DR. ANDREA MARIE GASPAR MD
NPI 1629464193
Internal Medicine in Pittsburgh, PA

Active since April 12, 2015PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
3459 5TH AVE, MUH 9 SOUTH, PITTSBURGH, PA 15213(412) 692-4888(412) 692-4892 Get Directions Write a Review

NPPES record last updated: January 15, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 6, 2024, Jun 12, 2023, Nov 19, 2020 (3 updates tracked since 2020).

About Dr. Andrea Marie Gaspar Md NPPES

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

DR. ANDREA MARIE GASPAR MD (NPI 1629464193) is an individual internal medicine provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD487173) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1629464193
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDREA MARIE GASPARCredential: MD
Location Address3459 5TH AVE, MUH 9 SOUTHPittsburgh, PA 15213-3236
Mailing Address3459 5th Ave, Muh 9 SouthPittsburgh, PA 15213-3236 · (412) 692-4888 · Fax (412) 692-4892
Fax(412) 692-4892
Sole ProprietorYes
Medical School CMSOtherGraduated 2015
Enumeration DateApril 12, 2015
Last NPPES UpdateJanuary 15, 20253 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1629464193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD487173 Licensed in MD · 202650761
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.
3459 5TH AVE, Pittsburgh, PA 15213

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. Andrea Marie Gaspar 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 ID6608181243
PECOS Enrollment IDI20250109000145
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 2

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
156 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services22 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.69
Promoting Interoperability100
Improvement Activities40
Cost53.49

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.

Home ventilator, any type, used with non-invasive interface, (e.g., mask, chest shell) E0466
DME-Other DME · category DE005N
1 supplier11 claims11 services$784.72 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.

Physician Assistant (Medical)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL, ALZHEIMER RESEARCH CENTER
PITTSBURGH, PA 15213
Physical Medicine & Rehabilitation
3459 5TH AVE
PITTSBURGH, PA 15213
Dietitian, Registered
3459 5TH AVE
PITTSBURGH, PA 15213
Internal Medicine
3459 5TH AVE, UPMC MONTEFIORE NW628
PITTSBURGH, PA 15213
Nurse Practitioner (Family)
3459 5TH AVE, NW 628
PITTSBURGH, PA 15213
Physician Assistant
3459 5TH AVE, 2ND FLOOR RADIOLOGY
PITTSBURGH, PA 15213
Clinical Nurse Specialist (Acute Care)
3459 5TH AVE, 4 WEST MONTEFIORE HOSPITAL
PITTSBURGH, PA 15213
Specialist
3459 5TH AVE, N725
PITTSBURGH, PA 15213

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 Gaspar's NPI number?

The NPI number for Andrea Gaspar is 1629464193. It was assigned to this individual provider in the NPPES registry on April 12, 2015.

Where is Andrea Gaspar located?

Andrea Gaspar practices at 3459 5th Ave Muh 9 South, Pittsburgh, PA 15213. The listed phone number is (412) 692-4888.

What is Andrea Gaspar's specialty?

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

Is Andrea Gaspar enrolled in Medicare?

Yes. Andrea Gaspar 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 Andrea Gaspar affiliated with any hospitals?

According to CMS data, Andrea Gaspar is affiliated with Upmc Presbyterian Shadyside.

When was this NPI record last updated?

The NPPES record for Andrea Gaspar was last updated on January 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.