NPIMap

Individual provider Active NPI

Justine M Metcho, DPM

  • Foot & Ankle Surgery Podiatrist
  • Moosic, PA
National Provider Identifier
1366474843
Registry record updated Apr 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC004803L Issued in PA
Practice address
532 Main St
Suite #2
Moosic, PA 18507-1001
Phone
(570) 457-6540
Fax
(570) 457-6541
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X SC004803L PA Primary

Addresses

Primary practice location

532 Main St
Suite #2
Moosic, PA 18507-1001

Mailing address

532 Main St
Suite #2
Moosic, PA 18507-1001
Phone (570) 457-6540

Other identifiers 8

IdentifierTypeStateIssuer
86860OtherPAGEISINGER HEALTH PLAN
074462OtherPARAILROAD MEDICARE
3504465OtherPAAETNA HEALTH PLANS HMO
1009955070005MedicaidPA
1620344OtherPABLUE SHIELD PA
163916OtherPAUNISON
7715557OtherPAAETNA HEALTH PLANS PPO 7715557
818157OtherPAFIRST PRIORITY HEALTH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031215000479 PA Practitioner - Podiatry 9133026529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

436 W Valley Ave
Elysburg, PA 17824-7247
Phone (570) 672-1101

Hospital & facility affiliations

  • Geisinger Medical Center Hospital, Danville, PA, CCN 390006
  • Geisinger-Community Medical Center Hospital, Scranton, PA, CCN 390001
  • Geisinger-Bloomsburg Hospital Hospital, Bloomsburg, PA, CCN 390003

Merit-based Incentive Payment System (MIPS)

Final score
95.15 of 100Reported as apm
Quality
83.54
Promoting interoperability
94.52
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue11
Removal of skin lesions1-10
Removal of nail tissue707
Removal or shaving of skin growth250
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC004803LPAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Sep 3, 2024 Accepting new patients
Geisinger Clinic CurrentSince Sep 3, 2024 Accepting new patients
Geisinger Clinic Current Accepting new patients
Golden Care Foot and Ankle Surgery Foot & Ankle Surgery PastSince Aug 26, 2010 Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

436 W Valley Ave
Elysburg, PA 17824
Phone (570) 672-1101

532 Main St
Moosic, PA 18507
Phone (570) 457-6540

532 Main St
Ste 2
Moosic, PA 18507
Phone (570) 341-0050

Interoperability endpoints

  • Direct secure messaging: jmetcho102074@direct.geisinger.edu

Organizations & group practices 4

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.

Hospital & facility affiliations 38

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 38

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459728000000",
    "number": "1366474843",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE #2",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071001",
            "telephone_number": "570-457-6540",
            "fax_number": "570-457-6541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "532 MAIN ST",
            "address_2": "SUITE #2",
            "city": "MOOSIC",
            "state": "PA",
            "postal_code": "185071001",
            "telephone_number": "570-457-6540",
            "fax_number": "570-457-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METCHO",
        "first_name": "JUSTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2016-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "SC004803L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "86860",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "074462",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS HMO",
            "identifier": "3504465",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009955070005",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PA",
            "identifier": "1620344",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "163916",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HEALTH PLANS PPO 7715557",
            "identifier": "7715557",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST PRIORITY HEALTH",
            "identifier": "818157",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moosic, PA

Sources for this page

Verify at the official NPI Registry.