KELLY CHRISTINE MUTSAVAGE PA-C
NPI 1487601886
Dermatology in Meadville, PA

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment
79.55/100
CMS Quality Rating
640 ALDEN ST, MEADVILLE, PA 16335(814) 724-1252(814) 333-8871 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kelly Christine Mutsavage Pa-c NPPES

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

KELLY CHRISTINE MUTSAVAGE PA-C (NPI 1487601886) is an individual dermatology provider in Meadville, Pennsylvania, licensed in Pennsylvania (MA052475) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, maintains a secondary practice location in Aspinwall, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1487601886
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameKELLY CHRISTINE MUTSAVAGECredential: PA-C
Location Address640 ALDEN STMeadville, PA 16335-2348
Mailing Address640 Alden StMeadville, PA 16335-2348 · (814) 724-1252 · Fax (814) 333-8871
Fax(814) 333-8871
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateMay 30, 2006
Last NPPES UpdateJune 12, 2024
NPPES CertifiedJune 12, 2024
NPI 1487601886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MA052475
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
Also ListedHospitalistTaxonomy 208M00000X · License MA052475 (PA)
Also ListedPhysician AssistantTaxonomy 363A00000X · License MA052475 (PA), OA002277 (PA)
640 ALDEN ST, Meadville, PA 16335

Secondary Practice Location 1

Location 150 Freeport Rd Ste 500Aspinwall, PA 15215-2976 · Phone (412) 782-3278

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

Kelly Christine Mutsavage Pa-c 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 ID840202826
PECOS Enrollment IDI20060612000054
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 9

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.
72 services71 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.
65 services63 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.
45 services45 patients
Detection test by immunoassay with direct visual observation for influenza virus 87804
This is a test that identifies the influenza virus in your body. It works by using an immunoassay, a method that detects the presence of the virus through an immune response. The results are directly observable, making it a quick and efficient way to diagnose flu.
40 services20 patients
Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811
This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.
30 services30 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.
26 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16335 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
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
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.

79.55/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.36
Promoting Interoperability100
Improvement Activities40
Cost67.48

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.

Dentist
640 ALDEN ST
MEADVILLE, PA 16335
Physician Assistant (Medical)
640 ALDEN ST
MEADVILLE, PA 16335
Nurse Practitioner
640 ALDEN ST
MEADVILLE, PA 16335
Orthopaedic Surgery
640 ALDEN ST
MEADVILLE, PA 16335
Social Worker
640 ALDEN ST
MEADVILLE, PA 16335
Nurse Practitioner (Family)
640 ALDEN ST
MEADVILLE, PA 16335
Family Medicine
640 ALDEN ST
MEADVILLE, PA 16335
Orthopaedic Surgery
640 ALDEN ST
MEADVILLE, PA 16335

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 Kelly Mutsavage's NPI number?

The NPI number for Kelly Mutsavage is 1487601886. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Where is Kelly Mutsavage located?

Kelly Mutsavage practices at 640 Alden St, Meadville, PA 16335. The listed phone number is (814) 724-1252.

What is Kelly Mutsavage's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Kelly Mutsavage enrolled in Medicare?

Yes. Kelly Mutsavage 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.

When was this NPI record last updated?

The NPPES record for Kelly Mutsavage was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.