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MICHAEL VAUGHAN ANTONIACCI
NPI 1639050313
Physician Assistant in Scranton, PA

Active since September 10, 2025PECOS EnrolledAccepts Medicare Assignment
5 MORGAN HWY, SCRANTON, PA 18508(570) 344-3788 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Vaughan Antoniacci NPPES

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

MICHAEL VAUGHAN ANTONIACCI (NPI 1639050313) is an individual physician assistant in Scranton, Pennsylvania, licensed in Pennsylvania (MA066899) and active in the NPI registry since September 2025. He is enrolled in Medicare PECOS, is affiliated with Geisinger-community Medical Center, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1639050313
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMICHAEL VAUGHAN ANTONIACCI
Location Address5 MORGAN HWYScranton, PA 18508-2641
Mailing Address5 Morgan HwyScranton, PA 18508-2641 · (570) 344-3788
Phone(570) 344-3788
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateSeptember 10, 2025
NPPES CertifiedSeptember 10, 2025
✔ NPI 1639050313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA066899
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
5 MORGAN HWY, Scranton, PA 18508
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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

Michael Vaughan Antoniacci 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 ID1153827308
PECOS Enrollment IDI20251006001774
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.

Hospital Affiliations CMS Care Compare 2

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18508 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.

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.

PAUL W. HORCHOS D.O.
Physical Medicine & Rehabilitation
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
MICHAEL D. WOLK M.D.
Physical Medicine & Rehabilitation
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
DR. KATHRYN GLORIA GIBBONS M.D.
Pediatrics (Pediatric Endocrinology)
5 MORGAN HWY
SCRANTON, PA 18508
Lackawanna County (570) 207-4360
DR. KELLY E WILLIAMS D.O.
Pain Medicine (Interventional Pain Medicine)
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
MARY MULLEN-WALSH CRNP
Nurse Practitioner (Family)
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
NORTHEASTERN REHABILITATION ASSOCIATES, PC
Physical Medicine & Rehabilitation
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
STEPHANIE FOLMAR LMT
Massage Therapist
5 MORGAN HWY, SUITE #4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788
BRIANNA FRYER
Specialist/Technologist (Athletic Trainer)
5 MORGAN HWY, SUITE 4
SCRANTON, PA 18508
Lackawanna County (570) 344-3788

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 Michael Antoniacci's NPI number?

The NPI number for Michael Antoniacci is 1639050313. It was assigned to this individual provider in the NPPES registry on September 10, 2025.

Where is Michael Antoniacci located?

Michael Antoniacci practices at 5 Morgan Hwy, Scranton, PA 18508. The listed phone number is (570) 344-3788.

What is Michael Antoniacci's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Michael Antoniacci enrolled in Medicare?

Yes. Michael Antoniacci 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 Michael Antoniacci affiliated with any hospitals?

According to CMS data, Michael Antoniacci is affiliated with Geisinger-Community Medical Center and Wilkes-Barre General Hospital.

When was this NPI record last updated?

The NPPES record for Michael Antoniacci was last updated on September 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.