RUDOLPH A ANTONCIC III MD
NPI 1871667907
Internal Medicine in Mckeesport, PA

Active since November 20, 2006PECOS EnrolledAccepts Medicare Assignment
5301 WALNUT ST, MCKEESPORT, PA 15132(412) 751-4400(412) 751-4881 Get Directions Write a Review

NPPES record last updated: December 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 15, 2022, Oct 6, 2020 (2 updates tracked since 2020).

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

NPI1871667907
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRUDOLPH A ANTONCIC IIICredential: MD
Location Address5301 WALNUT STMckeesport, PA 15132-6327
Mailing Address2255 Greenock Buena Vista RdMckeesport, PA 15135-3007 · (412) 751-4400 · Fax (412) 751-4881
Fax(412) 751-4881
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateNovember 20, 2006
Last NPPES UpdateDecember 15, 20222 updates tracked since enumeration
NPPES CertifiedDecember 15, 2022
NPI 1871667907 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 · MD418006
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.

5301 WALNUT ST, Mckeesport, PA 15132

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

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.

PECOS PAC ID1951400605
PECOS Enrollment IDI20070621000418
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
286 services44 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
45 services32 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
23 services21 patients

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, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390265
Location565 Coal Valley RoadJefferson Hills, PA 15025 · Allegheny County
Emergency services Birthing friendly

Physician 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.

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.

Reported Quality Measures

Colorectal Cancer Screening
39%161 patients2/55-star benchmark: 88%
Controlling High Blood Pressure
70%108 patients4/55-star benchmark: 91%
Diabetes: Eye Exam
3%32 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
97%32 patients1/55-star benchmark: 91%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
40%220 patients2/55-star benchmark: 98%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
33%252 patients3/55-star benchmark: 61%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

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
2 suppliers11 claims11 services$181.61 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

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

Internal Medicine
5301 WALNUT ST
MCKEESPORT, PA 15132

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.

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 with the weekly NPPES data releases published by CMS.