MICHAEL D. KACSMAR CRNP
NPI 1427282706
Nurse Practitioner - Family in Du Bois, PA

Q: What is Michael Kacsmar's NPI number?

The NPI number for Michael Kacsmar is 1427282706. It was assigned to this individual provider in the NPPES registry on May 14, 2009.

Q: What is Michael Kacsmar's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Michael Kacsmar was last updated on July 3, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since May 14, 2009PECOS EnrolledAccepts Medicare Assignment

93.78/100

CMS Quality Rating

529 SUNFLOWER DR, DU BOIS, PA 15801(814) 371-1510(814) 371-2922 Get Directions Write a Review

NPPES record last updated: July 3, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Michael D. Kacsmar Crnp NPPES

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

MICHAEL D. KACSMAR CRNP (NPI 1427282706) is an individual family provider in Du Bois, Pennsylvania, licensed in Pennsylvania (SP010286) and active in the NPI registry since May 2009. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (2008).

NPPES Registry Identity

NPI1427282706

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMICHAEL D. KACSMARCredential: CRNP

Location Address529 SUNFLOWER DRDu Bois, PA 15801-2378

Mailing Address300 E Main St, Po Box 189Reynoldsville, PA 15851-1282 · (814) 371-1510 · Fax (814) 371-2922

Phone(814) 371-1510

Fax(814) 371-2922

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateMay 14, 2009

Last NPPES UpdateJuly 3, 2013

✔ NPI 1427282706 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in PA · SP010286

529 SUNFLOWER DR, Du Bois, PA 15801

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Other Identifiers 2

Medicaid1026380200001PA

Medicare PIN165049GW9PA

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

Michael D. Kacsmar Crnp 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 ID3971654880

PECOS Enrollment IDI20090706000091

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 6

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 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.

257 services153 patients

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.

64 services48 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

39 services21 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

33 services32 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

23 services23 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390173

Location835 Hospital RoadIndiana, PA 15701 · Indiana County

Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA

OwnershipVoluntary non-profit - Private

CMS Certification Number390199

Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County

Emergency services Birthing friendly

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.

93.78/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

85.07

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Documentation of Current Medications in the Medical Record

100%559 patients5/55-star benchmark: 100%

Falls: Screening for Future Fall Risk

0%104 patients1/55-star benchmark: 100%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

26%548 patients2/55-star benchmark: 98%

Use of High-Risk Medications in Older Adults

Lower rates are better for this measure.

Patients appropriateDiagnosis: 0% · 112 patients

Patients totalRate: 1% · 112 patients

1%112 patients4/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 15

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

GREGORY ALLAN SACHS D.O.

Family Medicine