KELLY RYAN MACHUCA MD
NPI 1255915930
Family Medicine - Sports Medicine in Williamsport, PA
About Kelly Ryan Machuca Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KELLY RYAN MACHUCA MD (NPI 1255915930) is an individual sports medicine provider in Williamsport, Pennsylvania, licensed in Pennsylvania (MD489557) and active in the NPI registry since May 2021. He is enrolled in Medicare PECOS, is affiliated with Geisinger Medical Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
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
Kelly Ryan Machuca Md 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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Geisinger Medical Center
Acute Care Hospitals · Danville, PAUpmc Williamsport
Acute Care Hospitals · Williamsport, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
WILLIAMSPORT, PA 17701
WILLIAMSPORT, PA 17701
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 Kelly Machuca's NPI number?
The NPI number for Kelly Machuca is 1255915930. It was assigned to this individual provider in the NPPES registry on May 10, 2021.
Where is Kelly Machuca located?
Kelly Machuca practices at 700 High St, Williamsport, PA 17701. The listed phone number is (570) 321-2620.
What is Kelly Machuca's specialty?
The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.
Is Kelly Machuca enrolled in Medicare?
Yes. Kelly Machuca 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 Kelly Machuca affiliated with any hospitals?
According to CMS data, Kelly Machuca is affiliated with Geisinger Medical Center and Upmc Williamsport.
When was this NPI record last updated?
The NPPES record for Kelly Machuca was last updated on April 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Kelly Ryan Machuca, MD · NPI 1255915930
Sports Medicine physician in Williamsport, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 10, 2021.
## Identity
- **NPI:** 1255915930 (Entity type: Individual)
- **Enumerated:** May 10, 2021
- **Primary specialty:** Family Medicine - Sports Medicine · taxonomy 207QS0010X
- **State license:** MD489557 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 700 HIGH ST, Williamsport, PA 17701-3100
- **Phone:** (570) 321-2620
## 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:** Other, class of 2021
## Record status
- **NPPES last updated:** April 29, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1255915930) · Data from the CMS NPPES public registry.