RUDOLPH A ANTONCIC III MD
NPI 1871667907
Internal Medicine in Mckeesport, PA
About Rudolph A Antoncic Iii Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RUDOLPH A ANTONCIC III MD (NPI 1871667907) is an individual internal medicine provider in Mckeesport, Pennsylvania, licensed in Pennsylvania (MD418006) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Jefferson Hospital, and is a graduate of Other (1998).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Rudolph A Antoncic Iii Md 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.
Medicare Billing Reassignment
Medicare enrollment records show Rudolph Antoncic reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Mckeesport, PA 15132
- Reassigned Medicare billing, Pennsylvania enrollment
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jefferson Hospital
Acute Care Hospitals · Jefferson Hills, PAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 15132 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Rudolph Antoncic's NPI number?
The NPI number for Rudolph Antoncic is 1871667907. It was assigned to this individual provider in the NPPES registry on November 20, 2006.
Where is Rudolph Antoncic located?
Rudolph Antoncic practices at 5301 Walnut St, Mckeesport, PA 15132. The listed phone number is (412) 751-4400.
What is Rudolph Antoncic's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Rudolph Antoncic enrolled in Medicare?
Yes. Rudolph Antoncic 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.
Which organization bills Medicare for Rudolph Antoncic's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rudolph Antoncic reassigns Medicare benefits to Rudolph Antoncic III, M.D., P.C. (Mckeesport, PA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Rudolph Antoncic's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Rudolph Antoncic affiliated with any hospitals?
According to CMS data, Rudolph Antoncic is affiliated with Jefferson Hospital.
When was this NPI record last updated?
The NPPES record for Rudolph Antoncic was last updated on December 15, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Rudolph A Antoncic III, MD · NPI 1871667907
Internal Medicine physician in Mckeesport, Pennsylvania. Individual provider, active in the CMS NPPES registry since November 20, 2006.
## Identity
- **NPI:** 1871667907 (Entity type: Individual)
- **Enumerated:** November 20, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** MD418006 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 5301 WALNUT ST, Mckeesport, PA 15132-6327
- **Phone:** (412) 751-4400 · **Fax:** (412) 751-4881
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Rudolph Antoncic III, M.D., P.C. (NPI 1225236722, Mckeesport, PA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1998
## Record status
- **NPPES last updated:** December 15, 2022
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Source: [NPI Profile](https://npiprofile.com/npi/1871667907) · Data from the CMS NPPES public registry.