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ANDREA MICHELLE SANTARELLI DO
NPI 1427407170
Family Medicine in Altoona, PA

Active since June 03, 2016PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
501 HOWARD AVE, SUITE F2, ALTOONA, PA 16601(814) 889-2701(814) 889-7864 Get Directions Write a Review

NPPES record last updated: June 3, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Andrea Michelle Santarelli Do NPPES

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

ANDREA MICHELLE SANTARELLI DO (NPI 1427407170) is an individual family medicine provider in Altoona, Pennsylvania, licensed in Pennsylvania (OT017210) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2016).

NPPES Registry Identity

NPI1427407170
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameANDREA MICHELLE SANTARELLICredential: DO
Location Address501 HOWARD AVE, SUITE F2Altoona, PA 16601-4810
Mailing Address501 Howard Ave, Suite F4Altoona, PA 16601-4810 · (814) 889-2020 · Fax (814) 889-2213
Phone(814) 889-2701
Fax(814) 889-7864
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2016
Enumeration DateJune 3, 2016
✔ NPI 1427407170 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 · OT017210
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.
501 HOWARD AVE, Altoona, PA 16601
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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

Andrea Michelle Santarelli 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 ID8921393505
PECOS Enrollment IDI20200205000302
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 Reassignment

Medicare enrollment records show Andrea Santarelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Upmc Altoona Regional Health Services, Inc
0.7 mi
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
Altoona, PA 16602
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 338 clinicians in this Medicare group
NPI 1396724217 (814) 946-1655

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 5

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.
364 services169 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
142 services62 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.
44 services39 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.
35 services35 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
18 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390062
Location105 Nason DriveRoaring Spring, PA 16673 · Blair County
Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Upmc Bedford Memorial

Acute Care Hospitals · Everett, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390117
Location10455 Lincoln HighwayEverett, PA 15537 · Bedford County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16601 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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Referred Medical Equipment & Supplies CMS DME claims

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
8 suppliers15 claims43 services$6.33 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.

DR. JAMES ALLEN PRUITT MD
Emergency Medicine
501 HOWARD AVE, F2
ALTOONA, PA 16601
Blair County (480) 825-1256
KOPP PHARMACY
Pharmacist
501 HOWARD AVE, BLDG G
ALTOONA, PA 16601
Blair County (814) 943-0621
BLAIR RENAL ASSOCIATES INC
Internal Medicine (Nephrology)
501 HOWARD AVE, SUITE D204
ALTOONA, PA 16601
Blair County (814) 944-2107
TERESA ROSE PRESTON PA-C
Physician Assistant
501 HOWARD AVE, SUITE B204
ALTOONA, PA 16601
Blair County (814) 889-6111
JENNIFER VARGO SAXION AU.D.
Audiologist
501 HOWARD AVE, D203
ALTOONA, PA 16601
Blair County (814) 946-0721
STANLEY WALTER SRAL JR.
Counselor (Mental Health)
501 HOWARD AVE
ALTOONA, PA 16601
Blair County (814) 889-2141
VERONICA LI MD
Family Medicine
501 HOWARD AVE, SUITE F2
ALTOONA, PA 16601
Blair County (814) 889-2701
SARAH SCHROEDER
Obstetrics & Gynecology
501 HOWARD AVE, ALLEGHENY FAMILY PHYSICIANS
ALTOONA, PA 16601
Blair County (814) 889-2020

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 Andrea Santarelli's NPI number?

The NPI number for Andrea Santarelli is 1427407170. It was assigned to this individual provider in the NPPES registry on June 3, 2016.

Where is Andrea Santarelli located?

Andrea Santarelli practices at 501 Howard Ave Suite F2, Altoona, PA 16601. The listed phone number is (814) 889-2701.

What is Andrea Santarelli's specialty?

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

Is Andrea Santarelli enrolled in Medicare?

Yes. Andrea Santarelli 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 organization bills Medicare for Andrea Santarelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrea Santarelli reassigns Medicare benefits to Upmc Altoona Regional Health Services, Inc (Altoona, PA). The 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 Andrea Santarelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Andrea Santarelli affiliated with any hospitals?

According to CMS data, Andrea Santarelli is affiliated with Conemaugh Nason Medical Center, Upmc Altoona and Upmc Bedford Memorial.

When was this NPI record last updated?

The NPPES record for Andrea Santarelli was last updated on June 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.