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Cardiologists who accept Medicare in Lehighton, PA
CMS lists 23 clinicians in this specialty with a practice address in Lehighton. Accept Medicare assignment (the Medicare-approved amount as full payment): 23. Offer telehealth: 12.
Typical amounts Medicare approves in ZIP 18235 (2024 Medicare rates, the latest CMS has published): a new-patient visit $126, of which you pay about $32; a follow-up visit $97, of which you pay about $24 — 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.
Todd R. Banning, DO
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100MaleOther offices in Lehighton: 2Drug and device company payments (2025): $23Melissa A. Clark, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2018FemaleBhavin J. Dumaswala, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2016MaleOther offices in Lehighton: 1James G. Gallagher, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 1986 · State University of New York at Stony Brook, School of MedicineMaleDrug and device company payments (2025): $486Richard S. Kolecki, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 1988 · Jefferson Medical College of Thomas Jefferson UniversityMaleDrug and device company payments (2025): $523Hardik Mangrolia, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2010 · Temple University School of MedicineMaleDrug and device company payments (2025): $664William M. Markson, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 1984 · University of Michigan Medical SchoolMaleOther offices in Lehighton: 3Drug and device company payments (2025): $217Michael D. McCulloch, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2008 · University of Virginia School of MedicineMaleMichael McLane, DO
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2015 · Philadelphia College of Osteopathic MedicineMaleKevin J. Mills, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100Graduated 2015 · JC Edwards School of Medicine, Marshall UniversityMaleDrug and device company payments (2025): $318Sudip Nanda, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100Graduated 1997MaleOther offices in Lehighton: 1Drug and device company payments (2025): $518Luis A. Tejada, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100Graduated 1986MaleDrug and device company payments (2025): $432Dwithiya K. Thomas, MD
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2006 · Rutgers R W Johnson Medical School (cam/new Bruns/pisc)FemaleDrug and device company payments (2025): $182Darren M. Traub, DO
✓ Accepts Medicare assignmentMIPS score (2024): 97.1/100✓ TelehealthGraduated 2001 · Philadelphia College of Osteopathic MedicineMaleDrug and device company payments (2025): $9,897Shehzad M. Malik, MD
✓ Accepts Medicare assignmentMIPS score (2024): 49.1/100✓ TelehealthGraduated 2001MaleDrug and device company payments (2025): $2,405William J. Smolinski, DO
✓ Accepts Medicare assignmentMIPS score (2024): 38/100✓ TelehealthGraduated 1987 · Rowan University School of Osteopathic MedicineMaleDrug and device company payments (2025): $2,261Matthew J. Durkin, MD
✓ Accepts Medicare assignmentGraduated 2020MaleDrug and device company payments (2025): $195Brian Henstenburg, DO
✓ Accepts Medicare assignmentGraduated 2020 · Philadelphia Col of Osteo Med, SewaneeMaleDrug and device company payments (2025): $372Lindsey Magid, DO
✓ Accepts Medicare assignmentGraduated 2020FemaleDrug and device company payments (2025): $2,381Jamie D. Paranicas, MD
✓ Accepts Medicare assignmentGraduated 1984 · Hahnemann University College of MedicineFemaleDrug and device company payments (2025): $1,492Kashyap Shah, DO
✓ Accepts Medicare assignmentGraduated 2019 · West Virginia School of Osteopathic MedicineMaleOther offices in Lehighton: 2Drug and device company payments (2025): $182Michael E. Summers, DO
✓ Accepts Medicare assignmentGraduated 2013 · Philadelphia College of Osteopathic MedicineMaleDrug and device company payments (2025): $591Vikas Yellapu, MD
✓ Accepts Medicare assignmentGraduated 2019 · Temple University School of MedicineMaleDrug and device company payments (2025): $202
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 Lehighton
- Primary care doctors53
- Nurse practitioners36
- Dermatologists3
- Orthopedic surgeons13
- Neurologists10
- Gastroenterologists6
- Podiatrists9
- Pulmonologists4
- Rheumatologists3
- Oncologists9
- Psychiatrists21
- Psychologists3
- Therapists and counselors8
- Physical therapists10
- Occupational therapists5
- Gynecologists4
- General surgeons10
- Vascular surgeons6
- Physiatrists3
Other care in Lehighton
Hospitals · Nursing homes · Dialysis centers
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).