MR. ALEXANDER V. MEZENTSEV PA-C
NPI 1780988766
Physician Assistant in Muncy, PA

Q: What is Alexander Mezentsev's NPI number?

The NPI number for Alexander Mezentsev is 1780988766. It was assigned to this individual provider in the NPPES registry on January 5, 2011.

Q: What is Alexander Mezentsev's specialty?

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

Active since January 05, 2011PECOS EnrolledAccepts Medicare Assignment

255 ROUTE 220 HWY, MUNCY, PA 17756(800) 230-4565 Get Directions Write a Review

NPPES record last updated: March 28, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 28, 2025, Dec 24, 2020 (2 updates tracked since 2020).

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About Mr. Alexander V. Mezentsev Pa-c NPPES

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

MR. ALEXANDER V. MEZENTSEV PA-C (NPI 1780988766) is an individual physician assistant in Muncy, Pennsylvania, licensed in Pennsylvania (MA054663) and active in the NPI registry since January 2011. He is enrolled in Medicare PECOS, is affiliated with Upmc Williamsport, and maintains a secondary practice location in Montoursville.

NPPES Registry Identity

NPI1780988766

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameMR. ALEXANDER V. MEZENTSEVCredential: PA-C

Location Address255 ROUTE 220 HWYMuncy, PA 17756-7568

Mailing Address100 N Academy Ave, Credentials DeptDanville, PA 17822-4903 · (570) 271-6144

Phone(800) 230-4565

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateJanuary 5, 2011

Last NPPES UpdateMarch 28, 20252 updates tracked since enumeration

NPPES CertifiedMarch 28, 2025

✔ NPI 1780988766 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 · MA054663

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.

255 ROUTE 220 HWY, Muncy, PA 17756

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Secondary Practice Location 1

Location 1780 Broad St, Ste 4Montoursville, PA 17754-2419 · Phone (570) 368-2870 · Fax (570) 368-4463

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

Mr. Alexander V. Mezentsev 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 ID6002098050

PECOS Enrollment IDI20110311000258

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 4

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.

283 services167 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.

107 services94 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.

36 services35 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

26 services25 patients

Hospital Affiliations CMS Care Compare

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

Upmc Williamsport

Acute Care Hospitals · Williamsport, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390045

Location700 High StreetWilliamsport, PA 17701 · Lycoming County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17756 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 5

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

9 suppliers18 claims68 services$5.87 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims17 services$15.10 avg. paid by Medicare

Neuromuscular stimulator, electronic shock unit E0745

DME-Other DME · category DE000N

1 supplier15 claims15 services$70.02 avg. paid by Medicare

External ambulatory infusion pump, insulin E0784

DME-Other DME · category DE017N

2 suppliers11 claims11 services$279.41 avg. paid by Medicare

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

5 suppliers51 claims51 services$195.20 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 17

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

KAITLYN HILL PA-C

Physician Assistant