KATHRYN LYN SCULLY PA-C
NPI 1861090359
Physician Assistant in Fairview, PA

Q: What is Kathryn Scully's NPI number?

The NPI number for Kathryn Scully is 1861090359. It was assigned to this individual provider in the NPPES registry on October 15, 2020.

Q: What is Kathryn Scully's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Kathryn Scully was last updated on July 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 15, 2020PECOS EnrolledAccepts Medicare Assignment

7287 W RIDGE RD, FAIRVIEW, PA 16415(814) 877-2360(814) 877-3561 Get Directions Write a Review

NPPES record last updated: July 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 25, 2024, Feb 14, 2023, Feb 5, 2023 and 2 more (5 updates tracked since 2020).

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About Kathryn Lyn Scully Pa-c NPPES

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

KATHRYN LYN SCULLY PA-C (NPI 1861090359) is an individual physician assistant in Fairview, Pennsylvania, licensed in Pennsylvania (OA006347) and active in the NPI registry since October 2020. She is enrolled in Medicare PECOS, is affiliated with Saint Vincent Hospital, and maintains a secondary practice location in North East.

NPPES Registry Identity

NPI1861090359

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameKATHRYN LYN SCULLYCredential: PA-C

Location Address7287 W RIDGE RDFairview, PA 16415

Mailing Address7287 W Ridge RdFairview, PA 16415-1130 · (814) 877-2360 · Fax (814) 877-7715

Phone(814) 877-2360

Fax(814) 877-3561

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateOctober 15, 2020

Last NPPES UpdateJuly 25, 20245 updates tracked since enumeration

NPPES CertifiedJuly 25, 2024

✔ NPI 1861090359 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · OA006347

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.

Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License MA061933 (PA)

7287 W RIDGE RD, Fairview, PA 16415

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Secondary Practice Location 1

Location 12060 N Pearl StNorth East, PA 16428-1999 · Phone (814) 877-7711 · Fax (814) 877-7715

Other Identifiers 1

Medicaid1098405700001PA

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

Kathryn Lyn Scully 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 ID6406228386

PECOS Enrollment IDI20230203000102

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 3

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.

123 services101 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.

36 services34 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.

14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

Saint Vincent Hospital

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390009

Location232 West 25th StreetErie, PA 16544 · Erie County

Emergency services Birthing friendly

Upmc Hamot

Acute Care Hospitals · Erie, PA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390063

Location201 State StreetErie, PA 16550 · Erie County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16415 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.

Other Providers at the Same Location NPPES 11

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

CHRISTINA PETERSON

Nurse Practitioner