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RUSSELL JOHN ENEDY PA-C
NPI 1770819096
Physician Assistant in Johnstown, PA

Active since October 21, 2009PECOS EnrolledAccepts Medicare Assignment
1111 FRANKLIN ST, SUITE 410, JOHNSTOWN, PA 15905(814) 536-7851(814) 539-3649 Get Directions Write a Review

NPPES record last updated: October 17, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Russell John Enedy Pa-c NPPES

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

RUSSELL JOHN ENEDY PA-C (NPI 1770819096) is an individual physician assistant in Johnstown, Pennsylvania, licensed in Pennsylvania (MA053940) and active in the NPI registry since October 2009. He is enrolled in Medicare PECOS, is affiliated with Conemaugh Memorial Medical Center, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1770819096
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRUSSELL JOHN ENEDYCredential: PA-C
Location Address1111 FRANKLIN ST, SUITE 410Johnstown, PA 15905-4330
Mailing Address1086 Franklin StJohnstown, PA 15905-4305 · (814) 410-8300 · Fax (814) 410-8331
Phone(814) 536-7851
Fax(814) 539-3649
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateOctober 21, 2009
Last NPPES UpdateOctober 17, 2014
✔ NPI 1770819096 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 · MA053940
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.
1111 FRANKLIN ST, Johnstown, PA 15905
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Other Identifiers 1

Medicare PIN236362PA

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

Russell John Enedy 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 ID7012056724
PECOS Enrollment IDI20091209000101
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.

Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
48 services36 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
43 services36 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services39 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.
31 services28 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
29 services20 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
27 services26 patients

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15905 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
2 suppliers12 claims1,170 services$1.54 avg. paid by Medicare
Urinary drainage bag, leg or abdomen, vinyl, with or without tube, with straps, each A4358
DME-Orthotic Devices · category DF000N
3 suppliers13 claims26 services$5.92 avg. paid by Medicare
Lubricant, per ounce A4402
DME-Orthotic Devices · category DF010N
1 supplier11 claims44 services$1.22 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 20

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

GERARD A GARGUILO MD
Surgery
1111 FRANKLIN ST, STE 030
JOHNSTOWN, PA 15905
Cambria County (814) 539-6797
CONEMAUGH HEALTH INITIATIVES
Durable Medical Equipment & Medical Supplies
1111 FRANKLIN ST, SUITE 300
JOHNSTOWN, PA 15905
Cambria County (814) 534-9230
PRODIGY DIALYSIS
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1111 FRANKLIN ST, SUITE 220
JOHNSTOWN, PA 15905
Cambria County (814) 539-0798
CONEMAUGH HEALTH INITIATIVES
Urology
1111 FRANKLIN ST, SUITE 410
JOHNSTOWN, PA 15905
Cambria County (814) 536-7851
DR. ROBERT FELIKS SAWICKI PHD
Clinical Neuropsychologist
1111 FRANKLIN ST, SUITE 130
JOHNSTOWN, PA 15905
Cambria County (814) 534-5724
CONEMAUGH HEALTH INITIATIVES
Neurological Surgery
1111 FRANKLIN ST, STE 130
JOHNSTOWN, PA 15905
Cambria County (814) 534-5700
PETER JAMES RIDELLA MD
Orthopaedic Surgery
1111 FRANKLIN ST, SUITE 140
JOHNSTOWN, PA 15905
Cambria County (814) 535-5554
LAUREL UROLOGY INC
Urology
1111 FRANKLIN ST, SUITE 410
JOHNSTOWN, PA 15905
Cambria County (814) 536-7851

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 Russell Enedy's NPI number?

The NPI number for Russell Enedy is 1770819096. It was assigned to this individual provider in the NPPES registry on October 21, 2009.

Where is Russell Enedy located?

Russell Enedy practices at 1111 Franklin St Suite 410, Johnstown, PA 15905. The listed phone number is (814) 536-7851.

What is Russell Enedy's specialty?

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

Is Russell Enedy enrolled in Medicare?

Yes. Russell Enedy 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 Russell Enedy accept?

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

According to CMS data, Russell Enedy is affiliated with Conemaugh Memorial Medical Center.

When was this NPI record last updated?

The NPPES record for Russell Enedy was last updated on October 17, 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.