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Physical therapists who accept Medicare in Ephrata, PA
CMS lists 14 clinicians in this specialty with a practice address in Ephrata. Accept Medicare assignment (the Medicare-approved amount as full payment): 14. Offer telehealth: 0.
Medicare Part B covers outpatient physical therapy when it is medically necessary; there is no yearly limit, but claims above a set amount need extra documentation from the therapist.
Typical amounts Medicare approves in ZIP 17522 (2024 Medicare rates, the latest CMS has published): a new-patient visit $85, of which you pay about $21; a follow-up visit $68, of which you pay about $17 — the 20% coinsurance after the yearly Part B deductible. Clinicians who don't accept assignment can charge up to 15% more; with a Medicare Advantage plan, your plan's copay applies instead.
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Order: clinicians who accept assignment first, then by MIPS score (highest first), then by last name.
Kayla-Ann Bain, PT
✓ Accepts Medicare assignmentMIPS score (2024): 87.3/100Graduated 2022FemaleJason M. Cavallaro, PT
✓ Accepts Medicare assignmentGraduated 2001MaleDale R. Edgell, PT
✓ Accepts Medicare assignmentGraduated 2004MaleNoah J. Esbenshade, PT
✓ Accepts Medicare assignmentGraduated 2023MaleBrett A. Garman, PT
✓ Accepts Medicare assignmentGraduated 2002MaleMichael T. Hayes, PT
✓ Accepts Medicare assignmentGraduated 2024MaleAmy L. Heckman, PT
✓ Accepts Medicare assignmentGraduated 1997FemaleGavin M. High, PT
✓ Accepts Medicare assignmentGraduated 2021MaleKeith Kmieczak, PT
✓ Accepts Medicare assignmentGraduated 1998MaleChristopher R. Robson
✓ Accepts Medicare assignmentGraduated 2010MaleDaulton T. Rutter, PT
✓ Accepts Medicare assignmentGraduated 2019MaleKevin Sisbarro, PT
✓ Accepts Medicare assignmentGraduated 2019MaleCelia Vallie, PT
✓ Accepts Medicare assignmentGraduated 2024FemalePatricia Wang
✓ Accepts Medicare assignmentGraduated 2022Female
Before you book
This list comes from Medicare's enrollment records, not from reviews. Call the office to confirm the clinician is taking new Medicare patients. With Original Medicare, a clinician who accepts assignment can only charge you the Medicare deductible and coinsurance; one who doesn't may charge up to 15% more than the Medicare-approved amount. If you have a Medicare Advantage plan, check that the clinician is in the plan's network.
The MIPS final score (0–100) comes from Medicare's Merit-based Incentive Payment System for 2024. It combines quality measures, cost, improvement activities and use of certified health records, and it sets a payment adjustment. Clinicians who report as a group share the group's score. It is not a patient rating, and many clinicians have no published score.
Payments from drug and medical device companies come from CMS Open Payments (2025 general payments: meals, travel, consulting and speaking fees, gifts and similar), summed for each clinician. Receiving payments is legal and common and does not mean a clinician did anything wrong.
Other specialists in Ephrata
- Primary care doctors43
- Nurse practitioners64
- Cardiologists12
- Orthopedic surgeons12
- Neurologists4
- Gastroenterologists23
- Optometrists11
- Podiatrists5
- Pulmonologists5
- Rheumatologists5
- ENT doctors3
- Psychiatrists10
- Psychologists6
- Therapists and counselors12
- Audiologists4
- Chiropractors7
- Gynecologists10
- General surgeons7
- Vascular surgeons9
- Physiatrists4
Other care in Ephrata
Hospitals · Nursing homes · Dialysis centers · Home health agencies · Hospices
Nearby cities
Enrollment, addresses and scores are as reported to CMS and can change. This is not a list of in-network providers for any Medicare Advantage plan, and it is not medical advice. Source: CMS Provider Data Catalog — Doctors and Clinicians National Downloadable File, Clinician MIPS Performance 2024 and Facility Affiliation Data (released Oct 2, 2026).