DR. STEPHEN WACHTEL MD
NPI 1255361697
Pathology - Anatomic Pathology & Clinical Pathology in Uniontown, PA
NPI Status: Active since July 03, 2006
Contact Information
500 W BERKELEY ST
UNIONTOWN, PA
ZIP 15401
Phone: (724) 430-5159
Fax: (724) 430-3382
- Individual
- Male
- Pathology
- Anatomic Pathology & Clinical Pathology
- PECOS Enrolled
About STEPHEN WACHTEL
This page provides the complete NPI Profile along with additional information for Stephen Wachtel, a provider established in Uniontown, Pennsylvania with a medical specialization in Pathology, focusing in anatomic pathology & clinical pathology . The healthcare provider is registered in the NPI registry with number 1255361697 assigned on July 2006. The practitioner's primary taxonomy code is 207ZP0102X with license number MD 057323-L (PA). The provider is registered as an individual and his NPI record was last updated 17 years ago.
- NPI
- 1255361697
- Provider Name
- DR. STEPHEN WACHTEL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 500 W BERKELEY ST UNIONTOWN, PA 15401
- Location Phone
- (724) 430-5159
- Location Fax
- (724) 430-3382
- Mailing Address
- PO BOX 1198 SOMERSET, PA 15501
- Mailing Phone
- (814) 444-8910
- Mailing Fax
- (724) 430-3382
- Is Sole Proprietor?
- No
- Enumeration Date
- 07-03-2006
- Last Update Date
- 06-30-2008
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Anatomic Pathology & Clinical Pathology
- Taxonomy Code
- 207ZP0102X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- MD 057323-L
- License State
- PA
- Taxonomy Description
- A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
WA674812 | OTHER (01) | PA | BLUE SHIELD |
0401455000 | OTHER (01) | PA | PERSONAL CHOICE |
220032417 | MEDICARE PIN (08) | PA | |
G41498 | MEDICARE UPIN (02) | PA | |
674812P38 | MEDICARE PIN (08) | PA | |
0401455000 | OTHER (01) | PA | INDEPENDENCE BLUE CROSS |
0016088570002 | MEDICAID (05) | PA |
Medicare Participation & PECOS Enrollment Status
Stephen Wachtel is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 15401 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $126.34
- Minimum New Patient Price $54.64
- Maximum New Patient Price $166.87
- Average New Patient Copayment $31.58
- Minimum New Patient Copayment $13.66
- Maximum New Patient Copayment $41.71
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $96.82
- Minimum Established Patient Price $17.33
- Maximum Established Patient Price $135.84
- Average Established Patient Copayment $24.2
- Minimum Established Patient Copayment $4.33
- Maximum Established Patient Copayment $33.96
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 2 | 5 | 5 | 3 | 6 | 1 | 6 | 9 | 7 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 2 | 10 | 5 | 6 | 6 | 2 | 6 | 18 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 2 + 1 + 0 + 5 + 6 + 6 + 2 + 6 + 1 + 8 + 24 = 63 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 63 = 7 | 7 |
The NPI number 1255361697 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1477554087 | CHARLES DEAN CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1487655676 | MILENA JANICIJEVIC M.D. Individual | Anesthesiology | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1093716292 | DONNA SUE TEEGARDEN CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1023007937 | LAUREL MEDICAL IMAGING ASSOC Organization | Radiology (Diagnostic Radiology) | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5867 |
1841267283 | CHERYL J CESARIO CRNP Individual | Nurse Practitioner | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1033186440 | DAWN L BICKERTON PA-C Individual | Physician Assistant (Medical) | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1437126877 | KRZYSZTOF S BIWOJNO MD Individual | Emergency Medicine | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1659348001 | BEVERLY HONCHOREK CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1194792556 | CAROL D PALAISA CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1649247818 | CATALDO F CORRADO MD Individual | Emergency Medicine | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5066 |
1578530762 | THOMAS R KEARNS MD Individual | Emergency Medicine | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1124096078 | ROGER A GOEBEL MD Individual | Emergency Medicine | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1184691172 | RENEE L HARVEY CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1518934520 | COLEEN A ROBAUGH CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1447227459 | JOSEPH YUHAS CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1326016213 | KATHRYN J MATULAY CRNP Individual | Nurse Practitioner | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1801855457 | KIMBERLY B WATT PA-C Individual | Physician Assistant (Medical) | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5108 |
1366402463 | RALPH PADILLA CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
1992767669 | HEATHER L MARSCIO RD Individual | Dietitian, Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 430-5049 |
1013972330 | CATHERINE THOMPSON CRNA Individual | Nurse Anesthetist, Certified Registered | 500 W BERKELEY ST UNIONTOWN, PA 15401 (724) 437-6730 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1255361697, enumerated in the NPI registry as an "individual" on July 03, 2006
The provider is located at 500 W Berkeley St Uniontown, Pa 15401 and the phone number is (724) 430-5159
The provider's speciality is Pathology with taxonomy code 207ZP0102X with a focus in Anatomic Pathology & Clinical Pathology
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $126.34 with an average copayment of $31.58 for new patient appointments. Established patients should expect a typical charge of $96.82 and an average copayment of 24.2. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on July 03, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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