ROBERTA BASHORE
NPI 1285626820
Family Medicine in Mc Kees Rocks, PA

Active since August 19, 2005PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1800 PINE HOLLOW RD, SUITE 4B, MC KEES ROCKS, PA 15136(412) 331-6503 Get Directions Write a Review

NPPES record last updated: March 25, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Roberta Bashore NPPES

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

ROBERTA BASHORE (NPI 1285626820) is an individual family medicine provider in Mc Kees Rocks, Pennsylvania, licensed in Pennsylvania (MD066214L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Upmc St Margaret, and is a graduate of Michigan State University College Of Human Medicine (1996).

NPPES Registry Identity

NPI1285626820
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameROBERTA BASHORE
Location Address1800 PINE HOLLOW RD, SUITE 4BMc Kees Rocks, PA 15136-1516
Mailing Address1800 Pine Hollow Rd, Suite 4bMc Kees Rocks, PA 15136-1516
Sole ProprietorNo
Medical School CMSMichigan State University College Of Human MedicineGraduated 1996
Enumeration DateAugust 19, 2005
Last NPPES UpdateMarch 25, 2021
NPI 1285626820 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 · MD066214L
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.
1800 PINE HOLLOW RD, Mc Kees Rocks, PA 15136

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

Roberta Bashore 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 ID840361390
PECOS Enrollment IDI20080611000493
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 3

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.
122 services76 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.
49 services44 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.
43 services43 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc St Margaret

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390102
Location815 Freeport RoadPittsburgh, PA 15215 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15136 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.

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 4

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

Clinic/Center (Radiology)
1800 PINE HOLLOW RD, KENNEDY MEDICAL ARTS BUILDING
KENNEDY TOWNSHIP, PA 15136
Nurse Practitioner
1800 PINE HOLLOW RD, SUITE 1A
MC KEES ROCKS, PA 15136
Surgery (Vascular Surgery)
1800 PINE HOLLOW RD, SUTIE2B
MC KEES ROCKS, PA 15136
Durable Medical Equipment & Medical Supplies
1800 PINE HOLLOW RD, SUITE 1A
MC KEES ROCKS, PA 15136

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 Roberta Bashore's NPI number?

The NPI number for Roberta Bashore is 1285626820. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Roberta Bashore located?

Roberta Bashore practices at 1800 Pine Hollow Rd Suite 4B, Mc Kees Rocks, PA 15136. The listed phone number is (412) 331-6503.

What is Roberta Bashore's specialty?

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

Is Roberta Bashore enrolled in Medicare?

Yes. Roberta Bashore 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 Roberta Bashore affiliated with any hospitals?

According to CMS data, Roberta Bashore is affiliated with Upmc St Margaret, Magee Womens Hospital Of Upmc Health System and Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Roberta Bashore was last updated on March 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.