Individual provider Active NPI

Mary Catherine Dillon

  • Family Medicine Physician
  • Gibsonia, PA
National Provider Identifier
1437187952
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS007122L Issued in PA
Practice address
5830 Meridian Rd
Gibsonia, PA 15044-9605
Phone
(724) 443-0800
NPI assigned
Jun 30, 2006
Last updated
Dec 21, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS007122L PA Primary

Addresses

Primary practice location

5830 Meridian Rd
Gibsonia, PA 15044-9605

Mailing address

5830 Meridian Rd
Gibsonia, PA 15044-9605
Phone (724) 443-0800

Other identifiers 9

IdentifierTypeStateIssuer
001246483016OtherUNITED HEALTHCARE
0012821910003MedicaidPA
0558639000OtherINDEPDENCE BLUE SHIELD
102883OtherUPMC HEALTH PLAN
400552OtherHEALTH AMERICA
721368OtherHIGHMARK BLUE SHIELD
4246275OtherAETNA
1535276OtherGATEWAY HEALTH PLAN
P00235012OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041105000454 PA Practitioner - Family Practice 9133182629 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.75 of 100Reported as group
Quality
70.53
Promoting interoperability
100
Improvement activities
40
Cost
75.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS007122LPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medcine Inc Family Medicine CurrentSince Jul 1, 2009 Accepting new patients
Upmc Community Medicine Inc CurrentSince Jul 1, 2009 Accepting new patients
Upmc Community Medicine, Inc Current Accepting new patients

Locations

20630 Route 19
Unit 101
Cranberry Twp, PA 16066
Phone (724) 779-2273

875 N Hermitage Rd
Ste 3
Hermitage, PA 16148
Phone (724) 347-4622

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

339 6th Ave
Fl 5
Pittsburgh, PA 15222
Phone (412) 560-8762

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1437187952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449605",
            "telephone_number": "724-443-0800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5830 MERIDIAN RD",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449605",
            "telephone_number": "724-443-0800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DILLON",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS007122L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "001246483016",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012821910003",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPDENCE BLUE SHIELD",
            "identifier": "0558639000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC HEALTH PLAN",
            "identifier": "102883",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH AMERICA",
            "identifier": "400552",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "721368",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4246275",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GATEWAY HEALTH PLAN",
            "identifier": "1535276",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00235012",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.