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DR. KATHLEEN ANN MCHALE M.D.
NPI 1922024793
Orthopaedic Surgery in Wilkes Barre, PA

Active since July 14, 2006PECOS EnrolledAccepts Medicare Assignment
1175 EAST MOUNTAIN BLVD, WILKES BARRE, PA 18702(570) 808-1093(570) 808-7878 Get Directions Write a Review

NPPES record last updated: November 17, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 17, 2025, Nov 29, 2022, Sep 16, 2022 and 6 more (9 updates tracked since 2017).

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

NPI1922024793
Entity TypeIndividualFemale
Primary Taxonomy207X00000X
Provider Legal NameDR. KATHLEEN ANN MCHALECredential: M.D.
Location Address1175 EAST MOUNTAIN BLVDWilkes Barre, PA 18702-7906
Mailing Address100 N Academy AveDanville, PA 17822-4903 · (570) 808-1093 · Fax (570) 808-7878
Phone(570) 808-1093
Fax(570) 808-7878
Sole ProprietorNo
Medical School CMSMedical College Of PennsylvaniaGraduated 1975
Enumeration DateJuly 14, 2006
Last NPPES UpdateNovember 17, 20259 updates tracked since enumeration
NPPES CertifiedNovember 17, 2025
✔ NPI 1922024793 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in PA · MD441945
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1175 EAST MOUNTAIN BLVD, Wilkes Barre, PA 18702
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Other Identifiers 1

Medicaid1922024793VA

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.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

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.

PECOS PAC ID2062474869
PECOS Enrollment IDI20041103000699
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

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 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.
49 services25 patients

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, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490040
Location4320 Seminary RdAlexandria, VA 22304 · Alexandria City County
Emergency services Birthing friendly

Physician 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.

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 4

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

SARAH STELMA
Orthopaedic Surgery
1175 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-1093
GEISINGER WYOMING VALLEY MEDICAL CENTER
Clinic/Center
1175 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-1093
KYLE MICHAEL RAKO MD, PHARMD
Orthopaedic Surgery
1175 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-1093
MACKENZIE FAITH SHERMAN PA-C
Physician Assistant
1175 EAST MOUNTAIN BLVD
WILKES BARRE, PA 18702
Luzerne County (570) 808-1093

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.

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 8 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.