. JOY DO
NPI 1245256080
Family Medicine in Chambersburg, PA
NPI Status: Active since July 14, 2006
Contact Information
12 ST PAUL DR STE 203
CHAMBERSBURG, PA
ZIP 17201
Phone: (717) 264-6511
Fax: (717) 264-1081
- Individual
- Female
- Family Medicine
- PECOS Enrolled
About TERESA JOY
This page provides the complete NPI Profile along with additional information for Teresa Joy, a primary care provider established in Chambersburg, Pennsylvania with a medical specialization in Family Medicine. The healthcare provider is registered in the NPI registry with number 1245256080 assigned on July 2006. The practitioner's primary taxonomy code is 207Q00000X with license number OS013264 (PA). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1245256080
- Provider Name
- TERESA M. JOY DO
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201
- Location Phone
- (717) 264-6511
- Location Fax
- (717) 264-1081
- Mailing Address
- 785 5TH AVE STE 3 CHAMBERSBURG, PA 17201
- Mailing Phone
- (717) 263-9555
- Mailing Fax
- (717) 264-1081
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-14-2006
- Last Update Date
- 03-07-2023
- Code Navigator
A primary care provider (PCP) like Teresa Joy sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Secondary Locations
- 46 Walnut Bottom Rd
Shippensburg, PA 17257
(717) 477-2764 - 3106 Philadelphia Ave
Chambersburg, PA 17201
(717) 264-3644 - 24 Antrim Commons Dr
Greencastle, PA 17225
(717) 597-5553 - 601 E Main St
Waynesboro, PA 17268
(717) 765-5088 - 1000 Norland Ave
Chambersburg, PA 17201
(717) 267-6363 - 24 Antrim Commons Dr
Greencastle, PA 17225
(717) 597-5553 - 12 St Paul Dr Ste 101
Chambersburg, PA 17201
(717) 217-6760
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Family Medicine
- Taxonomy Code
- 207Q00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- OS013264
- License State
- PA
- Taxonomy Description
- Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 261QU0200X | Ambulatory Health Care Facilities | Clinic/Center |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
25-1716306 | OTHER (01) | PA | SOUTH CENTRAL PREFERRED |
6682103 | OTHER (01) | PA | AETNA HMO |
7860132 | OTHER (01) | PA | AETNA NON-HMO |
2148070 | OTHER (01) | PA | MAMSI |
25-1716306 | OTHER (01) | PA | INFORMED |
255499 | OTHER (01) | PA | UNISON |
P009161 | OTHER (01) | PA | GATEWAY |
25-1716306 | OTHER (01) | PA | HEALTHNET/TRICARE |
P00683486 | OTHER (01) | PA | RAILROAD MEDICARE |
25-1716306 | OTHER (01) | PA | INTERGROUP |
25-1716306 | OTHER (01) | PA | FIRST HEALTH |
G920-0112/KDM4CU | OTHER (01) | PA | CAREFIRST |
1245256080 | OTHER (01) | NPI | |
25-1716306 | OTHER (01) | PA | GREATWEST |
25-1716306 | OTHER (01) | PA | MULTIPLAN/PHCS |
50085112 | OTHER (01) | PA | CAPITAL BLUECROSS |
OS013264 | OTHER (01) | PA | LICENSE |
102213333 0001 | MEDICAID (05) | PA | |
120420417 | OTHER (01) | PA | DEPT OF LABOR |
25-1716306 | OTHER (01) | PA | DEVON |
891897 | OTHER (01) | PA | HEALTH AMERICA |
JO1717292 | OTHER (01) | PA | HIGHMARK BLUE SHIELD |
Medicare Participation & PECOS Enrollment Status
Teresa Joy is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Provider Referred Orders for Durable Medical Equipment, Devices & Supplies
The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.
