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MINTIMER MISSAROV
NPI 1194452110
Psychiatry & Neurology - Psychiatry in Chambersburg, PA

Active since August 01, 2022PECOS Enrolled
100 CHAMBERS HILL DR STE 200, CHAMBERSBURG, PA 17201(717) 709-7930(717) 709-7931 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Aug 1, 2022 (2 updates tracked since 2022).

About Mintimer Missarov NPPES

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

MINTIMER MISSAROV (NPI 1194452110) is an individual psychiatry provider in Chambersburg, Pennsylvania, licensed in District Of Columbia (500001548) and active in the NPI registry since August 2022. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1194452110
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameMINTIMER MISSAROV
Location Address100 CHAMBERS HILL DR STE 200Chambersburg, PA 17201-7301
Mailing Address111 Chambers Hill Dr Ste 200Chambersburg, PA 17201-7304 · (717) 709-7922 · Fax (717) 263-2055
Phone(717) 709-7930
Fax(717) 709-7931
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateAugust 1, 2022
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1194452110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in DC · 500001548
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
100 CHAMBERS HILL DR STE 200, Chambersburg, PA 17201
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mintimer Missarov is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133689052
PECOS Enrollment IDI20260901000232
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 Mintimer Missarov reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Keystone Rural Health Center
Same address
Federally Qualified Health Center (FQHC)
100 CHAMBERS HILL DR STE 200
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 137 clinicians in this Medicare group
NPI 1144402736 (717) 709-7930

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17201 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
$166.87 typical visit price
range $54.64 – $166.87
Typical copayment $41.71 (range $13.66 – $41.71)
Most-billed visit code 99205
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 20

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

DR. ABHISHEK NITTURKAR
Psychiatry & Neurology (Psychiatry)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
SARINA AKERS CRNP
Nurse Practitioner (Psychiatric/Mental Health)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
KEYSTONE RURAL HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
ZEESHAN FARUQUI MBBS
Psychiatry & Neurology (Psychiatry)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
MS. ERICKA LYNN GOODWIN MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
STEPHANIE DIANE LAWYER MSN, PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
KRISTIN HOLDAWAY LPC
Counselor (Professional)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930
MICHAEL SITES
Counselor (Professional)
100 CHAMBERS HILL DR STE 200
CHAMBERSBURG, PA 17201
Franklin County (717) 709-7930

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 Mintimer Missarov's NPI number?

The NPI number for Mintimer Missarov is 1194452110. It was assigned to this individual provider in the NPPES registry on August 1, 2022.

Where is Mintimer Missarov located?

Mintimer Missarov practices at 100 Chambers Hill Dr Ste 200, Chambersburg, PA 17201. The listed phone number is (717) 709-7930.

What is Mintimer Missarov's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Mintimer Missarov enrolled in Medicare?

Yes. Mintimer Missarov is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mintimer Missarov's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mintimer Missarov reassigns Medicare benefits to Keystone Rural Health Center (Chambersburg, 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 Mintimer Missarov's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mintimer Missarov accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mintimer Missarov 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.

When was this NPI record last updated?

The NPPES record for Mintimer Missarov was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.