1. Home
  2. Directory
  3. Pennsylvania
  4. Pittsburgh
  5. Internal Medicine
  6. NPI Profile

JOHN PACELLA MD
NPI 1972530517
Internal Medicine - Cardiovascular Disease in Pittsburgh, PA

Active since June 27, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP ST WING 5B, PITTSBURGH, PA 15213(412) 647-3087 Get Directions Write a Review

NPPES record last updated: May 23, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 23, 2022, Apr 6, 2021 (2 updates tracked since 2021).

About John Pacella Md NPPES

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

JOHN PACELLA MD (NPI 1972530517) is an individual cardiovascular disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD071231L) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Upmc Mckeesport Hospital, and is a graduate of University Of Pittsburgh School Of Medicine (1998).

NPPES Registry Identity

NPI1972530517
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJOHN PACELLACredential: MD
Location AddressUPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP ST WING 5BPittsburgh, PA 15213-2535
Mailing AddressUpmc Heart And Vascular Institute, 3600 Meyran Avenue, Forbes Tower, Suite 9055Pittsburgh, PA 15213
Phone(412) 647-3087
Sole ProprietorNo
Medical School CMSUniversity Of Pittsburgh School Of MedicineGraduated 1998
Enumeration DateJune 27, 2006
Last NPPES UpdateMay 23, 20222 updates tracked since enumeration
NPPES CertifiedMay 23, 2022
✔ NPI 1972530517 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in PA · MD071231L
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal Medicine · Interventional CardiologyTaxonomy 207RI0011X · License MD071231L (PA)
UPMC HEART AND VASCULAR INSTITUTE, Pittsburgh, PA 15213
Open in Google Maps ↗

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

John Pacella 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 ID6305841552
PECOS Enrollment IDI20060922000195
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 10

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
2,370 services1,736 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
178 services177 patients
Anticoagulant management of patient taking warfarin 93793
Anticoagulant management with warfarin involves monitoring and adjusting your medication to prevent blood clots while minimizing the risk of bleeding. Regular blood tests measure your response to warfarin, helping adjust your dose if necessary. It's crucial to maintain a consistent diet and promptly report any changes in your health.
149 services12 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
101 services100 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
96 services92 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
56 services37 patients

Hospital Affiliations CMS Care Compare 5

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

Upmc Mckeesport Hospital

Acute Care Hospitals · Mc Keesport, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390002
Location1500 Fifth AvenueMc Keesport, PA 15132 · Allegheny County
Emergency services

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Penn Highlands Mon Valley

Acute Care Hospitals · Monongahela, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390147
Location1163 Country Club RoadMonongahela, PA 15063 · Washington County
Emergency services

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390164
Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County
Emergency services

Upmc East

Acute Care Hospitals · Monroeville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390328
Location2775 Mosside BoulevardMonroeville, PA 15146 · Allegheny County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15213 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
$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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

Other Providers at the Same Location NPPES 3

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

ASHLEY LEE
Internal Medicine (Interventional Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH
PITTSBURGH, PA 15213
Allegheny County (412) 647-6000
CATALIN TOMA
Internal Medicine (Interventional Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B, PUH
PITTSBURGH, PA 15213
Allegheny County (412) 647-6000
GAVIN WILLIAM HICKEY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
UPMC HEART AND VASCULAR INSTITUTE, 200 LOTHROP STREET, 5B
PITTSBURGH, PA 15213
Allegheny County (412) 647-2345

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 John Pacella's NPI number?

The NPI number for John Pacella is 1972530517. It was assigned to this individual provider in the NPPES registry on June 27, 2006.

Where is John Pacella located?

John Pacella practices at Upmc Heart And Vascular Institute 200 Lothrop St Wing 5B, Pittsburgh, PA 15213. The listed phone number is (412) 647-3087.

What is John Pacella's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is John Pacella enrolled in Medicare?

Yes. John Pacella 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 John Pacella affiliated with any hospitals?

According to CMS data, John Pacella is affiliated with Upmc Mckeesport Hospital, Upmc Mercy, Penn Highlands Mon Valley, Upmc Presbyterian Shadyside and Upmc East.

When was this NPI record last updated?

The NPPES record for John Pacella was last updated on May 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.