NPIMap

Individual provider Active NPI

Andrew C Fackler, MD

  • Family Medicine Physician
  • Gibsonia, PA
National Provider Identifier
1659310308
Registry record updated Aug 26, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD074467L Issued in PA
Practice address
5548 William Flynn Hwy
Gibsonia, PA 15044-9315
Phone
(724) 444-6330
Fax
(724) 444-0607
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2011

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 MD074467L PA Primary

Addresses

Primary practice location

5548 William Flynn Hwy
Gibsonia, PA 15044-9315

Mailing address

5548 William Flynn Hwy
Gibsonia, PA 15044-9362
Phone (724) 444-6330

Other identifiers 2

IdentifierTypeStateIssuer
1350031OtherPAHIGHMARK
0018769650003MedicaidPA

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
I20040525000251 PA Practitioner - Family Practice 8426039769 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Virginia School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance Family Practice-Upmc, IncGroup PAC ID 7012085558, 44 clinicians

Practice addresses (Care Compare)

619 Mount Royal Blvd
Pittsburgh, PA 15223-1225
Phone (412) 487-4422

Hospital & facility affiliations

  • Enhabit Home Health Home health agency, Pittsburgh, PA, CCN 398003
  • Upmc Home Healthcare Home health agency, Seven Fields, PA, CCN 397636
  • Amedisys Home Health Home health agency, Butler, PA, CCN 398146
  • Upmc Passavant Hospital, Pittsburgh, PA, CCN 390107
  • Upmc St Margaret Hospital, Pittsburgh, PA, CCN 390102
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
84.53
Promoting interoperability
100
Improvement activities
40
Cost
75.37

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Upmc Community Medicine, Inc Current Accepting new patients
Renaissance Family Practice-Upmc, Inc Family Medicine Current Accepting new patients
Upmc Community Medicine, Inc. Family Medicine CurrentSince Nov 23, 2013 Accepting new patients
Upmc Community Medcine Inc Family Medicine CurrentSince Nov 23, 2013 Accepting new patients
Renaissance Family Practice-Upmc,Inc CurrentSince Oct 1, 2008 Accepting new patients
Renaissance Family Practice, Inc Family Medicine Past Accepting new patients

Locations

4490 Mount Royal Blvd
Ste 1004
Allison Park, PA 15101
Phone (412) 218-0404

5548 William Flynn Hwy
Gibsonia, PA 15044
Phone (724) 444-6330

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

1211 Wilmington Ave
New Castle, PA 16105
Phone (724) 656-4082

301 11th St
New Kensington, PA 15068
Phone (724) 334-3640

3937 Butler St
Pittsburgh, PA 15201
Phone (412) 621-8235

200 Delafield Rd
Ste 2030
Pittsburgh, PA 15215
Phone (412) 782-2101

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

200 Delafield Rd
Ste 3010
Pittsburgh, PA 15215
Phone (412) 781-1832

619 Mount Royal Blvd
Pittsburgh, PA 15223
Phone (412) 487-4422

103 Gamma Dr
Ste 120
Pittsburgh, PA 15238
Phone (412) 781-1917

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

Interoperability endpoints

  • Direct secure messaging: andrew.c.fackler@upmcdirect.com

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.

Hospital & facility affiliations 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314316800000",
    "number": "1659310308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5548 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449362",
            "telephone_number": "724-444-6330",
            "fax_number": "724-444-0607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5548 WILLIAM FLYNN HWY",
            "city": "GIBSONIA",
            "state": "PA",
            "postal_code": "150449315",
            "telephone_number": "724-444-6330",
            "fax_number": "724-444-0607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FACKLER",
        "first_name": "ANDREW",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2011-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD074467L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK",
            "identifier": "1350031",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0018769650003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gibsonia, PA

Sources for this page

Verify at the official NPI Registry.