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DR. JON DEREK NICASSIO DO
NPI 1083292585
Family Medicine in North Huntingdon, PA

Active since March 29, 2021PECOS EnrolledAccepts Medicare Assignment
8791 BARNES LAKE RD STE 101, NORTH HUNTINGDON, PA 15642(724) 864-9400(724) 864-8044 Get Directions Write a Review

NPPES record last updated: February 13, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 13, 2025, Aug 23, 2024, Aug 15, 2022 and 1 more (4 updates tracked since 2021).

About Dr. Jon Derek Nicassio Do NPPES

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

DR. JON DEREK NICASSIO DO (NPI 1083292585) is an individual family medicine provider in North Huntingdon, Pennsylvania, licensed in Pennsylvania (OS023552) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of West Virginia School Of Osteopathic Medicine (2021).

NPPES Registry Identity

NPI1083292585
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JON DEREK NICASSIOCredential: DO
Location Address8791 BARNES LAKE RD STE 101North Huntingdon, PA 15642-3176
Mailing Address8791 Barnes Lake Rd Ste 101North Huntingdon, PA 15642-3176 · (724) 864-9400 · Fax (724) 864-8044
Phone(724) 864-9400
Fax(724) 864-8044
Sole ProprietorYes
Medical School CMSWest Virginia School Of Osteopathic MedicineGraduated 2021
Enumeration DateMarch 29, 2021
Last NPPES UpdateFebruary 13, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 13, 2025
✔ NPI 1083292585 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS023552
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8791 BARNES LAKE RD STE 101, North Huntingdon, PA 15642
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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. Jon Derek Nicassio Do 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 ID8820499296
PECOS Enrollment IDI20240625003874
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 Reassignment

Medicare enrollment records show Jon Nicassio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Excela Health Physician Practices, Inc.
Same address
Family Medicine
8791 BARNES LAKE RD STE 101
North Huntingdon, PA 15642
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 669 clinicians in this Medicare group
NPI 1659959609 (724) 864-9400

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 3

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 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.
48 services44 patients
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.
36 services31 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
27 services27 patients

Hospital Affiliations CMS Care Compare 2

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15642 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

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

EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Family Medicine
8791 BARNES LAKE RD STE 101
NORTH HUNTINGDON, PA 15642
Westmoreland County (724) 864-9400

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 Jon Nicassio's NPI number?

The NPI number for Jon Nicassio is 1083292585. It was assigned to this individual provider in the NPPES registry on March 29, 2021.

Where is Jon Nicassio located?

Jon Nicassio practices at 8791 Barnes Lake Rd Ste 101, North Huntingdon, PA 15642. The listed phone number is (724) 864-9400.

What is Jon Nicassio's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jon Nicassio enrolled in Medicare?

Yes. Jon Nicassio 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 organization bills Medicare for Jon Nicassio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jon Nicassio reassigns Medicare benefits to Excela Health Physician Practices, Inc. (North Huntingdon, PA). The 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 Jon Nicassio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jon Nicassio affiliated with any hospitals?

According to CMS data, Jon Nicassio is affiliated with Excela Health Westmoreland Regional Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

The NPPES record for Jon Nicassio was last updated on February 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.