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ALISON CULYBA
NPI 1285831578
Pediatrics in Pittsburgh, PA

Active since June 29, 2007PECOS Enrolled
77.5/100
CMS Quality Rating
3420 5TH AVE, SUITE M060, PITTSBURGH, PA 15213(412) 692-6677 Get Directions Write a Review

NPPES record last updated: May 24, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 24, 2021, Mar 17, 2018, Aug 1, 2017 (3 updates tracked since 2017).

About Alison Culyba NPPES

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

ALISON CULYBA (NPI 1285831578) is an individual pediatrics provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD438814) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285831578
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameALISON CULYBA
Location Address3420 5TH AVE, SUITE M060Pittsburgh, PA 15213-3205
Mailing Address3420 5th Ave, Suite M060Pittsburgh, PA 15213-3205
Phone(412) 692-6677
Sole ProprietorNo
Enumeration DateJune 29, 2007
Last NPPES UpdateMay 24, 20213 updates tracked since enumeration
✔ NPI 1285831578 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD438814
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
3420 5TH AVE, Pittsburgh, PA 15213
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alison Culyba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

Medicare enrollment records show Alison Culyba reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Of Pittsburgh Physicians
0.1 mi
Internal Medicine
3500 5TH AVE, 4TH FLOOR
Pittsburgh, PA 15213
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 7,114 clinicians in this Medicare group
NPI 1548433527 (412) 682-2434
Pinnacle Health Medical Services
127 mi
Pediatric Urology
761 5TH AVE STE D
Chambersburg, PA 17201
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,902 clinicians in this Medicare group
NPI 1053097238 (717) 988-0090
Children's Health Care Associates
254 mi
Pediatrics
34TH & CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA
Philadelphia, PA 19104
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Medicare enrollment name: Childrens Health Care Associates Inc
  • 1,225 clinicians in this Medicare group
NPI 1619062668 (215) 590-1000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

ELISSA GITTES
Specialist
3420 5TH AVE, ROOM 236
PITTSBURGH, PA 15213
Allegheny County (412) 692-6677
MRS. DONNA S DUCHENE CPNP
Nurse Practitioner (Pediatrics)
3420 5TH AVE, PRIMARY CARE CENTER,CHILDREN'S HOSPITAL OF PITTSBURGH
PITTSBURGH, PA 15213
Allegheny County (412) 692-6000
RACHEL ALADE
Pediatrics
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (240) 460-5644
KIM ROGAL WINIKER
Student in an Organized Health Care Education/Training Program
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-6000
MRS. MALLARY WHIPPLE MS,RD,LDN
Dietitian, Registered
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-5200
ASHLEY DAWN ADKINS MD
Pediatrics
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-6000
JORDAN NEOMA PIZZARRO MD
Student in an Organized Health Care Education/Training Program
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-6000
DR. MARIA LANYI AMENDOLA MD
Student in an Organized Health Care Education/Training Program
3420 5TH AVE
PITTSBURGH, PA 15213
Allegheny County (412) 692-6000

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 Alison Culyba's NPI number?

The NPI number for Alison Culyba is 1285831578. It was assigned to this individual provider in the NPPES registry on June 29, 2007.

Where is Alison Culyba located?

Alison Culyba practices at 3420 5th Ave Suite M060, Pittsburgh, PA 15213. The listed phone number is (412) 692-6677.

What is Alison Culyba's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Alison Culyba enrolled in Medicare?

Yes. Alison Culyba is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Alison Culyba's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alison Culyba reassigns Medicare benefits to 3 organizations: University Of Pittsburgh Physicians (Pittsburgh, PA), Pinnacle Health Medical Services (Chambersburg, PA) and Children's Health Care Associates (Philadelphia, 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 Alison Culyba's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Alison Culyba was last updated on May 24, 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.