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ANDREW BILLON M.D.
NPI 1922086131
Surgery in Indiana, PA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
841 HOSPITAL RD, INDIANA, PA 15701(724) 463-1414(724) 463-1541 Get Directions Write a Review

NPPES record last updated: March 12, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Andrew Billon M.d. NPPES

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

ANDREW BILLON M.D. (NPI 1922086131) is an individual surgery provider in Indiana, Pennsylvania, licensed in Pennsylvania (MD037129E) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Indiana Regional Medical Center, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1922086131
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameANDREW BILLONCredential: M.D.
Location Address841 HOSPITAL RDIndiana, PA 15701-3620
Mailing Address841 Hospital Rd, Suite 2300Indiana, PA 15701-3620 · (724) 463-1414 · Fax (724) 463-1541
Phone(724) 463-1414
Fax(724) 463-1541
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateJanuary 6, 2006
Last NPPES UpdateMarch 12, 2021
NPPES CertifiedMarch 12, 2021
✔ NPI 1922086131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in PA · MD037129E
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
841 HOSPITAL RD, Indiana, PA 15701
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Other Identifiers 1

Medicaid0011842250003PA

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

Andrew Billon 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 ID840226593
PECOS Enrollment IDI20101206000446
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 5

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.
48 services40 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
29 services29 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
25 services23 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
15 services15 patients
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.
12 services11 patients

Hospital Affiliations CMS Care Compare

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

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15701 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.

DR. ASHOK CHADDAH MD
Internal Medicine (Nephrology)
841 HOSPITAL RD, SUITE 3500
INDIANA, PA 15701
Indiana County (724) 349-8636
INDIANA REGIONAL MEDICAL CENTER
Clinic/Center (Rural Health)
841 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 427-2797
MICHELE J JOHNSTON CRNA
Nurse Anesthetist, Certified Registered
841 HOSPITAL RD
INDIANA, PA 15701
Indiana County (724) 465-1922
MARK E. BOYKIW, M.D.
Specialist
841 HOSPITAL RD, SUITE 3100
INDIANA, PA 15701
Indiana County (724) 349-3170
MARK E BOYKIW M.D.
Surgery
841 HOSPITAL RD, SUITE 3100
INDIANA, PA 15701
Indiana County (724) 349-3170
DR. LEONARD ERIC MALIVER M.D.
Urology
841 HOSPITAL RD, SUITE 2400
INDIANA, PA 15701
Indiana County (724) 349-7820
THOMAS JEFFREY SEIFERT R. PH.
Pharmacist
841 HOSPITAL RD, DIAMOND DRUGS
INDIANA, PA 15701
Indiana County (724) 463-3440
DR. GREGG W WILSON DMD
Dentist (Oral and Maxillofacial Surgery)
841 HOSPITAL RD, STE 2700
INDIANA, PA 15701
Indiana County (724) 349-6483

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 Andrew Billon's NPI number?

The NPI number for Andrew Billon is 1922086131. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Andrew Billon located?

Andrew Billon practices at 841 Hospital Rd, Indiana, PA 15701. The listed phone number is (724) 463-1414.

What is Andrew Billon's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Andrew Billon enrolled in Medicare?

Yes. Andrew Billon 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 Andrew Billon affiliated with any hospitals?

According to CMS data, Andrew Billon is affiliated with Indiana Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Andrew Billon was last updated on March 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.