PHILIP W CATERBONE DO
NPI 1376620567
Family Medicine in Mc Connellsburg, PA
About Philip W Caterbone Do NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILIP W CATERBONE DO (NPI 1376620567) is an individual family medicine provider in Mc Connellsburg, Pennsylvania, licensed in Pennsylvania (OS017720) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Fulton County Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Other Identifiers 1
Accepted Insurance
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
Philip W Caterbone 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.
Medicare Billing Reassignments
2Medicare enrollment records show Philip Caterbone reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Mc Connellsburg, PA 17233
- Reassigned Medicare billing, Pennsylvania enrollment
- Also billed through NPI 1326044694 (Pennsylvania)
- 12 clinicians in this Medicare group
Chambersburg, PA 17201
- Reassigned Medicare billing, Pennsylvania enrollment
- 1,902 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Fulton County Medical Center
Critical Access Hospitals · Mcconnellsburg, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17233 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 2
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
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.
MC CONNELLSBURG, PA 17233
MC CONNELLSBURG, PA 17233
MC CONNELLSBURG, PA 17233
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 Philip Caterbone's NPI number?
The NPI number for Philip Caterbone is 1376620567. It was assigned to this individual provider in the NPPES registry on November 1, 2006.
Where is Philip Caterbone located?
Philip Caterbone practices at 214 Peach Orchard Rd, Mc Connellsburg, PA 17233. The listed phone number is (717) 485-3155.
What is Philip Caterbone's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Philip Caterbone enrolled in Medicare?
Yes. Philip Caterbone 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 Philip Caterbone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Philip Caterbone reassigns Medicare benefits to 2 organizations: Fulton County Medical Center (Mc Connellsburg, PA) and Pinnacle Health Medical Services (Chambersburg, 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 Philip Caterbone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Philip Caterbone accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Philip Caterbone 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 Philip Caterbone affiliated with any hospitals?
According to CMS data, Philip Caterbone is affiliated with Fulton County Medical Center.
When was this NPI record last updated?
The NPPES record for Philip Caterbone was last updated on August 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.
# Philip W Caterbone, DO · NPI 1376620567
Family Medicine physician in Mc Connellsburg, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 1, 2006.
## Identity
- **NPI:** 1376620567 (Entity type: Individual)
- **Enumerated:** November 1, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** OS017720 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 214 PEACH ORCHARD RD, Mc Connellsburg, PA 17233-8559
- **Phone:** (717) 485-3155
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Fulton County Medical Center (NPI 1639606718, Mc Connellsburg, PA); Pinnacle Health Medical Services (NPI 1417558008, Chambersburg, PA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1988
## Record status
- **NPPES last updated:** August 22, 2025
- **Other identifiers:** Medicaid 1030567370003 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1376620567) · Data from the CMS NPPES public registry.