DR. MONICA PATHAK DUA MD
NPI 1548224892
Internal Medicine in North Versailles, PA

Active since April 13, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
1916 LINCOLN HWY, NORTH VERSAILLES, PA 15137(412) 824-5820(412) 824-5677 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 29, 2020, Jan 26, 2017 (2 updates tracked since 2017).

About Dr. Monica Pathak Dua Md NPPES

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

DR. MONICA PATHAK DUA MD (NPI 1548224892) is an individual internal medicine provider in North Versailles, Pennsylvania, licensed in Pennsylvania (MD 067365 L) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1548224892
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MONICA PATHAK DUACredential: MD
Location Address1916 LINCOLN HWYNorth Versailles, PA 15137-2706
Mailing Address3824 Northern Pike, Ste 700Monroeville, PA 15146-2141 · (412) 457-0060
Fax(412) 824-5677
Sole ProprietorNo
Medical School CMSOtherGraduated 1992
Enumeration DateApril 13, 2006
Last NPPES UpdateOctober 29, 20202 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
NPI 1548224892 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in PA · MD 067365 L
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1916 LINCOLN HWY, North Versailles, PA 15137

Other Identifiers 2

Other110188284PA · Railroad Medicare
Medicaid0017430470004PA

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

Dr. Monica Pathak Dua Md 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 ID6305989062
PECOS Enrollment IDI20100203000123
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 17

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.
167 services128 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.
79 services79 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
66 services37 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
61 services59 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
40 services31 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
37 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Allegheny General Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390050
Location320 East North AvenuePittsburgh, PA 15212 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Jefferson Hospital

Acute Care Hospitals · Jefferson Hills, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Forbes Hospital

Acute Care Hospitals · Monroeville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390267
Location2570 Haymaker RoadMonroeville, PA 15146 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15137 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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
Quality85.07
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

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% · 97 patients
100%100 patients
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 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
5 suppliers11 claims11 services$48.16 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$141.97 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
5 suppliers58 claims58 services$64.56 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
2 suppliers13 claims13 services$29.29 avg. paid by Medicare
Standard hemi (low seat) wheelchair K0002
DME-Wheelchairs · category DD000N
1 supplier13 claims13 services$27.12 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
2 suppliers12 claims12 services$30.27 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.

Physician Assistant
1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137
Nurse Practitioner (Family)
1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137
Non-Pharmacy Dispensing Site
1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137
Preventive Medicine (Public Health & General Preventive Medicine)
1916 LINCOLN HWY
NORTH VERSAILLES, PA 15137

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 Monica Dua's NPI number?

The NPI number for Monica Dua is 1548224892. It was assigned to this individual provider in the NPPES registry on April 13, 2006.

Where is Monica Dua located?

Monica Dua practices at 1916 Lincoln Hwy, North Versailles, PA 15137. The listed phone number is (412) 824-5820.

What is Monica Dua's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Monica Dua enrolled in Medicare?

Yes. Monica Dua 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.

Is Monica Dua affiliated with any hospitals?

According to CMS data, Monica Dua is affiliated with Allegheny General Hospital, Magee Womens Hospital Of Upmc Health System, Butler Memorial Hospital, Jefferson Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Monica Dua was last updated on October 29, 2020. 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.