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KATHERINE MARIE MEHALIK OD
NPI 1851938039
Optometrist in Pittsburgh, PA

Active since December 05, 2019PECOS EnrolledAccepts Medicare Assignment
5301 GROVE RD STE B5301, PITTSBURGH, PA 15236(412) 884-2020 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 28, 2021, Dec 2, 2020, Sep 16, 2020 and 1 more (4 updates tracked since 2019).

About Katherine Marie Mehalik Od NPPES

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

KATHERINE MARIE MEHALIK OD (NPI 1851938039) is an individual optometrist in Pittsburgh, Pennsylvania, licensed in Pennsylvania (OEG003590) and active in the NPI registry since December 2019. She is enrolled in Medicare PECOS and is a graduate of Pennsylvania College Of Optometry (2019).

NPPES Registry Identity

NPI1851938039
Entity TypeIndividualFemale
Primary Taxonomy152W00000X
Provider Legal NameKATHERINE MARIE MEHALIKCredential: OD
Location Address5301 GROVE RD STE B5301Pittsburgh, PA 15236-1691
Mailing Address5301 Grove Rd Ste B5301Pittsburgh, PA 15236-1691
Phone(412) 884-2020
Sole ProprietorYes
Medical School CMSPennsylvania College Of OptometryGraduated 2019
Enumeration DateDecember 5, 2019
Last NPPES UpdateSeptember 28, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1851938039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyOptometristEye and Vision Services Providers
Taxonomy Code152W00000X
License✔ Licensed in PA · OEG003590
Definition
Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system.
Also ListedOphthalmologyTaxonomy 207W00000X · License OEG003590 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License OEG003590 (PA)
5301 GROVE RD STE B5301, Pittsburgh, PA 15236
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 and more.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

Katherine Marie Mehalik Od 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 ID8628492964
PECOS Enrollment IDI20200819000414
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 complete exam of visual system 92014
An established patient complete exam of the visual system involves a thorough check of your eyes and vision. It assesses eye health, checks for diseases, and measures your ability to see clearly at different distances. It's a routine, non-invasive procedure.
72 services62 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.
23 services17 patients
New patient complete exam of visual system 92004
A new patient complete exam of the visual system is a thorough evaluation of your eyes and vision. It checks for any potential issues and assesses overall eye health. It includes tests for visual acuity, eye movement, and light response.
16 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15236 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
$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.

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 Katherine Mehalik's NPI number?

The NPI number for Katherine Mehalik is 1851938039. It was assigned to this individual provider in the NPPES registry on December 5, 2019.

Where is Katherine Mehalik located?

Katherine Mehalik practices at 5301 Grove Rd Ste B5301, Pittsburgh, PA 15236. The listed phone number is (412) 884-2020.

What is Katherine Mehalik's specialty?

The primary specialty registered for this NPI is Optometrist with taxonomy code 152W00000X.

Is Katherine Mehalik enrolled in Medicare?

Yes. Katherine Mehalik 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 Katherine Mehalik accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Buckeye Health Plan, Blue Cross Blue Shield of Wyoming and Blue Cross and Blue Shield of Louisiana and 6 other insurers list Katherine Mehalik 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.

When was this NPI record last updated?

The NPPES record for Katherine Mehalik was last updated on September 28, 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.