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KATELYN MARIE MACIK DO
NPI 1679960033
Family Medicine in Irwin, PA

Active since April 22, 2015PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
4044 ROUTE 130 STE 200, IRWIN, PA 15642(724) 744-2500(724) 744-3339 Get Directions Write a Review

NPPES record last updated: October 29, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 29, 2020, Sep 12, 2018, Jul 17, 2018 and 1 more (4 updates tracked since 2017).

About Katelyn Marie Macik Do NPPES

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

KATELYN MARIE MACIK DO (NPI 1679960033) is an individual family medicine provider in Irwin, Pennsylvania, licensed in Pennsylvania (OS019159) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Allegheny General Hospital, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2015).

NPPES Registry Identity

NPI1679960033
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATELYN MARIE MACIKCredential: DO
Location Address4044 ROUTE 130 STE 200Irwin, PA 15642
Mailing Address3824 Northern Pike Ste 700Monroeville, PA 15146-2184 · (412) 457-0060
Phone(724) 744-2500
Fax(724) 744-3339
Sole ProprietorNo
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2015
Enumeration DateApril 22, 2015
Last NPPES UpdateOctober 29, 20204 updates tracked since enumeration
NPPES CertifiedOctober 29, 2020
✔ NPI 1679960033 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 · OS019159
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.
4044 ROUTE 130 STE 200, Irwin, PA 15642
Open in Google Maps ↗

Other Names 1

Former Name (1)Katelyn Marie Shaffer

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

Katelyn Marie Macik 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 ID7911295316
PECOS Enrollment IDI20180905001649
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 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.
175 services113 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.
77 services77 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
67 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
43 services41 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
34 services34 patients
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.
24 services22 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

West Penn Hospital

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390090
Location4800 Friendship AvenuePittsburgh, PA 15224 · Allegheny County
Emergency services Birthing friendly

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

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

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 15642 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.

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

Other Providers at the Same Location NPPES 5

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

ALLISON MEDVED PA-C
Physician Assistant
4044 ROUTE 130 STE 200
IRWIN, PA 15642
Westmoreland County (724) 744-2500
MS. CYNTHIA S SCHREFFLER CRNP
Nurse Practitioner (Family)
4044 ROUTE 130 STE 200
IRWIN, PA 15642
Westmoreland County (724) 744-2500
DR. CHUNG-YEN PHILIP HSU M.D.
Family Medicine
4044 ROUTE 130 STE 200
IRWIN, PA 15642
Westmoreland County (724) 744-2500
MS. LINDSAY N SCALA PA-C
Physician Assistant (Medical)
4044 ROUTE 130 STE 200
IRWIN, PA 15642
Westmoreland County (724) 744-2500
MS. DEVON GRANNY CRNP
Nurse Practitioner (Family)
4044 ROUTE 130 STE 200
IRWIN, PA 15642
Westmoreland County (724) 744-2500

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 Katelyn Macik's NPI number?

The NPI number for Katelyn Macik is 1679960033. It was assigned to this individual provider in the NPPES registry on April 22, 2015. The provider is also known as Katelyn Marie Shaffer.

Where is Katelyn Macik located?

Katelyn Macik practices at 4044 Route 130 Ste 200, Irwin, PA 15642. The listed phone number is (724) 744-2500.

What is Katelyn Macik's specialty?

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

Is Katelyn Macik enrolled in Medicare?

Yes. Katelyn Macik 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 Katelyn Macik affiliated with any hospitals?

According to CMS data, Katelyn Macik is affiliated with Allegheny General Hospital, West Penn Hospital, Magee Womens Hospital Of Upmc Health System, Excela Health Westmoreland Regional Hospital and Forbes Hospital.

When was this NPI record last updated?

The NPPES record for Katelyn Macik 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.