RUTH HILDE TRONDSEN PAWLOWSKI M.D.
NPI 1255566139
Family Medicine in Johnstown, PA

Active since May 21, 2009PECOS EnrolledAccepts Medicare Assignment
1086 FRANKLIN ST, JOHNSTOWN, PA 15905(814) 534-9106(814) 534-3136 Get Directions Write a Review

NPPES record last updated: September 13, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ruth Hilde Trondsen Pawlowski M.d. NPPES

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

RUTH HILDE TRONDSEN PAWLOWSKI M.D. (NPI 1255566139) is an individual family medicine provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD446785) and active in the NPI registry since May 2009. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2007).

NPPES Registry Identity

NPI1255566139
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameRUTH HILDE TRONDSEN PAWLOWSKICredential: M.D.
Location Address1086 FRANKLIN STJohnstown, PA 15905-4305
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Fax(814) 534-3136
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateMay 21, 2009
Last NPPES UpdateSeptember 13, 2012
✔ NPI 1255566139 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD446785
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
1086 FRANKLIN ST, Johnstown, PA 15905

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ruth Hilde Trondsen Pawlowski M.d. 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 ID4284883992
PECOS Enrollment IDI20121012000154
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 Reassignments

2

Medicare enrollment records show Ruth Trondsen Pawlowski reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 103 clinicians in this Medicare group
Pediatrics
1086 FRANKLIN ST
Johnstown, PA 15905
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 771 clinicians in this Medicare group

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

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.
36 services14 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
34 services14 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.
21 services19 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
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 services11 patients

Hospital Affiliations CMS Care Compare

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

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number390110
Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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
$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.

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.

General Acute Care Hospital (Children)
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Emergency Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Surgery
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Family Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Internal Medicine
1086 FRANKLIN ST
JOHNSTOWN, PA 15905
Physician Assistant (Medical)
1086 FRANKLIN ST, E3
JOHNSTOWN, PA 15905
Nurse Anesthetist, Certified Registered
1086 FRANKLIN ST
JOHNSTOWN, PA 15905

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 Ruth Trondsen Pawlowski's NPI number?

The NPI number for Ruth Trondsen Pawlowski is 1255566139. It was assigned to this individual provider in the NPPES registry on May 21, 2009.

Where is Ruth Trondsen Pawlowski located?

Ruth Trondsen Pawlowski practices at 1086 Franklin St, Johnstown, PA 15905. The listed phone number is (814) 534-9106.

What is Ruth Trondsen Pawlowski's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ruth Trondsen Pawlowski enrolled in Medicare?

Yes. Ruth Trondsen Pawlowski 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.

Which organizations bill Medicare for Ruth Trondsen Pawlowski's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ruth Trondsen Pawlowski reassigns Medicare benefits to 2 organizations: Dlp Conemaugh Memorial Medical Center LLC (Johnstown, PA) and Dlp Conemaugh Physician Practices LLC (Johnstown, PA). Each 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 Ruth Trondsen Pawlowski's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ruth Trondsen Pawlowski accept?

Health plans from Ambetter Health and Ambetter from Buckeye Health Plan list Ruth Trondsen Pawlowski 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.

Is Ruth Trondsen Pawlowski affiliated with any hospitals?

According to CMS data, Ruth Trondsen Pawlowski is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Ruth Trondsen Pawlowski was last updated on September 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.