KATHARINE DARIA CUSHMA PA-C
NPI 1225588460
Physician Assistant in Pittsburgh, PA

Active since October 12, 2016PECOS EnrolledAccepts Medicare Assignment
1145 BOWER HILL RD STE 105, PITTSBURGH, PA 15243(412) 866-7246(412) 866-7240 Get Directions Write a Review

NPPES record last updated: November 14, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Nov 14, 2024, Oct 3, 2018, Oct 12, 2016 (3 updates tracked since 2016).

About Katharine Daria Cushma Pa-c NPPES

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

KATHARINE DARIA CUSHMA PA-C (NPI 1225588460) is an individual physician assistant in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MA058593) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS, is affiliated with Washington Hospital, The, and maintains a secondary practice location in Washington.

NPPES Registry Identity

NPI1225588460
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHARINE DARIA CUSHMACredential: PA-C
Location Address1145 BOWER HILL RD STE 105Pittsburgh, PA 15243-1346
Mailing Address1145 Bower Hill Rd Ste 105Pittsburgh, PA 15243-1346 · (412) 866-7246 · Fax (412) 866-7240
Fax(412) 866-7240
Sole ProprietorNo
Medical School CMSOtherGraduated 2016
Enumeration DateOctober 12, 2016
Last NPPES UpdateNovember 14, 20243 updates tracked since enumeration
NPPES CertifiedNovember 14, 2024
NPI 1225588460 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 PA · MA058593
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.

1145 BOWER HILL RD STE 105, Pittsburgh, PA 15243

Secondary Practice Location 1

Location 180 Landings Dr Ste 202Washington, PA 15301-9408 · Phone (724) 969-0191 · Fax (724) 941-9089

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

Katharine Daria Cushma 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 ID6709166135
PECOS Enrollment IDI20161201000379
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 4

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.
92 services70 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.
77 services69 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Washington Hospital, The

Acute Care Hospitals · Washington, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390042
Location155 Wilson AvenueWashington, PA 15301 · Washington County
Emergency services Birthing friendly

Washington Health System Greene

Acute Care Hospitals · Waynesburg, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390150
Location350 Bonar AvenueWaynesburg, PA 15370 · Greene County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Advanced Surgical Hospital

Acute Care Hospitals · Washington, PA
OwnershipPhysician
CMS Certification Number390323
Location100 Trich DriveWashington, PA 15301 · Washington County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15243 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 13

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

Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Specialist
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Physician Assistant (Surgical)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Urology
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Physician Assistant
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243
Nurse Practitioner (Family)
1145 BOWER HILL RD STE 105
PITTSBURGH, PA 15243

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 Katharine Cushma's NPI number?

The NPI number for Katharine Cushma is 1225588460. It was assigned to this individual provider in the NPPES registry on October 12, 2016.

Where is Katharine Cushma located?

Katharine Cushma practices at 1145 Bower Hill Rd Ste 105, Pittsburgh, PA 15243. The listed phone number is (412) 866-7246.

What is Katharine Cushma's specialty?

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

Is Katharine Cushma enrolled in Medicare?

Yes. Katharine Cushma 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.

Is Katharine Cushma affiliated with any hospitals?

According to CMS data, Katharine Cushma is affiliated with Washington Hospital, The, Washington Health System Greene, St Clair Hospital and Advanced Surgical Hospital.

When was this NPI record last updated?

The NPPES record for Katharine Cushma was last updated on November 14, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.