NPIMap

Individual provider Active NPI

Katelyn Marie Macik, DO

  • Family Medicine Physician
  • Irwin, PA
National Provider Identifier
1679960033
Registry record updated Oct 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS019159 Issued in PA
Practice address
4044 Route 130 Ste 200
Irwin, PA 15642
Phone
(724) 744-2500
Fax
(724) 744-3339
NPI assigned
Apr 22, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2020

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 OS019159 PA Primary

Addresses

Primary practice location

4044 Route 130 Ste 200
Irwin, PA 15642

Mailing address

3824 Northern Pike Ste 700
Monroeville, PA 15146-2184
Phone (412) 457-0060

Other names 1

  • Katelyn Marie Shaffer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katelynmacik@pmapa.allscriptsdirect.net

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
I20180905001649 PA Practitioner - Family Practice 7911295316 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Premier Medical Associates PCGroup PAC ID 9830003235, 104 clinicians

Practice addresses (Care Compare)

4044 Route 130
Suite 200
Irwin, PA 15642-7808
Phone (724) 744-2500

Hospital & facility affiliations

  • Allegheny Health Network Healthcare at Home Home H Home health agency, Warrendale, PA, CCN 398069
  • Forbes Hospital Hospital, Monroeville, PA, CCN 390267
  • West Penn Hospital Hospital, Pittsburgh, PA, CCN 390090
  • Magee Womens Hospital of Upmc Health System Hospital, Pittsburgh, PA, CCN 390114
  • Allegheny General Hospital Hospital, Pittsburgh, PA, CCN 390050
  • Excela Health Westmoreland Regional Hospital Hospital, Greensburg, PA, CCN 390145

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS019159PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Medical Associates PC Family Medicine CurrentSince Aug 3, 2018 Accepting new patients
Premier Medical Associates, PC CurrentSince Aug 3, 2018 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients

Locations

4044 Route 130
Ste 200
Irwin, PA 15642
Phone (724) 744-2500

3824 Northern Pike
Ste 700
Monroeville, PA 15146
Phone (412) 457-0060

3824 Northern Pike
Ste 300
Monroeville, PA 15146
Phone (412) 856-5335

3824 Northern Pike
Ste 200
Monroeville, PA 15146
Phone (412) 380-2800

Interoperability endpoints

  • Direct secure messaging: kshaffer63081@direct.ahn.org

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 and National Provider Directory roles.

Hospital & facility affiliations 19

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

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1429660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1679960033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3824 NORTHERN PIKE STE 700",
            "city": "MONROEVILLE",
            "state": "PA",
            "postal_code": "151462184",
            "telephone_number": "412-457-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4044 ROUTE 130 STE 200",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "15642",
            "telephone_number": "724-744-2500",
            "fax_number": "724-744-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACIK",
        "first_name": "KATELYN",
        "middle_name": "MARIE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-22",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS019159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katelynmacik@pmapa.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "4044 Route 130 Ste 200",
            "city": "Irwin",
            "state": "PA",
            "country_code": "US",
            "postal_code": "15642",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "SHAFFER",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Irwin, PA

Sources for this page

Verify at the official NPI Registry.