Durable Medical Equipment
DME-Other DME (DE017N)
Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips (HCPCS:A4253)
12 DME suppliers used 35 Medicare Claims 75 Services Paid
DME-Medical/Surgical Supplies (DA000N)
Lancets, per box of 100 (HCPCS:A4259)
4 DME suppliers used 11 Medicare Claims 11 Services Paid
DME-Wheelchairs (DD000N)
Heavy duty wheelchair (HCPCS:K0006)
1 DME suppliers used 11 Medicare Claims 11 Services Paid
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Adm sarscv2 30mcg trs-sucr b
Administration of influenza virus vaccine
Administration of pneumococcal vaccine
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Established patient office or other outpatient visit, 40-54 minutes
Fee covid-19 vac 13 res
Influenza vaccine split virus, preservative free
Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage
Injection of drug or substance under skin or into muscle
Injection, denosumab, 1 mg
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report
Urinalysis, manual test
This service involves the administration of a 30mcg dose of the SARS-CoV-2 vaccine, which helps protect against COVID-19. The 'trs-sucr b' indicates it's stabilized with sugars for effectiveness. It's a crucial step in maintaining your health during the pandemic.
This service was performed 57 times for 56 patientsThe administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
This service was performed 281 times for 277 patientsThe pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.
This service was performed 21 times for 21 patientsAn annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
This service was performed 19 times for 19 patientsThis is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
This service was performed 221 times for 203 patientsThis is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
This service was performed 754 times for 392 patientsThis service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
This service was performed 22 times for 20 patientsThe "Fee Covid-19 Vac 13 Res" service refers to a charge for the 13th dose of the Covid-19 vaccine, typically for individuals requiring additional doses due to specific health conditions. It's crucial to follow your healthcare provider's advice for your health safety.
This service was performed 432 times for 432 patientsThe Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
This service was performed 267 times for 263 patientsThe quadrivalent influenza vaccine is a shot to protect you from four different flu viruses. It's preservative-free and given in a 0.5 ml dose. It helps your body build immunity to the flu, reducing your risk of getting sick.
This service was performed 14 times for 14 patientsThis procedure involves administering medication directly under the skin or into a muscle. A small needle is used to inject the drug, allowing it to be absorbed quickly into the bloodstream. It's a common method for delivering a variety of medications.
This service was performed 76 times for 33 patientsDenosumab is a medication given via injection to strengthen your bones. It works by slowing down the cells that break down bone, improving bone density and reducing the risk of fractures. It's often used for osteoporosis treatment.
This service was performed 2,220 times for 23 patientsThis service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
This service was performed 330 times for 313 patientsThe Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
This service was performed 15 times for 15 patientsAn electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
This service was performed 33 times for 32 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 25 times for 25 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 17201 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $84.88
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $21.22
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 4 | 5 | 2 | 5 | 6 | 0 | 8 | 0 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 8 | 5 | 4 | 5 | 12 | 0 | 16 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 8 + 5 + 4 + 5 + 1 + 2 + 0 + 1 + 6 + 24 = 60 | |||||||||
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
0 |
The NPI number 1245256080 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 7 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1366448391 | ERNEST E CHARLESWORTH MD Individual | Family Medicine | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1558973180 | NINA LOUISE WYATT CRNP Individual | Nurse Practitioner (Primary Care) | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1881885689 | DAVID EUGENE NEWLIN JR. PA-C Individual | Physician Assistant (Medical) | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1386350866 | WELLSPAN MEDICAL GROUP Organization | Family Medicine | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1134430671 | HEIDI LORRAINE HUTCHISON DO Individual | Family Medicine | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1154950251 | CALEB LOUGHEED Individual | Family Medicine | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
1679100283 | SHREEYA RAMAN Individual | Family Medicine | 12 ST PAUL DR STE 203 CHAMBERSBURG, PA 17201 (717) 264-6511 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245256080, enumerated in the NPI registry as an "individual" on July 14, 2006
The provider is located at 12 St Paul Dr Ste 203 Chambersburg, Pa 17201 and the phone number is (717) 264-6511
The provider's speciality is Family Medicine with taxonomy code 207Q00000X
The provider might be accepting Accepts: Medicare, Medicaid, Aetna, Tricare, Railroad. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $84.88 with an average copayment of $21.22 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Adm sarscv2 30mcg trs-sucr b, Administration of influenza virus vaccine, Administration of pneumococcal vaccine, Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Established patient office or other outpatient visit, 40-54 minutes, Fee covid-19 vac 13 res, Influenza vaccine split virus, preservative free, Influenza vaccine, quadrivalent, preservative free, 0.5 ml dosage, Injection of drug or substance under skin or into muscle, Injection, denosumab, 1 mg, Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional, Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use, Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report and Urinalysis, manual test.
This NPI record was last updated on July 14, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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