MARK J RATCHFORD DO
NPI 1669479101
Family Medicine in Portage, PA

Q: What is Mark Ratchford's NPI number?

The NPI number for Mark Ratchford is 1669479101. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Q: What is Mark Ratchford's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Mark Ratchford was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since June 30, 2005PECOS EnrolledAccepts Medicare Assignment

3670 PORTAGE ST, PORTAGE, PA 15946(814) 736-9614(814) 736-9783 Get Directions Write a Review

NPPES record last updated: October 20, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Mark J Ratchford Do NPPES

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

MARK J RATCHFORD DO (NPI 1669479101) is an individual family medicine provider in Portage, Pennsylvania, licensed in Pennsylvania (OS011062L) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Nason Medical Center, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (1999).

NPPES Registry Identity

NPI1669479101

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameMARK J RATCHFORDCredential: DO

Location Address3670 PORTAGE STPortage, PA 15946-6546

Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331

Phone(814) 736-9614

Fax(814) 736-9783

Sole ProprietorNo

Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 1999

Enumeration DateJune 30, 2005

Last NPPES UpdateOctober 20, 2014

✔ NPI 1669479101 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 · OS011062L

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.

3670 PORTAGE ST, Portage, PA 15946

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Other Identifiers 2

Medicare UPINH55303

Medicare ID-Type Unspecified055075PA

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

Mark J Ratchford 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 ID8426126483

PECOS Enrollment IDI20081006000002

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 5

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

Conemaugh Nason Medical Center

Acute Care Hospitals · Roaring Spring, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number390062

Location105 Nason DriveRoaring Spring, PA 16673 · Blair County

Emergency services

Upmc Altoona

Acute Care Hospitals · Altoona, PA

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390073

Location620 Howard AvenueAltoona, PA 16601 · Blair County

Emergency services Birthing friendly

Conemaugh Memorial Medical Center

Acute Care Hospitals · Johnstown, PA

3/5 CMS rating

OwnershipProprietary

CMS Certification Number390110

Location1086 Franklin StreetJohnstown, PA 15905 · Cambria County

Emergency services Birthing friendly

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390112

Location600 Somerset AvenueWindber, PA 15963 · Somerset County

Emergency services

Conemaugh Miners Medical Center

Critical Access Hospitals · Hastings, PA

OwnershipProprietary

CMS Certification Number391317

Location290 Haida AvenueHastings, PA 16646 · Cambria County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15946 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 8

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

3 suppliers12 claims33 services$4.96 avg. paid by Medicare

Skin barrier; solid, 4 x 4 or equivalent; each A4362

DME-Orthotic Devices · category DF010N

2 suppliers16 claims260 services$3.22 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

5 suppliers15 claims15 services$95.14 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

5 suppliers17 claims34 services$32.44 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

7 suppliers14 claims14 services$17.20 avg. paid by Medicare

Tubing used with positive airway pressure device A7037

DME-Other DME · category DE001N

5 suppliers11 claims11 services$15.58 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 6

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

SUSAN BERARDINELLI PA-C

Physician Assistant

3670 PORTAGE ST
PORTAGE, PA 15946

Cambria County (814) 736-9614

AMINA SHIKARA MD

Family Medicine

3670 PORTAGE ST
PORTAGE, PA 15946

Cambria County (814) 736-9614

CONEMAUGH HEALTH INITIATIVES

Clinical Medical Laboratory

3670 PORTAGE ST, SUITE 105
PORTAGE, PA 15946

Cambria County (814) 736-3321

DLP CONEMAUGH PHYSICIAN PRACTICES LLC

Clinic/Center (Rural Health)

3670 PORTAGE ST, STE 105
PORTAGE, PA 15946

Cambria County (814) 736-9614

CONEMAUGH HEALTH INITIATIVES

Family Medicine

3670 PORTAGE ST
PORTAGE, PA 15946

Cambria County (814) 736-9614

CONEMAUGH HEALTH INITIATIVES

Non-Pharmacy Dispensing Site

3670 PORTAGE ST, SUITE 105
PORTAGE, PA 15946

Cambria County (814) 736-9614

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 Mark Ratchford's NPI number?

The NPI number for Mark Ratchford is 1669479101. It was assigned to this individual provider in the NPPES registry on June 30, 2005.

Where is Mark Ratchford located?

Mark Ratchford practices at 3670 Portage St, Portage, PA 15946. The listed phone number is (814) 736-9614.

What is Mark Ratchford's specialty?

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

Is Mark Ratchford enrolled in Medicare?

Yes. Mark Ratchford 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 Mark Ratchford accept?

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

According to CMS data, Mark Ratchford is affiliated with Conemaugh Nason Medical Center, Upmc Altoona, Conemaugh Memorial Medical Center, Chan Soon- Shiong Medical Center At Windber and Conemaugh Miners Medical Center.

When was this NPI record last updated?

The NPPES record for Mark Ratchford was last updated on October 20, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.