KORINA SHULEMOVICH MACHTAY MD
NPI 1942240148
Internal Medicine - Endocrinology, Diabetes & Metabolism in Lancaster, PA

Active since June 07, 2006PECOS EnrolledAccepts Medicare Assignment
71.17/100
CMS Quality Rating
2221 NOLL DR STE 2000, LANCASTER, PA 17603(717) 715-1001(717) 431-2321 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Korina Shulemovich Machtay Md NPPES

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

KORINA SHULEMOVICH MACHTAY MD (NPI 1942240148) is an individual endocrinology, diabetes & metabolism provider in Lancaster, Pennsylvania, licensed in Pennsylvania (MD052565L) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Penn State Health St. Joseph, and is a graduate of Johns Hopkins University School Of Medicine (1987).

NPPES Registry Identity

NPI1942240148
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameKORINA SHULEMOVICH MACHTAYCredential: MD
Location Address2221 NOLL DR STE 2000Lancaster, PA 17603-7614
Mailing Address2221 Noll Dr Ste 2000Lancaster, PA 17603-7614 · (717) 715-1001 · Fax (717) 431-2321
Fax(717) 431-2321
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 1987
Enumeration DateJune 7, 2006
Last NPPES UpdateMay 27, 2021
NPPES CertifiedMay 27, 2021
NPI 1942240148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PA · MD052565L
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
2221 NOLL DR STE 2000, Lancaster, PA 17603

Other Identifiers 2

Other544473PA · Blue Shield
Medicaid0064450OH

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

Korina Shulemovich Machtay 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 ID2860650199
PECOS Enrollment IDI20210603002165
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 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.
185 services87 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
112 services66 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.
28 services22 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Blood glucose (sugar) level 82947
A blood glucose level test measures the amount of sugar in your blood. It's often used to monitor and manage conditions like diabetes. High or low levels can indicate a health issue. The test is usually done by pricking your finger for a small blood sample.
11 services11 patients

Hospital Affiliations CMS Care Compare 4

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

Penn State Health St. Joseph

Acute Care Hospitals · Reading, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390096
Location2500 Bernville RoadReading, PA 19605 · Berks County
Emergency services Birthing friendly

Lancaster General Hospital

Acute Care Hospitals · Lancaster, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390100
Location555 North Duke StreetLancaster, PA 17602 · Lancaster County
Emergency services Birthing friendly

Milton S Hershey Medical Center

Acute Care Hospitals · Hershey, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390256
Location500 University DriveHershey, PA 17033 · Dauphin County
Emergency services Birthing friendly

Penn State Health Lancaster Medical Center

Acute Care Hospitals · Lancaster, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390339
Location2160 State RoadLancaster, PA 17601 · Lancaster County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17603 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.

71.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality46.05
Promoting Interoperability99
Improvement Activities40
Cost58.7

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
5 suppliers11 claims49 services$6.58 avg. paid by Medicare
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
4 suppliers47 claims47 services$188.24 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 9

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

Nurse Practitioner (Pediatrics)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine (Gastroenterology)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Family Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Physician Assistant (Surgical)
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Orthopaedic Surgery
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Internal Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603
Family Medicine
2221 NOLL DR STE 2000
LANCASTER, PA 17603

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 Korina Machtay's NPI number?

The NPI number for Korina Machtay is 1942240148. It was assigned to this individual provider in the NPPES registry on June 7, 2006.

Where is Korina Machtay located?

Korina Machtay practices at 2221 Noll Dr Ste 2000, Lancaster, PA 17603. The listed phone number is (717) 715-1001.

What is Korina Machtay's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Korina Machtay enrolled in Medicare?

Yes. Korina Machtay 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 Korina Machtay affiliated with any hospitals?

According to CMS data, Korina Machtay is affiliated with Penn State Health St. Joseph, Lancaster General Hospital, Milton S Hershey Medical Center and Penn State Health Lancaster Medical Center.

When was this NPI record last updated?

The NPPES record for Korina Machtay was last updated on May 27, 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.