Gary F Risko, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

MA002056L Issued in PA

Practice address

350 Southmont Blvd
Johnstown, PA 15905-4330

Phone

(814) 536-7045

Fax

(814) 539-3927

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Zitelli and Brodland PCGroup PAC ID 4284622978, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Conemaugh Memorial Medical Center Hospital, Johnstown, PA, CCN 390110

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: grisko@directaddress.net
• Direct secure messaging: gary.risko@qdp.emadirect.md

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.

• Zitelli & Brodland PC

  • MOHS-Micrographic Surgery Physician
  • Pittsburgh, PA
  • NPI 1184790099
  Medicare reassignment Care Compare group NPD
• Upmc Altoona Regional Health Services, Inc

  • Family Medicine Physician
  • Altoona, PA
  • NPI 1396724217
  Medicare reassignment
• Windber Hospital, Inc.

  • General Acute Care Hospital
  • Windber, PA
  • NPI 1275620536
  NPD (past)
• Zitelli & Brodland PC

  • Ambulatory Surgical Clinic/Center
  • Clairton, PA
  • NPI 1952312399
  NPD (past)

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

• DLP Conemaugh Memorial Medical Center LLC

  • General Acute Care Hospital
  • Johnstown, PA
  • NPI 1801897038
  Care Compare affiliation

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198022400000",
    "number": "1467559682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 SOUTHMONT BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054330",
            "telephone_number": "814-536-7045",
            "fax_number": "814-539-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SOUTHMONT BLVD",
            "city": "JOHNSTOWN",
            "state": "PA",
            "postal_code": "159054330",
            "telephone_number": "814-536-7045",
            "fax_number": "814-539-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISKO",
        "first_name": "GARY",
        "middle_name": "F",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA002056L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juliana Marie Ricupero, PT
• John David Ridella, DMD
• Peter James Ridella, MD
• Adele Marie Rieger-McCombie, PHARMD
• Brian Riek
• Rite Aid of Pennsylvania LLC
• Rite Aid of Pennsylvania LLC
• Rite Aid of Pennsylvania LLC
• Riverbank Wellness, LLC
• Riverside Vol. Fire Dept.

• Physician Assistant in Johnstown, PA
• Providers in Johnstown, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2007; 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.