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ROBERT USAITIS DO
NPI 1346266889
Family Medicine in Du Bois, PA

Active since July 15, 2006PECOS EnrolledAccepts Medicare Assignment
96.56/100
CMS Quality Rating
145 HOSPITAL AVE, SUITE 106, DU BOIS, PA 15801(814) 375-3910(814) 375-4424 Get Directions Write a Review

NPPES record last updated: June 13, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Usaitis Do NPPES

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

ROBERT USAITIS DO (NPI 1346266889) is an individual family medicine provider in Du Bois, Pennsylvania, licensed in Pennsylvania (OS-009308-L) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Penn Highlands Dubois, and is a graduate of Philadelphia College Of Osteopathic Medicine (1995).

NPPES Registry Identity

NPI1346266889
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameROBERT USAITISCredential: DO
Location Address145 HOSPITAL AVE, SUITE 106Du Bois, PA 15801-1462
Mailing AddressPo Box 447Du Bois, PA 15801-0447 · (814) 375-3910 · Fax (814) 375-4424
Phone(814) 375-3910
Fax(814) 375-4424
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1995
Enumeration DateJuly 15, 2006
Last NPPES UpdateJune 13, 2011
✔ NPI 1346266889 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 · OS-009308-L
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.
145 HOSPITAL AVE, Du Bois, PA 15801
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Other Identifiers 3

Medicare ID-Type Unspecified015681PA
Medicaid001609890PA
Medicare UPING78630PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Robert Usaitis 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 ID8022177765
PECOS Enrollment IDI20100223000727
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 4

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.
234 services184 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.
174 services174 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.
108 services96 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Penn Highlands Dubois

Acute Care Hospitals · Dubois, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390086
Location100 Hospital AvenueDubois, PA 15801 · Clearfield County

Penn Highlands Brookville

Critical Access Hospitals · Brookville, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number391312
Location100 Hospital RoadBrookville, PA 15825 · Jefferson County
Emergency services

Penn Highlands Elk

Critical Access Hospitals · Saint Marys, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number391315
Location763 Johnsonburg RoadSaint Marys, PA 15857 · Elk County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15801 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.

96.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability95.96
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
11 suppliers31 claims69 services$6.25 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers13 claims18 services$1.13 avg. paid by Medicare
Walker, heavy duty, wheeled, rigid or folding, any type E0149
DME-Other DME · category DE000N
1 supplier11 claims11 services$7.94 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
3 suppliers33 claims33 services$20.69 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
3 suppliers38 claims38 services$114.08 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GREGORY LOUIS CARPENTER PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
MELISSA MARIE HILLIARD PA-C
Physician Assistant
145 HOSPITAL AVE, SUITE 301
DU BOIS, PA 15801
Clearfield County (814) 375-4000
CURTIS MICHAEL GRENOBLE P.A.-C
Physician Assistant (Medical)
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-3750
STEPHEN M. KRUK D.O.
Internal Medicine
145 HOSPITAL AVE, SUITE 215
DU BOIS, PA 15801
Clearfield County (814) 371-1717
MARK A. PIASIO M.D.
Orthopaedic Surgery
145 HOSPITAL AVE, SUITE 311
DU BOIS, PA 15801
Clearfield County (814) 375-9617
WOMENS CARE OF WESTERN PENNSYLVANIA LLC
Obstetrics & Gynecology
145 HOSPITAL AVE, SUITE 315
DU BOIS, PA 15801
Clearfield County (814) 371-6172
DR. DANIEL S WOOLLEY MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
145 HOSPITAL AVE, SUITE 206
DU BOIS, PA 15801
Clearfield County (814) 375-2040
DR. BRENT AARON BARNES DO
Internal Medicine (Cardiovascular Disease)
145 HOSPITAL AVE, STE 211
DUBOIS, PA 15801
Clearfield County (814) 375-3722

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 Robert Usaitis's NPI number?

The NPI number for Robert Usaitis is 1346266889. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Robert Usaitis located?

Robert Usaitis practices at 145 Hospital Ave Suite 106, Du Bois, PA 15801. The listed phone number is (814) 375-3910.

What is Robert Usaitis's specialty?

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

Is Robert Usaitis enrolled in Medicare?

Yes. Robert Usaitis 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.

What insurance does Robert Usaitis accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Robert Usaitis as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Robert Usaitis affiliated with any hospitals?

According to CMS data, Robert Usaitis is affiliated with Penn Highlands Dubois, Penn Highlands Brookville and Penn Highlands Elk.

When was this NPI record last updated?

The NPPES record for Robert Usaitis was last updated on June 13, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.