Individual provider Active NPI

Ronald Frank Maceyko, MD

  • Dermatology Physician
  • Pittsburgh, PA
National Provider Identifier
1417030560
Registry record updated Oct 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD046336L Issued in PA
Practice address
4815 Liberty Ave Ste 250
Pittsburgh, PA 15224-2156
Phone
(412) 784-1606
Fax
(412) 784-8225
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X MD046336L PA Primary

Addresses

Primary practice location

4815 Liberty Ave Ste 250
Pittsburgh, PA 15224-2156

Mailing address

4815 Liberty Ave Ste 250
Pittsburgh, PA 15224-2156
Phone (412) 784-1606

Other practice location 1

241 Freeport Rd
Suite 7
Aspinwall, PA 15215-3035
Phone (412) 784-1606

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmaceyko82060@direct.ahn.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120206000293 PA Practitioner - Dermatology 7315955499 Reassigns benefits to 1 organization
I20220913002891 FL Practitioner - Dermatology 7315955499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Ohio State University College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Woodruff Institute LLCGroup PAC ID 1658351101, 22 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

2235 Venetian CT
Suite 1
Naples, FL 34109-8728
Phone 2395969337610

4815 Liberty Ave
Pittsburgh, PA 15224-2156

490 E N Ave
Pittsburgh, PA 15212-4740

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions397
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Mar 14, 2016 Accepting new patients
Allegheny Clinic Dermatology CurrentSince Mar 14, 2016 Accepting new patients
Allegheny Clinic Current Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
King-Maceyko Dermatology Assoc LTD Dermatology Past Accepting new patients

Locations

241 Freeport Rd
Ste 7
Aspinwall, PA 15215
Phone (412) 659-0599

490 E North Ave
Ste 107
Pittsburgh, PA 15212
Phone (412) 359-3376

4815 Liberty Ave
Ste 250
Pittsburgh, PA 15224
Phone (412) 578-1152

Interoperability endpoints

  • Direct secure messaging: rmaceyko82060@direct.ahn.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601942400000",
    "number": "1417030560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-784-1606",
            "fax_number": "412-784-8225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4815 LIBERTY AVE STE 250",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152242156",
            "telephone_number": "412-784-1606",
            "fax_number": "412-784-8225"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "241 Freeport Rd",
            "address_2": "Suite 7",
            "address_purpose": "LOCATION",
            "city": "Aspinwall",
            "state": "PA",
            "postal_code": "152153035",
            "country_code": "US",
            "telephone_number": "412-784-1606",
            "fax_number": "412-784-8225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACEYKO",
        "first_name": "RONALD",
        "middle_name": "FRANK",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2020-10-06",
        "certification_date": "2020-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "PA",
            "license": "MD046336L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmaceyko82060@direct.ahn.org",
            "affiliation": "N",
            "address_1": "4815 Liberty Ave Ste 250",
            "city": "Pittsburgh",
            "state": "PA",
            "country_code": "US",
            "postal_code": "152242156",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.