How many providers are excluded by Pennsylvania Medicaid?

The Pennsylvania Medicaid exclusion list Fonteum mirrors holds 6,699 records, 1,571 of which carry an NPI. The list reflects the published source; reinstatements can lag.

Does a Pennsylvania Medicaid exclusion appear on the federal OIG LEIE?

Not necessarily. State Medicaid exclusion lists and the federal LEIE overlap but are not identical — a state-excluded provider can be absent from the federal list. A complete screen checks both.

Fonteum · Exclusions · Pennsylvania

Excluded Medicaid providers in Pennsylvania: 6,699 records, source-traced.

Name: Pennsylvania Medicaid Provider Exclusions
Creator: Fonteum
License: https://www.usa.gov/government-works

Fonteum mirrors the Pennsylvania Department of Human Services provider-exclusion list as a screening aid: 6,699 records, 1,571 (23%) carrying an NPI, of which 1,384 match a provider in our graph. Records are not a determination by Fonteum; reinstatements can lag — cross-check any record at the source.

Cross-check at the source →All states + federal →

Pennsylvania exclusions at a glance

Total records

6,699

With an NPI

1,571 (23%)

Individuals

6,360

Organizations

330

Most-excluded provider types

RN · 931
MD · 781
LPN · 585
PCA · 283
DO · 214
RPh · 214

NPI-matched exclusion records

Showing the 50 most-recent records that match a provider NPI in Fonteum’s graph (of 1,384matched). Select a name to open its provider profile, where the exclusion sits beside the provider’s other source-traced facts. Records without an NPI are counted in the totals above but are not individually listed.

Provider (as published)	Provider type	Status	Listed
Steven M. Bauer	PT	Precluded	2026-04-20
Sarah E. Bailey	PT	Precluded	2026-04-20
Hayriye B. Gok	—	Precluded	2026-04-20
Dana G. McGiboney	RPh	Precluded	2026-04-20
Philip D. Sorensen	—	Precluded	2026-04-20

Source, scope, and limitations

Source: Pennsylvania Department of Human Services (DHS) · captured 2026-06-13. Source: Pennsylvania Department of Human Services (DHS) Medicheck List.
Screening aid, not a determination. The list mirrors the published source as-is; Fonteum does not adjudicate exclusions.
Reinstatements and corrections can lag the published file. Cross-check any single record against the publishing agency before acting on it.
NPI matching is exact. Names are shown as published by the agency; a state exclusion is separate from the federal OIG LEIE.

Reviewed by Jennifer Montecillo, MD, medical reviewer. Non-practicing medical reviewer.Data last updated (dataLastUpdated): 2026-06-13About our reviewers →