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TONIA L SKAKALSKI D.O.
NPI 1013911411
Obstetrics & Gynecology in Sharon, PA

Active since June 13, 2005PECOS EnrolledAccepts Medicare Assignment
63 PITT ST, SHARON, PA 16146(724) 981-4434(724) 981-3736 Get Directions Write a Review

NPPES record last updated: June 5, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 5, 2017, Jun 22, 2016 (2 updates tracked since 2016).

About Tonia L Skakalski D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TONIA L SKAKALSKI D.O. (NPI 1013911411) is an individual obstetrics & gynecology provider in Sharon, Pennsylvania, licensed in Pennsylvania (OS013213) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013911411
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameTONIA L SKAKALSKICredential: D.O.
Location Address63 PITT STSharon, PA 16146-2102
Mailing Address100 Shenango AveSharon, PA 16146-1503 · (724) 981-4434 · Fax (724) 981-3736
Phone(724) 981-4434
Fax(724) 981-3736
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 13, 2005
Last NPPES UpdateJune 5, 20172 updates tracked since enumeration
✔ NPI 1013911411 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · OS013213
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
63 PITT ST, Sharon, PA 16146
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Other Names 1

Former Name (1)Tonia L Kosek D.o.

Other Identifiers 2

Medicaid0203683OH
Medicaid1013091710004PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tonia L Skakalski D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082640784
PECOS Enrollment IDI20260512002744
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
23 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16146 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GEORGE CAPELLA GARROW MD
Internal Medicine
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
EASTON MARIA MCKINNEY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
STEPHEN FREDRICK SEDMAK
Counselor (Professional)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
JESSICA MCCANN
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 342-6604
TERRI LYNN PEARS LCSW
Social Worker (Clinical)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
ANNA STRIGHT
Counselor (Mental Health)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272
RICHARD F HUMPHREY CRNP
Nurse Practitioner (Family)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 981-4434
ANDREA SWEESY LCSW
Social Worker (Clinical)
63 PITT ST
SHARON, PA 16146
Mercer County (724) 704-7272

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tonia Skakalski's NPI number?

The NPI number for Tonia Skakalski is 1013911411. It was assigned to this individual provider in the NPPES registry on June 13, 2005. The provider is also known as Tonia L Kosek D.O..

Where is Tonia Skakalski located?

Tonia Skakalski practices at 63 Pitt St, Sharon, PA 16146. The listed phone number is (724) 981-4434.

What is Tonia Skakalski's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Tonia Skakalski enrolled in Medicare?

Yes. Tonia Skakalski is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Tonia Skakalski accept?

Health plans from CareSource and Highmark Blue Cross Blue Shield West Virginia list Tonia Skakalski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tonia Skakalski was last updated on June 5, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.