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DR. DANIELLE MARIE PAPINCAK DO
NPI 1316408404
Internal Medicine in Vandergrift, PA

Active since March 29, 2019PECOS EnrolledAccepts Medicare Assignment
224 LONGFELLOW ST STE 200, VANDERGRIFT, PA 15690(724) 568-5551(724) 568-3137 Get Directions Write a Review

NPPES record last updated: October 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Danielle Marie Papincak Do NPPES

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

DR. DANIELLE MARIE PAPINCAK DO (NPI 1316408404) is an individual internal medicine provider in Vandergrift, Pennsylvania, licensed in Pennsylvania (OS022513) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Allegheny Valley Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2019).

NPPES Registry Identity

NPI1316408404
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. DANIELLE MARIE PAPINCAKCredential: DO
Location Address224 LONGFELLOW ST STE 200Vandergrift, PA 15690-1476
Mailing Address224 Longfellow St Ste 200Vandergrift, PA 15690-1476 · (724) 568-5551 · Fax (724) 568-3137
Phone(724) 568-5551
Fax(724) 568-3137
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2019
Enumeration DateMarch 29, 2019
Last NPPES UpdateOctober 15, 2024
NPPES CertifiedSeptember 19, 2024
✔ NPI 1316408404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · OS022513
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
224 LONGFELLOW ST STE 200, Vandergrift, PA 15690
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Other Names 1

Former Name (1)Danielle Marie Papincak

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

Dr. Danielle Marie Papincak Do 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 ID1153792692
PECOS Enrollment IDI20230120001402
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 Danielle Papincak reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Allegheny Clinic
Same address
Internal Medicine
224 LONGFELLOW ST, SUITE 200
Vandergrift, PA 15690
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 2,881 clinicians in this Medicare group
NPI 1275969826 (724) 568-5551
Upmc Community Medicine Inc
7.5 mi
Family Medicine
1600 WILDLIFE LODGE RD
Lower Burrell, PA 15068
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 1,182 clinicians in this Medicare group
NPI 1053611012 (724) 226-1400

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 8

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.
194 services115 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.
111 services111 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.
91 services69 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
31 services31 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
30 services30 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Allegheny Valley Hospital

Acute Care Hospitals · Natrona, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390032
Location1301 Carlisle StNatrona, PA 15065 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15690 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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 4

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

MASON CHARLES DONAHUE
Nurse Practitioner (Family)
224 LONGFELLOW ST STE 200
VANDERGRIFT, PA 15690
Westmoreland County (724) 568-5551
MS. JAMIE KARLO CRNP
Nurse Practitioner (Family)
224 LONGFELLOW ST STE 200
VANDERGRIFT, PA 15690
Westmoreland County (724) 568-5551
JANELLE CORCORAN
Nurse Practitioner (Family)
224 LONGFELLOW ST STE 200
VANDERGRIFT, PA 15690
Westmoreland County (724) 568-5551
CANDICE R HODGE NP, RN
Nurse Practitioner (Family)
224 LONGFELLOW ST STE 200
VANDERGRIFT, PA 15690
Westmoreland County (724) 568-5551

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 Danielle Papincak's NPI number?

The NPI number for Danielle Papincak is 1316408404. It was assigned to this individual provider in the NPPES registry on March 29, 2019. The provider is also known as Danielle Marie Papincak.

Where is Danielle Papincak located?

Danielle Papincak practices at 224 Longfellow St Ste 200, Vandergrift, PA 15690. The listed phone number is (724) 568-5551.

What is Danielle Papincak's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Danielle Papincak enrolled in Medicare?

Yes. Danielle Papincak 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 Danielle Papincak's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Danielle Papincak reassigns Medicare benefits to 2 organizations: Allegheny Clinic (Vandergrift, PA) and Upmc Community Medicine Inc (Lower Burrell, 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 Danielle Papincak's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Danielle Papincak affiliated with any hospitals?

According to CMS data, Danielle Papincak is affiliated with Allegheny Valley Hospital.

When was this NPI record last updated?

The NPPES record for Danielle Papincak was last updated on October 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.