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DR. ANTHONY FREDERICK UBERTI M.D.
NPI 1528050168
Family Medicine in New Wilmington, PA

Active since August 19, 2005PECOS EnrolledAccepts Medicare AssignmentCLIA 39D0891534 · Waiver
3438 STATE ROUTE 208, NEW WILMINGTON, PA 16142(724) 946-8979(724) 946-2938 Get Directions Write a Review

NPPES record last updated: March 9, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 9, 2021, Nov 4, 2016 (2 updates tracked since 2016).

About Dr. Anthony Frederick Uberti M.d. NPPES

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

DR. ANTHONY FREDERICK UBERTI M.D. (NPI 1528050168) is an individual family medicine provider in New Wilmington, Pennsylvania, licensed in Pennsylvania (MD050872L) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through September 11, 2028, and is affiliated with Upmc Jameson.

NPPES Registry Identity

NPI1528050168
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. ANTHONY FREDERICK UBERTICredential: M.D.
Location Address3438 STATE ROUTE 208New Wilmington, PA 16142-1012
Mailing Address3438 State Route 208New Wilmington, PA 16142-1012 · (724) 946-8979 · Fax (724) 946-2938
Phone(724) 946-8979
Fax(724) 946-2938
Sole ProprietorNo
Medical School CMSPennsylvania State University College Of MedicineGraduated 1991
Enumeration DateAugust 19, 2005
Last NPPES UpdateMarch 9, 20212 updates tracked since enumeration
NPPES CertifiedMarch 9, 2021
✔ NPI 1528050168 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 · MD050872L
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.
3438 STATE ROUTE 208, New Wilmington, PA 16142
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Other Identifiers 5

Other000000115283OH · Anthem Bc/bs
Medicaid0014818740001PA
Other102907PA · Upmc Health Plan
Other01033669PA · United Heathcare
Other417752PA · Highmark Bc/bs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Dr. Anthony Frederick Uberti 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 ID6800787516
PECOS Enrollment IDI20040323000342
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 Anthony Uberti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

New Wilmington Family Medicine Associates P C
Same address
Family Medicine
3438 STATE ROUTE 208
New Wilmington, PA 16142
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1205940764 (724) 946-8979

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0891534

Anthony F Uberti MD · New Wilmington, PA
Active · expires Sep 11, 2028
CLIA Number39D0891534
Laboratory TypePhysician Office
Certificate Effective DateSeptember 12, 2026
Certificate Expiration DateSeptember 11, 2028
Laboratory DirectorAnthony F. Uberti MD
Laboratory Phone(724) 946-8979
Laboratory LocationAnthony F Uberti MD3438 State Route 208, New Wilmington, PA 16142
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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.
129 services82 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.
99 services53 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
82 services82 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
80 services80 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.
46 services37 patients

Hospital Affiliations CMS Care Compare 3

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Grove City Medical Center

Acute Care Hospitals · Grove City, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390266
Location631 North Broad Street Ext.Grove City, PA 16127 · Mercer County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16142 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.

Reported Quality Measures

Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
76%185 patients4/55-star benchmark: 100%
Medication Reconciliation Post-Discharge
The percentage of discharges from any inpatient facility (e.g. hospital, skilled nursing facility, or rehabilitation facility) for patients 18 years and older of age seen within 30 days following discharge in the office by the physician, prescribing…
Patients 65+: 100% · 29 patients
100%32 patients
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
84%227 patients4/55-star benchmark: 100%
Screening for Osteoporosis for Women Aged 65-85 Years of Age
Percentage of female patients aged 65-85 years of age who ever had a central dual-energy X-ray absorptiometry (DXA) to check for osteoporosis
48%88 patients2/55-star benchmark: 98%
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.

Referred Medical Equipment & Supplies CMS DME claims 11

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
10 suppliers39 claims114 services$5.96 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers12 claims29 services$40.86 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
4 suppliers14 claims81 services$14.92 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers16 claims16 services$64.87 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers18 claims18 services$19.36 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers27 claims27 services$18.85 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 4

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

NEW WILMINGTON FAMILY MEDICINE ASSOCIATES P C
Family Medicine
3438 STATE ROUTE 208
NEW WILMINGTON, PA 16142
Lawrence County (724) 946-8979
MARGARET ZACHEWICZ PA
Physician Assistant (Medical)
3438 STATE ROUTE 208
NEW WILMINGTON, PA 16142
Lawrence County (724) 946-8979
MS. ANGELA D NICASTRO PAC
Physician Assistant (Medical)
3438 STATE ROUTE 208
NEW WILMINGTON, PA 16142
Lawrence County (724) 946-8979
KARY SCHROYER
Family Medicine
3438 STATE ROUTE 208
NEW WILMINGTON, PA 16142
Lawrence County (724) 946-8979

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 Anthony Uberti's NPI number?

The NPI number for Anthony Uberti is 1528050168. It was assigned to this individual provider in the NPPES registry on August 19, 2005.

Where is Anthony Uberti located?

Anthony Uberti practices at 3438 State Route 208, New Wilmington, PA 16142. The listed phone number is (724) 946-8979.

What is Anthony Uberti's specialty?

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

Is Anthony Uberti enrolled in Medicare?

Yes. Anthony Uberti 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 Anthony Uberti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Anthony Uberti reassigns Medicare benefits to New Wilmington Family Medicine Associates P C (New Wilmington, 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 Anthony Uberti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Anthony Uberti hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0891534) is associated with this NPI, valid through September 11, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Anthony Uberti accept?

Health plans from Anthem Blue Cross and Blue Shield list Anthony Uberti 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 Anthony Uberti affiliated with any hospitals?

According to CMS data, Anthony Uberti is affiliated with Upmc Jameson, Upmc Horizon and Grove City Medical Center.

When was this NPI record last updated?

The NPPES record for Anthony Uberti was last updated on March 9, 2021. 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.