Penelope Lyn McClurg, PHYSICIAN ASSISTANT

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

005649-1 Issued in NY

Practice address

111 N Maplemere Rd Ste 100
Williamsville, NY 14221-3182

Phone

(716) 204-3200

Fax

(716) 204-4337

NPI assigned

Nov 14, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Penelope Lyn Ostolski Former name

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

University Orthopaedic Services Inc.Group PAC ID 7810983004, 115 clinicians

Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

45.23 of 100Reported as group

Quality

27.79

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

88.69 of 100Reported as group

Quality

77.6

Promoting interoperability

100

Improvement activities

40

Cost

81.28

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: postolski@ubortho.medentdirect.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• University Orthopaedic Services, Inc

  • Orthopaedic Surgery Physician
  • Cheektowaga, NY
  • NPI 1578599866
  Medicare reassignment Care Compare group NPD
• Great Lakes Medical Imaging LLC

  • Diagnostic Radiology Physician
  • Williamsville, NY
  • NPI 1861763005
  Medicare reassignment Care Compare group
• Keystone Medical Services of New York, PC

  • Emergency Medicine Physician
  • Springville, NY
  • NPI 1952331761
  Medicare reassignment
• Western New York Radiology Associates LLC

  • Diagnostic Radiology Physician
  • Buffalo, NY
  • NPI 1285682500
  Medicare reassignment
• University Orthopaedic Services Inc.

  • Orthopaedic Surgery Physician
  • Amherst, NY
  • NPI 1528209962
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707177600000",
    "number": "1144201476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4225 GENESEE ST",
            "city": "CHEEKTOWAGA",
            "state": "NY",
            "postal_code": "142251994",
            "telephone_number": "716-204-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 N MAPLEMERE RD STE 100",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142213182",
            "telephone_number": "716-204-3200",
            "fax_number": "716-204-4337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8750 Transit Rd",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512610",
            "country_code": "US",
            "telephone_number": "716-636-1470 x121",
            "fax_number": "716-636-1423",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8750 Transit Rd",
            "address_2": "SUITE 105",
            "address_purpose": "LOCATION",
            "city": "East Amherst",
            "state": "NY",
            "postal_code": "140512610",
            "country_code": "US",
            "telephone_number": "716-636-1470 x121",
            "fax_number": "716-636-1423",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCLURG",
        "first_name": "PENELOPE",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-14",
        "last_updated": "2024-02-06",
        "certification_date": "2024-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NY",
            "license": "005649-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "005649",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENELOPE",
            "last_name": "OSTOLSKI",
            "middle_name": "LYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michelle McCann, FNP
• Jennifer McCarthy, LPN
• Kathlene McClain, RN
• David Carl McCloe, DDS
• Matthew G McClure, M.D.
• Joan McCool, PHD
• Ashley McCormick
• Carrie Ann McCoy
• Mahalia McCrayer, R.N.
• Amy Elizabeth McDermott, MS OTR L

• Surgical Physician Assistant in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Surgical Physician Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.