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RACHAEL E LAMKIN-WEAVER PA-C
NPI 1982931507
Physician Assistant in Altoona, PA

Active since November 04, 2009PECOS EnrolledAccepts Medicare Assignment
72.57/100
CMS Quality Rating
1414 9TH AVE, ALTOONA, PA 16602(814) 946-1655 Get Directions Write a Review

NPPES record last updated: August 9, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 9, 2021, Apr 6, 2021 (2 updates tracked since 2021).

About Rachael E Lamkin-weaver Pa-c NPPES

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

RACHAEL E LAMKIN-WEAVER PA-C (NPI 1982931507) is an individual physician assistant in Altoona, Pennsylvania, licensed in Pennsylvania (MA054109) and active in the NPI registry since November 2009. She is enrolled in Medicare PECOS, is affiliated with Mount Nittany Medical Center, and maintains a secondary practice location in State College.

NPPES Registry Identity

NPI1982931507
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameRACHAEL E LAMKIN-WEAVERCredential: PA-C
Location Address1414 9TH AVEAltoona, PA 16602-2415
Mailing Address1414 9th AveAltoona, PA 16602-2415
Phone(814) 946-1655
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateNovember 4, 2009
Last NPPES UpdateAugust 9, 20212 updates tracked since enumeration
NPPES CertifiedAugust 9, 2021
✔ NPI 1982931507 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · MA054109
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1414 9TH AVE, Altoona, PA 16602
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Other Names 1

Former Name (1)Rachael E Lamkin Pa-c

Secondary Practice Location 1

Location 12121 Old Gatesburg Rd Ste 100State College, PA 16803-2290 · Phone (814) 231-6868 · Fax (814) 231-1581

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

Rachael E Lamkin-weaver Pa-c 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 ID6901946946
PECOS Enrollment IDI20091222000605
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 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.
101 services77 patients
Prolonged office or other outpatient evaluation and management service(s) beyond the maximum required time of the primary procedure which has been selected using total time on the date of the primary service; each additional 15 minutes by the physician or G2212
This service refers to extended doctor visits where your healthcare provider spends additional time evaluating and managing your health beyond the primary procedure's required time. This includes each extra 15 minutes spent by the physician on the same day as the primary service.
94 services53 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.
72 services62 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.
25 services24 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Mount Nittany Medical Center

Acute Care Hospitals · State College, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390268
Location1800 East Park AveState College, PA 16803 · Centre 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.

72.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality55.12
Promoting Interoperability98
Improvement Activities40
Cost55.13

Referred Medical Equipment & Supplies CMS DME claims 11

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
1 supplier11 claims44 services$18.39 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
2 suppliers11 claims11 services$106.30 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
2 suppliers12 claims31 services$38.96 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
4 suppliers14 claims55 services$19.13 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
4 suppliers19 claims19 services$54.02 avg. paid by Medicare
Headgear used with positive airway pressure device A7035
DME-Other DME · category DE001N
5 suppliers20 claims20 services$18.08 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 20

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

BLAIR MEDICAL ASSOCIATES
Family Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 949-7621
THEODORE BELIS
Urology
1414 9TH AVE
ALTOONA, PA 16602
Blair County (814) 946-1655
BLAIR MEDICAL ASSOCIATES
Internal Medicine
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
RAPHAEL VOLTZ
Physician Assistant
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
NATASHA D. MCCARTNEY
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
MICHAEL L HUMPHREY D.O.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
BLAIR MEDICAL ASSOCIATES
Podiatrist (Foot & Ankle Surgery)
1414 9TH AVE, STATION MEDICAL CENTER
ALTOONA, PA 16602
Blair County (814) 946-1655
JONATHAN HOLTZ
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
1414 9TH AVE
ALTOONA, PA 16602
Blair County (814) 946-1655

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 Rachael Lamkin-weaver's NPI number?

The NPI number for Rachael Lamkin-weaver is 1982931507. It was assigned to this individual provider in the NPPES registry on November 4, 2009. The provider is also known as Rachael E Lamkin Pa-C.

Where is Rachael Lamkin-weaver located?

Rachael Lamkin-weaver practices at 1414 9th Ave, Altoona, PA 16602. The listed phone number is (814) 946-1655.

What is Rachael Lamkin-weaver's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rachael Lamkin-weaver enrolled in Medicare?

Yes. Rachael Lamkin-weaver 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 Rachael Lamkin-weaver accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Rachael Lamkin-weaver 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 Rachael Lamkin-weaver affiliated with any hospitals?

According to CMS data, Rachael Lamkin-weaver is affiliated with Mount Nittany Medical Center.

When was this NPI record last updated?

The NPPES record for Rachael Lamkin-weaver was last updated on August 9, 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.