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JOHN ADAM MACPHAIL MD
NPI 1174518930
Orthopaedic Surgery in Somerset, PA

Active since September 16, 2005PECOS Enrolled
126 E CHURCH ST STE 2100, SOMERSET, PA 15501(814) 445-1281(814) 443-3214 Get Directions Write a Review

NPPES record last updated: January 17, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 17, 2018, Jan 8, 2018, Apr 12, 2017 (3 updates tracked since 2017).

About John Adam Macphail Md NPPES

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

JOHN ADAM MACPHAIL MD (NPI 1174518930) is an individual orthopaedic surgery provider in Somerset, Pennsylvania, licensed in Pennsylvania (MD021853E) and active in the NPI registry since September 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1174518930
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameJOHN ADAM MACPHAILCredential: MD
Location Address126 E CHURCH ST STE 2100Somerset, PA 15501-2271
Mailing Address329 S Pleasant AveSomerset, PA 15501-2262 · (814) 445-3575 · Fax (814) 445-5700
Phone(814) 445-1281
Fax(814) 443-3214
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateJanuary 17, 20183 updates tracked since enumeration
✔ NPI 1174518930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in PA · MD021853E✔ Licensed in NC · 2009-02130
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
126 E CHURCH ST STE 2100, Somerset, PA 15501
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Other Identifiers 4

Medicaid0015083500032PA
Other002982424PA · Highmark Blue Shield
Other710929PA · Medicare
OtherCI6140PA · Railroad Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Adam Macphail Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15501 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
$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.

Other Providers at the Same Location NPPES 4

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

STEVEN AGABEGI MD
Orthopaedic Surgery (Orthopaedic Surgery of the Spine)
126 E CHURCH ST STE 2100
SOMERSET, PA 15501
Somerset County (513) 475-8690
NILESH PATIL
Orthopaedic Surgery
126 E CHURCH ST STE 2100
SOMERSET, PA 15501
Somerset County (814) 443-1281
VIVEK SHARMA
Orthopaedic Surgery
126 E CHURCH ST STE 2100
SOMERSET, PA 15501
Somerset County (814) 443-1281
MR. OLEG COOLEY PA-C
Physician Assistant (Surgical)
126 E CHURCH ST STE 2100
SOMERSET, PA 15501
Somerset County (814) 443-1281

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 John Macphail's NPI number?

The NPI number for John Macphail is 1174518930. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is John Macphail located?

John Macphail practices at 126 E Church St Ste 2100, Somerset, PA 15501. The listed phone number is (814) 445-1281.

What is John Macphail's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is John Macphail enrolled in Medicare?

Yes. John Macphail is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for John Macphail was last updated on January 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.