1. Home
  2. Directory
  3. Pennsylvania
  4. Indiana
  5. Urology
  6. NPI Profile

JOSEPH D CONTI MD
NPI 1073585089
Urology in Indiana, PA

Active since February 03, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D0993684 · Waiver
93.78/100
CMS Quality Rating
1265 WAYNE AVE, STE 103, INDIANA, PA 15701(724) 463-1046(724) 463-2314 Get Directions Write a Review

NPPES record last updated: June 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 9, 2025, Mar 4, 2022 (2 updates tracked since 2022).

About Joseph D Conti Md NPPES

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

JOSEPH D CONTI MD (NPI 1073585089) is an individual urology provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD020181E) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through November 20, 2027, and is affiliated with Indiana Regional Medical Center.

NPPES Registry Identity

NPI1073585089
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameJOSEPH D CONTICredential: MD
Location Address1265 WAYNE AVE, STE 103Indiana, PA 15701-3501
Mailing Address640 Kolter DrIndiana, PA 15701-3570 · (724) 357-7196 · Fax (724) 357-7279
Phone(724) 463-1046
Fax(724) 463-2314
Sole ProprietorNo
Medical School CMSOtherGraduated 1976
Enumeration DateFebruary 3, 2006
Last NPPES UpdateJune 9, 20252 updates tracked since enumeration
NPPES CertifiedJune 9, 2025
✔ NPI 1073585089 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Licenses✔ Licensed in PA · MD020181E✔ Licensed in SC · 94089
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
1265 WAYNE AVE, Indiana, PA 15701
Open in Google Maps ↗

Secondary Practice Location 1

Location 1109 Liner DrGreenwood, SC 29646-2311 · Phone (864) 227-6401

Other Identifiers 2

Medicaid1027919630001PA
Medicaid940897SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and more.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

Joseph D Conti Md 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 ID9133103591
PECOS Enrollment IDI20250508000513
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0993684

Joseph D Conti MD · Indiana, PA
Active · expires Nov 20, 2027
CLIA Number39D0993684
Laboratory TypePhysician Office
Certificate Effective DateNovember 21, 2025
Certificate Expiration DateNovember 20, 2027
Laboratory DirectorDr. Joseph D. Conti
Laboratory Phone(724) 349-6540
Laboratory LocationJoseph D Conti MD1265 Wayne Avenue, Suite 107, Indiana, PA 15701
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 9

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.
366 services192 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
110 services67 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
71 services54 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
40 services36 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
39 services35 patients
Ultrasound measurement of bladder capacity after voiding 51798
Ultrasound measurement of bladder capacity after voiding is a non-invasive test that uses sound waves to create images of your bladder. It's done after you've emptied your bladder to see if there's any leftover urine, which can help diagnose certain conditions.
32 services24 patients

Hospital Affiliations CMS Care Compare 3

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Self Regional Healthcare

Acute Care Hospitals · Greenwood, SC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number420071
Location1325 Spring StreetGreenwood, SC 29646 · Greenwood County
Emergency services Birthing friendly

Abbeville Area Medical Center

Critical Access Hospitals · Abbeville, SC
OwnershipVoluntary non-profit - Other
CMS Certification Number421301
Location420 Thomson CircleAbbeville, SC 29620 · Abbeville County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

SHIRISH A AMIN MD
Internal Medicine (Gastroenterology)
1265 WAYNE AVE, 119 PROFESSIONAL CENTER, SUITE 301
INDIANA, PA 15701
Indiana County (724) 465-6650
MR. THOMAS W ZAUCHA PT
Physical Therapist (Electrophysiology, Clinical)
1265 WAYNE AVE, 119 PROFESSIONAL CENTER, SUITE 312
INDIANA, PA 15701
Indiana County (724) 801-8894
AMANDA L. PLETZ CRNP
Nurse Practitioner (Family)
1265 WAYNE AVE, SUITE 207
INDIANA, PA 15701
Indiana County (866) 389-2727
BOSCO E NORONHA MD,PC
Otolaryngology
1265 WAYNE AVE, SUITE 100
INDIANA, PA 15701
Indiana County (724) 349-5440
KAYLA MARIE LAZOR DPT
Physical Therapist
1265 WAYNE AVE, SUITE 312
INDIANA, PA 15701
Indiana County (724) 349-6214
BEN FRANKLIN OB-GYN, INC
Obstetrics & Gynecology (Obstetrics)
1265 WAYNE AVE, SUITE 200
INDIANA, PA 15701
Indiana County (724) 463-7210
SHARAD B GHATE M.D.
Obstetrics & Gynecology
1265 WAYNE AVE, SUITE 104
INDIANA, PA 15701
Indiana County (724) 349-7530
JOHN STIFFLER P.T.
Occupational Therapist
1265 WAYNE AVE, SUITE 312
INDIANA, PA 15701
Indiana County (724) 349-6214

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 Joseph Conti's NPI number?

The NPI number for Joseph Conti is 1073585089. It was assigned to this individual provider in the NPPES registry on February 3, 2006.

Where is Joseph Conti located?

Joseph Conti practices at 1265 Wayne Ave Ste 103, Indiana, PA 15701. The listed phone number is (724) 463-1046.

What is Joseph Conti's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Joseph Conti enrolled in Medicare?

Yes. Joseph Conti 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.

Does Joseph Conti hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0993684) is associated with this NPI, valid through November 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Joseph Conti accept?

Health plans from Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina, First Choice Next and Molina Healthcare list Joseph Conti 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.

Is Joseph Conti affiliated with any hospitals?

According to CMS data, Joseph Conti is affiliated with Indiana Regional Medical Center, Self Regional Healthcare and Abbeville Area Medical Center.

When was this NPI record last updated?

The NPPES record for Joseph Conti was last updated on June 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.