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HOLLY A LOWTHER M.D.
NPI 1356377675
Internal Medicine - Rheumatology in Wexford, PA

Active since June 26, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
500 BLAZIER DR, WEXFORD, PA 15090(412) 578-1152(412) 605-6669 Get Directions Write a Review

NPPES record last updated: October 12, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Holly A Lowther M.d. NPPES

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

HOLLY A LOWTHER M.D. (NPI 1356377675) is an individual rheumatology provider in Wexford, Pennsylvania, licensed in Pennsylvania (MD428600) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Temple University School Of Medicine (2001).

NPPES Registry Identity

NPI1356377675
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameHOLLY A LOWTHERCredential: M.D.
Location Address500 BLAZIER DRWexford, PA 15090-9528
Mailing Address500 Blazier DrWexford, PA 15090-9528 · (412) 578-1152 · Fax (412) 605-6669
Phone(412) 578-1152
Fax(412) 605-6669
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 2001
Enumeration DateJune 26, 2006
Last NPPES UpdateOctober 12, 2020
NPPES CertifiedOctober 12, 2020
✔ NPI 1356377675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in PA · MD428600
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
500 BLAZIER DR, Wexford, PA 15090
Open in Google Maps ↗

Other Identifiers 1

Medicaid1022567150001PA

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

Holly A Lowther M.d. 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 ID7012920044
PECOS Enrollment IDI20060724000332
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.
308 services214 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.
105 services90 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.
14 services11 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

Canonsburg General Hospital

Acute Care Hospitals · Canonsburg, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390160
Location100 Medical BoulevardCanonsburg, PA 15317 · Washington County
Emergency services

St Clair Hospital

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390228
Location1000 Bower Hill RoadPittsburgh, PA 15243 · Allegheny County
Emergency services Birthing friendly

Ahn Wexford Hospital

Acute Care Hospitals · Wexford, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390334
Location12351 Perry HighwayWexford, PA 15090 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15090 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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

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.

KARLI JAKOSH
Counselor (Professional)
500 BLAZIER DR
WEXFORD, PA 15090
Allegheny County (724) 934-2490
EMMA BEATRICE WILLIAMS
Counselor (Mental Health)
500 BLAZIER DR
WEXFORD, PA 15090
Allegheny County (724) 934-2420
MS. NATALIE MARIE LUFFY M.P.A-C
Physician Assistant (Medical)
500 BLAZIER DR
WEXFORD, PA 15090
Allegheny County (412) 578-1152
LUKE BALOGA
Counselor (Mental Health)
500 BLAZIER DR
WEXFORD, PA 15090
Allegheny County (412) 359-8900

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 Holly Lowther's NPI number?

The NPI number for Holly Lowther is 1356377675. It was assigned to this individual provider in the NPPES registry on June 26, 2006.

Where is Holly Lowther located?

Holly Lowther practices at 500 Blazier Dr, Wexford, PA 15090. The listed phone number is (412) 578-1152.

What is Holly Lowther's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Holly Lowther enrolled in Medicare?

Yes. Holly Lowther 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 Holly Lowther affiliated with any hospitals?

According to CMS data, Holly Lowther is affiliated with Allegheny General Hospital, West Penn Hospital, Canonsburg General Hospital, St Clair Hospital and Ahn Wexford Hospital.

When was this NPI record last updated?

The NPPES record for Holly Lowther was last updated on October 12, 2020. 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.