MICHAEL EDWARD CHERIAN M.D.
NPI 1063772564
Emergency Medicine in Punxsutawney, PA

Active since May 18, 2012PECOS Enrolled
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767(814) 938-1886(814) 938-1885 Get Directions Write a Review

NPPES record last updated: September 21, 2016. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Michael Edward Cherian M.d. NPPES

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

MICHAEL EDWARD CHERIAN M.D. (NPI 1063772564) is an individual emergency medicine provider in Punxsutawney, Pennsylvania, licensed in Pennsylvania (MD456218) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1063772564
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameMICHAEL EDWARD CHERIANCredential: M.D.
Location Address81 HILLCREST DRPunxsutawney, PA 15767-2605
Mailing Address6991 Sprankle Mills RdPunxsutawney, PA 15767-5021 · (814) 938-6776 · Fax (814) 938-1885
Fax(814) 938-1885
Sole ProprietorNo
Enumeration DateMay 18, 2012
Last NPPES UpdateSeptember 21, 2016
✔ NPI 1063772564 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in PA · MD456218
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
81 HILLCREST DR, Punxsutawney, PA 15767

Other Identifiers 4

Other003318021Highmark
OtherP01555867Rr Medicare
Medicare UPIN449329GW9
Medicaid103064891 0001PA

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Edward Cherian M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

8

Medicare enrollment records show Michael Cherian reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
81 HILLCREST DR
Punxsutawney, PA 15767
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 87 clinicians in this Medicare group
Critical Access
290 HAIDA AVENUE
Hastings, PA 16646
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 80 clinicians in this Medicare group
Rural Health
564 THEATRE RD
Carrolltown, PA 15722
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group
Family Medicine
1381 PLANK RD STE 102
Duncansville, PA 16635
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2 clinicians in this Medicare group
Pediatrics
105 HILLCREST DR
Roaring Spring, PA 16673
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 112 clinicians in this Medicare group
Family Medicine
202 BEACHLEY ST
Meyersdale, PA 15552
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1659376358 (Pennsylvania)
  • 56 clinicians in this Medicare group
Hospitalist
1015 UNITY RD
Crossett, AR 71635
  • Reassigned Medicare billing, Arkansas enrollment
  • 152 clinicians in this Medicare group
Emergency Medicine
2001 S MAIN ST
Hope, AR 71801
  • Reassigned Medicare billing, Arkansas enrollment
  • 323 clinicians in this Medicare group

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15767 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.

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.

Nurse Practitioner (Family)
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
General Acute Care Hospital
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Anesthesiology
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Nurse Anesthetist, Certified Registered
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Dietitian, Registered
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
General Acute Care Hospital
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Occupational Therapist
81 HILLCREST DR
PUNXSUTAWNEY, PA 15767
Obstetrics & Gynecology
81 HILLCREST DR, SUITE 2200
PUNXSUTAWNEY, PA 15767

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 Michael Cherian's NPI number?

The NPI number for Michael Cherian is 1063772564. It was assigned to this individual provider in the NPPES registry on May 18, 2012.

Where is Michael Cherian located?

Michael Cherian practices at 81 Hillcrest Dr, Punxsutawney, PA 15767. The listed phone number is (814) 938-1886.

What is Michael Cherian's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Michael Cherian enrolled in Medicare?

Yes. Michael Cherian is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Cherian's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cherian reassigns Medicare benefits to 8 organizations: Punxsutawney Area Hospital Inc (Punxsutawney, PA), Dlp Conemaugh Miners Medical Center LLC (Hastings, PA), Dlp Conemaugh Physician Practices LLC (Carrolltown, PA), Blair Regenerative Medicine LLC (Duncansville, PA), Nason Physician Practices LLC (Roaring Spring, PA) and 3 more organizations, listed in the Medicare section above. 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 Michael Cherian's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Cherian accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Cherian 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 Michael Cherian was last updated on September 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.