CAITLIN ANNE BABINCHOK PA-C
NPI 1750922100
Physician Assistant in Hermitage, PA

Active since October 07, 2019PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
449 N HERMITAGE RD, HERMITAGE, PA 16148(724) 347-4099 Get Directions Write a Review

NPPES record last updated: July 2, 2025. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 2, 2025, Oct 7, 2019 (2 updates tracked since 2019).

About Caitlin Anne Babinchok Pa-c NPPES

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

CAITLIN ANNE BABINCHOK PA-C (NPI 1750922100) is an individual physician assistant in Hermitage, Pennsylvania, licensed in Pennsylvania (OA005062) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Horizon, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1750922100
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAITLIN ANNE BABINCHOKCredential: PA-C
Location Address449 N HERMITAGE RDHermitage, PA 16148-3342
Mailing Address132 Bhame LnHarmony, PA 16037-8202 · (814) 923-1636
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateOctober 7, 2019
Last NPPES UpdateJuly 2, 20252 updates tracked since enumeration
NPPES CertifiedJuly 2, 2025
NPI 1750922100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in PA · OA005062 Licensed in PA · MA061190
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.

449 N HERMITAGE RD, Hermitage, PA 16148

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

Caitlin Anne Babinchok Pa-c 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 ID3274965256
PECOS Enrollment IDI20191112003422
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 5

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.
86 services62 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
55 services43 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.
34 services17 patients
Telephone, internet, or electronic health record assessment and management with written report by consulting physician, at least 5 minutes 99451
This service involves a consulting physician assessing your health condition via a phone or internet interaction. The doctor will spend at least 5 minutes discussing your health concerns. Afterwards, a written report summarizing the findings and recommendations will be provided for your reference.
23 services23 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.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16148 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.

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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

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.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$89.64 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 13

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

Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Internal Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physical Therapist
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physician Assistant (Surgical)
449 N HERMITAGE RD
HERMITAGE, PA 16148
Family Medicine
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physical Therapy Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148
Physician Assistant
449 N HERMITAGE RD
HERMITAGE, PA 16148

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 Caitlin Babinchok's NPI number?

The NPI number for Caitlin Babinchok is 1750922100. It was assigned to this individual provider in the NPPES registry on October 7, 2019.

Where is Caitlin Babinchok located?

Caitlin Babinchok practices at 449 N Hermitage Rd, Hermitage, PA 16148. The listed phone number is (724) 347-4099.

What is Caitlin Babinchok's specialty?

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

Is Caitlin Babinchok enrolled in Medicare?

Yes. Caitlin Babinchok 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 Caitlin Babinchok affiliated with any hospitals?

According to CMS data, Caitlin Babinchok is affiliated with Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Caitlin Babinchok was last updated on July 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.