KELLY RYAN MACHUCA MD
NPI 1255915930
Family Medicine - Sports Medicine in Williamsport, PA

Active since May 10, 2021PECOS EnrolledAccepts Medicare Assignment
700 HIGH ST, WILLIAMSPORT, PA 17701(570) 321-2620 Get Directions Write a Review

NPPES record last updated: April 29, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 29, 2026, May 10, 2021 (2 updates tracked since 2021).

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

NPI1255915930
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameKELLY RYAN MACHUCACredential: MD
Location Address700 HIGH STWilliamsport, PA 17701-3100
Mailing Address1201 Grampian BlvdWilliamsport, PA 17701-1900
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateMay 10, 2021
Last NPPES UpdateApril 29, 20262 updates tracked since enumeration
NPPES CertifiedApril 29, 2026
NPI 1255915930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
License Licensed in PA · MD489557
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

700 HIGH ST, Williamsport, PA 17701

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.

PECOS PAC ID2668874223
PECOS Enrollment IDI20250819000217
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.

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, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390045
Location700 High StreetWilliamsport, PA 17701 · Lycoming County
Emergency services Birthing friendly

Physician 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.

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.

Internal Medicine (Cardiovascular Disease)
700 HIGH ST
WILLIAMSPORT, PA 17701
Surgery (Vascular Surgery)
700 HIGH ST
WILLIAMSPORT, PA 17701
Physical Medicine & Rehabilitation
700 HIGH ST
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST, WILLIAMSPORT HOSPITAL & MEDICAL CENTER
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST, WILLLIAMSPORT HOSPITAL & MEDICAL CENTER
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST
WILLIAMSPORT, PA 17701
Nurse Anesthetist, Certified Registered
700 HIGH ST, WILLIAMSPORT HOSPITAL & MEDICAL CENTER
WILLIAMSPORT, PA 17701

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255915930, enumerated as an "individual" on May 10, 2021.

The provider is located at 700 HIGH ST WILLIAMSPORT, PA 17701 and the phone number is (570) 321-2620.

Family Medicine with taxonomy code 207QS0010X and a focus in Sports Medicine.

Kelly Machuca is affiliated with: GEISINGER MEDICAL CENTER and UPMC WILLIAMSPORT.