MR. DAVID LEE CAIN II PA-C
NPI 1194393512
Physician Assistant in Altoona, PA

Active since June 13, 2021PECOS EnrolledAccepts Medicare Assignment
82.74/100
CMS Quality Rating
620 HOWARD AVE, ALTOONA, PA 16601(814) 889-2011 Get Directions Write a Review

NPPES record last updated: December 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Dec 2, 2025, Nov 20, 2025, Jun 13, 2021 (3 updates tracked since 2021).

About Mr. David Lee Cain Ii Pa-c NPPES

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

MR. DAVID LEE CAIN II PA-C (NPI 1194393512) is an individual physician assistant in Altoona, Pennsylvania and active in the NPI registry since June 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1194393512
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. DAVID LEE CAIN IICredential: PA-C
Location Address620 HOWARD AVEAltoona, PA 16601-4804
Mailing Address654 Yellow RdEverett, PA 15537-6220 · (814) 889-8709
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJune 13, 2021
Last NPPES UpdateDecember 2, 20253 updates tracked since enumeration
NPPES CertifiedJune 13, 2021
NPI 1194393512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.

620 HOWARD AVE, Altoona, PA 16601

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

Mr. David Lee Cain Ii Pa-c 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 ID4587068747
PECOS Enrollment IDI20210810002220
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
129 services121 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
113 services103 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
19 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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.

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.

82.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality82.84
Improvement Activities40
Cost63.86

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.

Radiology (Diagnostic Radiology)
620 HOWARD AVE
ALTOONA, PA 16601
Radiology (Diagnostic Radiology)
620 HOWARD AVE
ALTOONA, PA 16601
Pathology (Anatomic Pathology & Clinical Pathology)
620 HOWARD AVE
ALTOONA, PA 16601
Radiology (Diagnostic Radiology)
620 HOWARD AVE
ALTOONA, PA 16601
Radiology (Diagnostic Radiology)
620 HOWARD AVE
ALTOONA, PA 16601
Internal Medicine
620 HOWARD AVE, OP 302
ALTOONA, PA 16601
Nurse Practitioner (Acute Care)
620 HOWARD AVE, OP-2
ALTOONA, PA 16601
Nurse Anesthetist, Certified Registered
620 HOWARD AVE
ALTOONA, PA 16601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194393512, enumerated as an "individual" on June 13, 2021.

The provider is located at 620 HOWARD AVE ALTOONA, PA 16601 and the phone number is (814) 889-2011.

Physician Assistant with taxonomy code 363A00000X.