DR. DAVID M. ANDRES D.O.
NPI 1235132630
Internal Medicine in Seneca, PA
Active since May 31, 2005PECOS EnrolledAccepts Medicare Assignment
87.07/100
CMS Quality Rating
About Dr. David M. Andres D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. DAVID M. ANDRES D.O. (NPI 1235132630) is an individual internal medicine provider in Seneca, Pennsylvania, licensed in Pennsylvania (OS-008083-L) and active in the NPI registry since May 2005. He is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and is a graduate of Philadelphia College Of Osteopathic Medicine (1992).
NPPES Registry Identity
NPI1235132630
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. DAVID M. ANDRESCredential: D.O.
Location Address3742 STATE ROUTE 257Seneca, PA 16346
Mailing Address3742 State Route 257Seneca, PA 16346 · (814) 678-3343 · Fax (814) 678-5220
Phone(814) 678-3343
Fax(814) 678-5220
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1992
Enumeration DateMay 31, 2005
Last NPPES UpdateAugust 7, 20252 updates tracked since enumeration
NPPES CertifiedAugust 7, 2025
✔ NPI 1235132630 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS-008083-L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
3742 STATE ROUTE 257, Seneca, PA 16346
Other Identifiers 1
Medicaid15903040007PA
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
Dr. David M. Andres D.o. 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 ID9739152505
PECOS Enrollment IDI20040826000383
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 5
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.
490 services184 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
147 services90 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.
89 services61 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
18 services14 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
14 services14 patients
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Upmc Northwest
Acute Care Hospitals · Seneca, PAOwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly
Clarion Hospital
Acute Care Hospitals · Clarion, PAOwnershipVoluntary non-profit - Private
CMS Certification Number390093
LocationOne Hospital DriveClarion, PA 16214 · Clarion County
Emergency services
Meadville Medical Center
Acute Care Hospitals · Meadville, PAOwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly
Grove City Medical Center
Acute Care Hospitals · Grove City, PAOwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services
Titusville Area Hospital
Critical Access Hospitals · Titusville, PAOwnershipVoluntary non-profit - Private
CMS Certification Number391314
Location406 West Oak StreetTitusville, PA 16354 · Crawford County
Emergency services
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 16346 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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.
87.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practiceQuality
100
Improvement Activities
40
Cost
56.91
Reported Quality Measures
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
93%339 patients5/55-star benchmark: 92%
Cervical Cancer Screening
Percentage of women 21-64 years of age who were screened for cervical cancer using either of the following criteria: - Women age 21-64 who had cervical cytology performed every 3 years - Women age 30-64 who had cervical cytology/human papillomavirus (HPV)…
86%259 patients
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
92%751 patients5/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
100%61 patients5/55-star benchmark: 100%
Diabetes: Medical Attention for Nephropathy
The percentage of patients 18-75 years of age with diabetes who had a nephropathy screening test or evidence of nephropathy during the measurement period
93%271 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%4,604 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
77%16,607 patients3/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period
94%540 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%466 patients4/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%72 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
99%1,158 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
99%530 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%318 patients5/55-star benchmark: 100%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
95%812 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
48%1,158 patients2/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
4%1,158 patients1/55-star benchmark: 79%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
Percentage of the following patients - all considered at high risk of cardiovascular events - who were prescribed or were on statin therapy during the measurement period: - Adults aged >= 21 years who were previously diagnosed with or currently have an active…
85%335 patients4/55-star benchmark: 89%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%131 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.
Referred Medical Equipment & Supplies CMS DME claims 10
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
7 suppliers34 claims113 services$6.61 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers13 claims27 services$1.20 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers11 claims11 services$71.98 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
4 suppliers13 claims13 services$23.32 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers14 claims14 services$21.86 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers19 claims102 services$2.89 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 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 David Andres's NPI number?
The NPI number for David Andres is 1235132630. It was assigned to this individual provider in the NPPES registry on May 31, 2005.
Where is David Andres located?
David Andres practices at 3742 State Route 257, Seneca, PA 16346. The listed phone number is (814) 678-3343.
What is David Andres's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is David Andres enrolled in Medicare?
Yes. David Andres 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 David Andres affiliated with any hospitals?
According to CMS data, David Andres is affiliated with Upmc Northwest, Clarion Hospital, Meadville Medical Center, Grove City Medical Center and Titusville Area Hospital.
When was this NPI record last updated?
The NPPES record for David Andres was last updated on August 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# Dr. David M. Andres, D.O. · NPI 1235132630
Internal Medicine physician in Seneca, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 31, 2005.
## Identity
- **NPI:** 1235132630 (Entity type: Individual)
- **Enumerated:** May 31, 2005
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** OS-008083-L (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 3742 STATE ROUTE 257, Seneca, PA 16346
- **Phone:** (814) 678-3343 · **Fax:** (814) 678-5220
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1992
## Record status
- **NPPES last updated:** August 7, 2025
- **Other identifiers:** Medicaid 15903040007 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1235132630) · Data from the CMS NPPES public registry.