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ANDREW MARGOLIS
NPI 1821033846
Internal Medicine in Delmont, PA

Active since June 17, 2006PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
6530 ROUTE 22, SUITE 110, DELMONT, PA 15626(724) 468-6477 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Andrew Margolis NPPES

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

ANDREW MARGOLIS (NPI 1821033846) is an individual internal medicine provider in Delmont, Pennsylvania, licensed in Pennsylvania (MD042341E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Magee Womens Hospital Of Upmc Health System, and is a graduate of University Of Pittsburgh School Of Medicine (1987).

NPPES Registry Identity

NPI1821033846
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameANDREW MARGOLIS
Location Address6530 ROUTE 22, SUITE 110Delmont, PA 15626-2414
Mailing Address6530 Route 22, Suite 110Delmont, PA 15626-2414
Phone(724) 468-6477
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1987
Enumeration DateJune 17, 2006
Last NPPES UpdateApril 6, 2021
✔ NPI 1821033846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PA · MD042341E
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
6530 ROUTE 22, Delmont, PA 15626
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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

Andrew Margolis 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 ID4082758222
PECOS Enrollment IDI20100225000505
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 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.
194 services108 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.
100 services100 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.
34 services34 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.
27 services23 patients

Hospital Affiliations CMS Care Compare 4

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

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

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

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15626 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

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 3

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
5 suppliers22 claims52 services$5.31 avg. paid by Medicare
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
2 suppliers15 claims15 services$51.66 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$26.40 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 10

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

MARY ANN HYNES
Internal Medicine
6530 ROUTE 22, SUITE 110
DELMONT, PA 15626
Westmoreland County (724) 468-6477
GEORGE WAHAL
Internal Medicine
6530 ROUTE 22, SUITE 100
DELMONT, PA 15626
Westmoreland County (724) 468-6477
CLARE BUDD
Family Medicine
6530 ROUTE 22, SUITE 200
DELMONT, PA 15626
Westmoreland County (724) 468-5500
UPMC COMMUNITY MEDICINE INC
Internal Medicine
6530 ROUTE 22, SUITE 100
DELMONT, PA 15626
Westmoreland County (724) 468-6477
MS. ANDREA SHAFRAN MPT, CLP-LANA
Physical Therapist
6530 ROUTE 22, SUITE 100
DELMONT, PA 15626
Westmoreland County (724) 468-4541
PITTSBURGH EAST PSYCHIATRIC SERVICES
Psychiatry & Neurology (Psychiatry)
6530 ROUTE 22, SUITE 300
DELMONT, PA 15626
Westmoreland County (724) 461-7511
UPMC COMMUNITY MEDICINE INC
Non-Pharmacy Dispensing Site
6530 ROUTE 22, SALEM PLACE SUITE 200
DELMONT, PA 15626
Westmoreland County (724) 468-5500
JENNIFER SEPP
Specialist
6530 ROUTE 22, SUITE 200
DELMONT, PA 15626
Westmoreland County (724) 468-5500

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 Andrew Margolis's NPI number?

The NPI number for Andrew Margolis is 1821033846. It was assigned to this individual provider in the NPPES registry on June 17, 2006.

Where is Andrew Margolis located?

Andrew Margolis practices at 6530 Route 22 Suite 110, Delmont, PA 15626. The listed phone number is (724) 468-6477.

What is Andrew Margolis's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Andrew Margolis enrolled in Medicare?

Yes. Andrew Margolis 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 Andrew Margolis affiliated with any hospitals?

According to CMS data, Andrew Margolis is affiliated with Magee Womens Hospital Of Upmc Health System, Upmc Presbyterian Shadyside, Forbes Hospital and Upmc East.

When was this NPI record last updated?

The NPPES record for Andrew Margolis was last updated on April 6, 2021. 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.