SHEELA KERSTETTER
NPI 1932235686
Dermatology in Altoona, PA

Active since February 26, 2007PECOS EnrolledAccepts Medicare Assignment
73.64/100
CMS Quality Rating
1414 9TH AVE, STATION MEDICAL CENTER, ALTOONA, PA 16602(814) 946-1655 Get Directions Write a Review

NPPES record last updated: April 6, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Sheela Kerstetter NPPES

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

SHEELA KERSTETTER (NPI 1932235686) is an individual dermatology provider in Altoona, Pennsylvania, licensed in Pennsylvania (MD440114) and active in the NPI registry since February 2007. She is enrolled in Medicare PECOS, is affiliated with Upmc Altoona, and is a graduate of Boston University School Of Medicine (2005).

NPPES Registry Identity

NPI1932235686
Entity TypeIndividualFemale
Primary Taxonomy207N00000X
Provider Legal NameSHEELA KERSTETTER
Location Address1414 9TH AVE, STATION MEDICAL CENTERAltoona, PA 16602-2415
Mailing Address1414 9th Ave, Station Medical CenterAltoona, PA 16602-2415
Sole ProprietorNo
Medical School CMSBoston University School Of MedicineGraduated 2005
Enumeration DateFebruary 26, 2007
Last NPPES UpdateApril 6, 2021
NPI 1932235686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License Licensed in PA · MD440114
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
1414 9TH AVE, Altoona, PA 16602

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

Sheela Kerstetter 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 ID2062568066
PECOS Enrollment IDI20110202000377
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 20

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.

Aminolevulinic acid hcl for topical administration, 10% gel, 10 mg J7345
Aminolevulinic acid hcl is a topical gel used to treat certain skin conditions. It works by making affected skin cells more sensitive to light, which is then used to destroy these cells. The gel is applied by a healthcare professional.
10,400 services31 patients
Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
1,004 services229 patients
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.
490 services346 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
426 services307 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.
377 services377 patients
Biopsy of related skin growth, first growth 11102
A biopsy of a skin growth involves taking a small sample of the growth to examine it under a microscope. This helps determine if the growth is harmful. The procedure is typically quick, with minimal discomfort. It's a crucial step in ensuring your skin's health.
312 services263 patients

Hospital Affiliations CMS Care Compare

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

Upmc Altoona

Acute Care Hospitals · Altoona, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390073
Location620 Howard AvenueAltoona, PA 16601 · Blair County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16602 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.

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.

73.64/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.81
Promoting Interoperability100
Improvement Activities40
Cost42.34

Reported Quality Measures

Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
69%470 patients3/55-star benchmark: 100%
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.

Other Providers at the Same Location NPPES 20

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

Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Urology
1414 9TH AVE
ALTOONA, PA 16602
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Physician Assistant
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Podiatrist (Foot & Ankle Surgery)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1414 9TH AVE
ALTOONA, PA 16602

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 Sheela Kerstetter's NPI number?

The NPI number for Sheela Kerstetter is 1932235686. It was assigned to this individual provider in the NPPES registry on February 26, 2007.

Where is Sheela Kerstetter located?

Sheela Kerstetter practices at 1414 9th Ave Station Medical Center, Altoona, PA 16602. The listed phone number is (814) 946-1655.

What is Sheela Kerstetter's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Sheela Kerstetter enrolled in Medicare?

Yes. Sheela Kerstetter 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 Sheela Kerstetter affiliated with any hospitals?

According to CMS data, Sheela Kerstetter is affiliated with Upmc Altoona.

When was this NPI record last updated?

The NPPES record for Sheela Kerstetter was last updated on April 6, 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.