1. Home
  2. Directory
  3. New York
  4. Owego
  5. Physician Assistant
  6. NPI Profile

LU-ANNE ANTISDEL PA
NPI 1104461318
Physician Assistant in Owego, NY

Active since November 12, 2019PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
42 W MAIN ST, OWEGO, NY 13827(607) 687-0350(607) 687-0333 Get Directions Write a Review

NPPES record last updated: November 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Lu-anne Antisdel Pa NPPES

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

LU-ANNE ANTISDEL PA (NPI 1104461318) is an individual physician assistant in Owego, New York, licensed in New York (024397) and active in the NPI registry since November 2019. She is enrolled in Medicare PECOS, is affiliated with Robert Packer Hospital, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1104461318
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameLU-ANNE ANTISDELCredential: PA
Location Address42 W MAIN STOwego, NY 13827-1578
Mailing Address33 Lewis Rd Ste 2Binghamton, NY 13905-1040 · (607) 729-8156 · Fax (607) 729-3982
Phone(607) 687-0350
Fax(607) 687-0333
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateNovember 12, 2019
✔ NPI 1104461318 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NY · 024397
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
42 W MAIN ST, Owego, NY 13827
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Lu-anne Antisdel Pa 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 ID5496182230
PECOS Enrollment IDI20220225000013
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 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 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.
111 services108 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.
15 services15 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13827 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
9 suppliers19 claims36 services$6.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

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

NAYANTARA SHARMA MD
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
MICHELLE LOMBARDO
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
KATHRYN SKOLNICK
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
MRS. JESSICA NEL GROVE PA
Physician Assistant
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
KATRINA RUBY
Physician Assistant
42 W MAIN ST, SUITE 200 CWING
OWEGO, NY 13827
Tioga County (607) 687-0350
BHREAGH ORRELL MD
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
SHAZIA SINGH MD
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350
BENJAMIN LUCE DO
Family Medicine
42 W MAIN ST
OWEGO, NY 13827
Tioga County (607) 687-0350

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 Lu-anne Antisdel's NPI number?

The NPI number for Lu-anne Antisdel is 1104461318. It was assigned to this individual provider in the NPPES registry on November 12, 2019.

Where is Lu-anne Antisdel located?

Lu-anne Antisdel practices at 42 W Main St, Owego, NY 13827. The listed phone number is (607) 687-0350.

What is Lu-anne Antisdel's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Lu-anne Antisdel enrolled in Medicare?

Yes. Lu-anne Antisdel 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 Lu-anne Antisdel accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Lu-anne Antisdel 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 Lu-anne Antisdel affiliated with any hospitals?

According to CMS data, Lu-anne Antisdel is affiliated with Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Lu-anne Antisdel was last updated on November 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.