DR. KATHLEEN ANN MCHALE M.D.
NPI 1922024793
Orthopaedic Surgery in Wilkes Barre, PA
About Dr. Kathleen Ann Mchale M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. KATHLEEN ANN MCHALE M.D. (NPI 1922024793) is an individual orthopaedic surgery provider in Wilkes Barre, Pennsylvania, licensed in Pennsylvania (MD441945) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Inova Alexandria Hospital, and is a graduate of Medical College Of Pennsylvania (1975).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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
Dr. Kathleen Ann Mchale M.d. 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 Reassignments
5Medicare enrollment records show Kathleen Mchale reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Wilkes Barre, PA 18711
- Reassigned Medicare billing, Pennsylvania enrollment
- 4,429 clinicians in this Medicare group
Milton, PA 17847
- Reassigned Medicare billing, Pennsylvania enrollment
- 3,080 clinicians in this Medicare group
Abingdon, MD 21009
- Reassigned Medicare billing, District of Columbia enrollment
- 374 clinicians in this Medicare group
Leesburg, VA 20176
- Reassigned Medicare billing, District of Columbia enrollment
- 135 clinicians in this Medicare group
Springfield, IL 62702
- Reassigned Medicare billing, Illinois enrollment
- 645 clinicians in this Medicare group
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
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.
Inova Alexandria Hospital
Acute Care Hospitals · Alexandria, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 18702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
WILKES BARRE, PA 18702
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 Kathleen Mchale's NPI number?
The NPI number for Kathleen Mchale is 1922024793. It was assigned to this individual provider in the NPPES registry on July 14, 2006.
Where is Kathleen Mchale located?
Kathleen Mchale practices at 1175 East Mountain Blvd, Wilkes Barre, PA 18702. The listed phone number is (570) 808-1093.
What is Kathleen Mchale's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Kathleen Mchale enrolled in Medicare?
Yes. Kathleen Mchale 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 organizations bill Medicare for Kathleen Mchale's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Mchale reassigns Medicare benefits to 5 organizations: Geisinger Clinic (Wilkes Barre, PA), Wellspan Medical Group (Milton, PA), Centers For Advanced Orthopaedics, LLC (Abingdon, MD), Loudoun Medical Group, PC (Leesburg, VA) and Siu Physicians & Surgeons, Inc (Springfield, IL). Each 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 Kathleen Mchale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kathleen Mchale accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Kathleen Mchale 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.
Is Kathleen Mchale affiliated with any hospitals?
According to CMS data, Kathleen Mchale is affiliated with Inova Alexandria Hospital.
When was this NPI record last updated?
The NPPES record for Kathleen Mchale was last updated on November 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.
# Dr. Kathleen Ann Mchale, M.D. · NPI 1922024793
Orthopaedic Surgery physician in Wilkes Barre, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1922024793 (Entity type: Individual)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** MD441945 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 1175 EAST MOUNTAIN BLVD, Wilkes Barre, PA 18702-7906
- **Phone:** (570) 808-1093 · **Fax:** (570) 808-7878
## 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:** 5 organizations under Medicare reassignment (form CMS-855R): Geisinger Clinic (NPI 1316999782, Wilkes Barre, PA); Wellspan Medical Group (NPI 1942002811, Milton, PA); Centers For Advanced Orthopaedics, LLC (NPI 1881033496, Abingdon, MD); Loudoun Medical Group, PC (NPI 1679591440, Leesburg, VA); Siu Physicians & Surgeons, Inc (NPI 1558385989, Springfield, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Medical College Of Pennsylvania, class of 1975
## Record status
- **NPPES last updated:** November 17, 2025
- **Other identifiers:** Medicaid 1922024793 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1922024793) · Data from the CMS NPPES public registry.