DR. KEVIN ALLAN MISHOCK D.O.
NPI 1063432896
Emergency Medicine - Emergency Medical Services in State College, PA

Q: What is Kevin Mishock's NPI number?

The NPI number for Kevin Mishock is 1063432896. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Q: What is Kevin Mishock's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Q: When was this NPI record last updated?

The NPPES record for Kevin Mishock was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since July 21, 2006PECOS EnrolledAccepts Medicare Assignment

74.99/100

CMS Quality Rating

1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTER, STATE COLLEGE, PA 16803(814) 234-6110 Get Directions Write a Review

NPPES record last updated: June 29, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Kevin Allan Mishock D.o. NPPES

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

DR. KEVIN ALLAN MISHOCK D.O. (NPI 1063432896) is an individual emergency medical services provider in State College, Pennsylvania, licensed in Pennsylvania (OS011815L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Holmes Regional Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Bradenton (2000).

NPPES Registry Identity

NPI1063432896

Entity TypeIndividualMale

Primary Taxonomy207PE0004X

Provider Legal NameDR. KEVIN ALLAN MISHOCKCredential: D.O.

Location Address1800 E PARK AVE, MOUNT NITTANY MEDICAL CENTERState College, PA 16803-6701

Mailing Address617 Purdue Mountain RdBellefonte, PA 16823-8931 · (814) 353-8922

Phone(814) 234-6110

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, BradentonGraduated 2000

Enumeration DateJuly 21, 2006

Last NPPES UpdateJune 29, 2023

NPPES CertifiedJune 29, 2023

✔ NPI 1063432896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyEmergency Medicine · Emergency Medical ServicesAllopathic & Osteopathic Physicians

Taxonomy Code207PE0004X

License✔ Licensed in PA · OS011815L

Definition

An emergency medicine physician who specializes in non-hospital based emergency medical services (e.g., disaster site, accident scene, transport vehicle, etc.) to provide pre-hospital assessment, treatment, and transport patients.

Also ListedEmergency MedicineTaxonomy 207P00000X · License OS18411 (FL)

1800 E PARK AVE, State College, PA 16803

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Kevin Allan Mishock 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 ID7214913003

PECOS Enrollment IDI20230706000865

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.

Medicare Billing Reassignments

Medicare enrollment records show Kevin Mishock reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Lock Haven Emergency Physicians PLLC

29 mi

Emergency Medicine

24 CREE DR
Lock Haven, PA 17745

Reassigned Medicare billing, Pennsylvania enrollment
39 clinicians in this Medicare group

NPI 1710201322 (570) 893-5000

Brevard Physician Associates, PLLC

882 mi

Vascular & Interventional Radiology

8075 SPYGLASS HILL RD
Melbourne, FL 32940

Reassigned Medicare billing, Florida enrollment
378 clinicians in this Medicare group

NPI 1124691159 (321) 837-3820

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

523 services507 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

490 services473 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

85 services84 patients

Critical care, first 30-74 minutes 99291

Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.

79 services79 patients

Emergency department visit with low level of medical decision making 99283

An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Holmes Regional Medical Center

Acute Care Hospitals · Melbourne, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100019

Location1350 S Hickory StMelbourne, FL 32901 · Brevard County

Emergency services Birthing friendly

Palm Bay Hospital

Acute Care Hospitals · Palm Bay, FL

4/5 CMS rating

OwnershipProprietary

CMS Certification Number100316

Location1425 Malabar Rd, NEPalm Bay, FL 32907 · Brevard County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16803 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

74.99/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

80.19

Improvement Activities

Cost

52.94

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.

DR. RYAN R RIDENOUR DO

Hospitalist

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4818

SETH CANNER CRNA

Nurse Anesthetist, Certified Registered

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

MISS HEATHER LE HARPSTER MS, RD, LDN

Dietitian, Registered

1800 E PARK AVE, NUTRITION AND CULINARY SERVICES
STATE COLLEGE, PA 16803

Centre County (814) 231-7194

ASHLEY MARIE BOWSER PA-C

Physician Assistant

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4818

MS. LINDSAY MARIE SCHANCK PA-C

Emergency Medicine

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 278-4851

MRS. HEATHER JO WALKER CRNA

Nurse Anesthetist, Certified Registered

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

WILLIAM H JUSTICE MD

Anesthesiology

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

CENTRE COUNTY ANESTHESIA, P.C.

Anesthesiology

1800 E PARK AVE
STATE COLLEGE, PA 16803

Centre County (814) 231-7000

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 Kevin Mishock's NPI number?

The NPI number for Kevin Mishock is 1063432896. It was assigned to this individual provider in the NPPES registry on July 21, 2006.

Where is Kevin Mishock located?

Kevin Mishock practices at 1800 E Park Ave Mount Nittany Medical Center, State College, PA 16803. The listed phone number is (814) 234-6110.

What is Kevin Mishock's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Emergency Medical Services, with taxonomy code 207PE0004X.

Is Kevin Mishock enrolled in Medicare?

Yes. Kevin Mishock 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.

Which organizations bill Medicare for Kevin Mishock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Mishock reassigns Medicare benefits to 2 organizations: Lock Haven Emergency Physicians PLLC (Lock Haven, PA) and Brevard Physician Associates, PLLC (Melbourne, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kevin Mishock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kevin Mishock affiliated with any hospitals?

According to CMS data, Kevin Mishock is affiliated with Holmes Regional Medical Center and Palm Bay Hospital.

When was this NPI record last updated?

The NPPES record for Kevin Mishock was last updated on June 29, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.