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MICHAEL W SEMELKA DO
NPI 1639112840
Family Medicine in Mt Pleasant, PA

Active since June 14, 2006PECOS EnrolledAccepts Medicare Assignment
508 S CHURCH ST STE 100, MT PLEASANT, PA 15666(724) 547-4536(724) 547-3799 Get Directions Write a Review

NPPES record last updated: September 10, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Sep 10, 2025, Jan 25, 2017 (2 updates tracked since 2017).

About Michael W Semelka Do NPPES

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

MICHAEL W SEMELKA DO (NPI 1639112840) is an individual family medicine provider in Mt Pleasant, Pennsylvania, licensed in Pennsylvania (OS011862) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Excela Health Westmoreland Regional Hospital, and is a graduate of Philadelphia College Of Osteopathic Medicine (2000).

NPPES Registry Identity

NPI1639112840
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL W SEMELKACredential: DO
Location Address508 S CHURCH ST STE 100Mt Pleasant, PA 15666-1702
Mailing Address508 S Church St Ste 100Mt Pleasant, PA 15666-1702 · (724) 547-4536 · Fax (724) 547-3799
Phone(724) 547-4536
Fax(724) 547-3799
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2000
Enumeration DateJune 14, 2006
Last NPPES UpdateSeptember 10, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2025
✔ NPI 1639112840 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 · OS011862
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.

508 S CHURCH ST STE 100, Mt Pleasant, PA 15666
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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 W Semelka Do 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 ID1153383344
PECOS Enrollment IDI20050902000623
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 8

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.
124 services98 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.
74 services74 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.
62 services46 patients
Transitional care management services for problem of at least moderate complexity 99495
Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.
23 services18 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.
23 services23 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.
18 services18 patients

Hospital Affiliations CMS Care Compare 3

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

Excela Health Westmoreland Regional Hospital

Acute Care Hospitals · Greensburg, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390145
Location532 West Pittsburgh StreetGreensburg, PA 15601 · Westmoreland County
Emergency services Birthing friendly

Excela Health - Frick Hospital

Acute Care Hospitals · Mount Pleasant, PA
OwnershipVoluntary non-profit - Other
CMS Certification Number390217
Location508 South Church StreetMount Pleasant, PA 15666 · Westmoreland County
Emergency services

Excela Health Latrobe Hospital

Acute Care Hospitals · Latrobe, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390219
LocationOne Mellon WayLatrobe, PA 15650 · Westmoreland County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15666 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.

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.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$179.36 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 9

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

EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Internal Medicine
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 423-4051
EXCELA HEALTH PHYSICIAN PRACTICES, INC..
Family Medicine
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 423-4051
DR. CHANDRASEKHARA. RAO PUNUKOLLU MD
Internal Medicine (Gastroenterology)
508 S CHURCH ST STE 100
MOUNT PLEASANT, PA 15666
Westmoreland County (724) 547-7212
JEROME W GERA MD
Family Medicine
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
ABIGAIL IRENE CASEY
Family Medicine
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
JONATHAN M WILSON MD
Family Medicine
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536
SARFRAZ AHMAD MD
Internal Medicine (Gastroenterology)
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 547-7212
MOLLY CASTILLE M.D.
Family Medicine (Obesity Medicine)
508 S CHURCH ST STE 100
MT PLEASANT, PA 15666
Westmoreland County (724) 547-4536

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 Semelka's NPI number?

The NPI number for Michael Semelka is 1639112840. It was assigned to this individual provider in the NPPES registry on June 14, 2006.

Where is Michael Semelka located?

Michael Semelka practices at 508 S Church St Ste 100, Mt Pleasant, PA 15666. The listed phone number is (724) 547-4536.

What is Michael Semelka's specialty?

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

Is Michael Semelka enrolled in Medicare?

Yes. Michael Semelka 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.

What insurance does Michael Semelka accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Michael Semelka 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 Michael Semelka affiliated with any hospitals?

According to CMS data, Michael Semelka is affiliated with Excela Health Westmoreland Regional Hospital, Excela Health - Frick Hospital and Excela Health Latrobe Hospital.

When was this NPI record last updated?

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