MICHAEL J BUDAY PAC
NPI 1518947720
Physician Assistant - Surgical in Johnstown, PA
NPI Status: Active since January 23, 2006
Contact Information
321 MAIN ST
SUITE 3C
JOHNSTOWN, PA
ZIP 15901
Phone: (814) 535-6521
- Individual
- Male
- Years of Experience 28
- Physician Assistant
- Surgical
- Accepts Insurance
- Accepts Medicare Approved Payment
- PECOS Enrolled
- Medicare Quality Reporting
About MICHAEL BUDAY
This page provides the complete NPI Profile along with additional information for Michael Buday, a provider established in Johnstown, Pennsylvania with a medical specialization in Physician Assistant, focusing in surgical and more than 28 years of experience. The healthcare provider is registered in the NPI registry with number 1518947720 assigned on January 2006. The practitioner's primary taxonomy code is 363AS0400X with license number MA002047L (PA). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1518947720
- Provider Name
- MICHAEL J BUDAY PAC
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 321 MAIN ST SUITE 3C JOHNSTOWN, PA 15901
- Location Phone
- (814) 535-6521
- Mailing Address
- 640 KOLTER DR INDIANA, PA 15701
- Mailing Phone
- (724) 357-7196
- Mailing Fax
- Medical School Name
- OTHER
- Graduation Year
- 1998
- Is Sole Proprietor?
- No
- Enumeration Date
- 01-23-2006
- Last Update Date
- 10-01-2019
- 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
Physician Assistant Surgical
- Taxonomy Code
- 363AS0400X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- MA002047L
- License State
- PA
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Choice Bronze HSA - HMO
- Choice Bronze HSA + Vision + Adult Dental - HMO
- Clear Gold - HMO
- Clear Gold + Vision + Adult Dental - HMO
- Clear Silver - HMO
- Complete Gold - HMO
- Complete Gold + Vision + Adult Dental - HMO
- Complete Silver - HMO
- Complete Silver + Vision + Adult Dental - HMO
- Elite Bronze - HMO
- Elite Bronze + Vision + Adult Dental - HMO
- Elite Silver - HMO
- Elite Silver + Vision + Adult Dental - HMO
- Everyday Bronze - HMO
- Everyday Bronze + Vision + Adult Dental - HMO
- Everyday Gold - HMO
- Everyday Gold + Vision + Adult Dental - HMO
- Focused Silver - HMO
- Focused Silver + Vision + Adult Dental - HMO
- Standard Expanded Bronze - HMO
- Clear Gold - EPO
- Clear Gold + Vision + Adult Dental - EPO
- Complete Gold - EPO
- Complete Gold + Vision + Adult Dental - EPO
- Elite Silver - EPO
- Elite Silver + Vision + Adult Dental - EPO
- Everyday Bronze - EPO
- Everyday Bronze + Vision + Adult Dental - EPO
- Focused Silver - EPO
- Focused Silver + Vision + Adult Dental - EPO
- Premier Bronze HSA - EPO
- Premier Bronze HSA + Vision + Adult Dental - EPO
- Standard Expanded Bronze - EPO
- Standard Expanded Bronze + Vision + Adult Dental - EPO
- Standard Gold - EPO
- Standard Gold + Vision + Adult Dental - EPO
- Standard Silver - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Michael Buday is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Michael Buday 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
PECOS PAC ID: 1658329065
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050112000052
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Replacement of knee joint, both sides of knee
Replacement of thigh bone and hip joint with prosthesis
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
This service was performed 14 times for 14 patientsThis procedure, known as hip arthroplasty, involves replacing your damaged thigh bone and hip joint with artificial parts, called a prosthesis. It helps relieve pain, improve mobility, and enhance your quality of life.
This service was performed 14 times for 13 patientsQuality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
| Quality Measure | Performance | Number of Patients |
|---|---|---|
| Chronic Care and Preventative Care Management for Empaneled Patients | Yes | N/A |
| Proactively manage chronic and preventive care for empaneled patients that could include one or more of the following: • Provide patients annually with an opportunity for development and/or adjustment of an individualized plan of care as appropriate to age and health status, including health risk appraisal; gender, age and condition-specific preventive care services; and plan of care for chronic conditions; • Use condition-specific pathways for care of chronic conditions (e.g., hypertension, diabetes, depression, asthma and heart failure) with evidence-based protocols to guide treatment to target; such as a CDC-recognized diabetes prevention program; • Use pre-visit planning to optimize preventive care and team management of patients with chronic conditions; • Use panel support tools (registry functionality) to identify services due; • Use predictive analytical models to predict risk, onset and progression of chronic diseases; or • Use reminders and outreach (e.g., phone calls, emails, postcards, patient portals and community health workers where available) to alert and educate patients about services due; and/or routine medication reconciliation. | ||
| Documentation of Current Medications in the Medical Record | 92% | 63 |
| Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter. This list must include ALL known prescriptions, over-the-counters, herbals, and vitamin/mineral/dietary (nutritional) supplements AND must contain the medications' name, dosage, frequency and route of administration | ||
| Implementation of medication management practice improvements | Yes | N/A |
| Manage medications to maximize efficiency, effectiveness and safety that could include one or more of the following: Reconcile and coordinate medications and provide medication management across transitions of care settings and eligible clinicians or groups; Integrate a pharmacist into the care team; and/or Conduct periodic, structured medication reviews. | ||
| Measurement and Improvement at the Practice and Panel Level | Yes | N/A |
| Measure and improve quality at the practice and panel level, such as the American Board of Orthopaedic Surgery (ABOS) Physician Scorecards, that could include one or more of the following: • Regularly review measures of quality, utilization, patient satisfaction and other measures that may be useful at the practice level and at the level of the care team or MIPS eligible clinician or group (panel); and/or • Use relevant data sources to create benchmarks and goals for performance at the practice level and panel level. | ||
| Medication Reconciliation | 100% | 33 |
| The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician. | ||
| Patient-Specific Education | 14% | 78 |
| The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician. | ||
| Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 6% | 49 |
| Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous twelve months of the current encounter Normal Parameters: Age 18 years and older BMI >= 18.5 and < 25 kg/m2 | ||
| Provide Patient Access | 21% | 78 |
| At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold certain information. | ||
| Security Risk Analysis | Yes | N/A |
| Conduct or review a security risk analysis in accordance with the requirements in 45 CFR 164.308(a)(1), including addressing the security (to include encryption) of ePHI data created or maintained by certified EHR technology in accordance with requirements in 45 CFR164.312(a)(2)(iv) and 45 CFR 164.306(d)(3), and implement security updates as necessary and correct identified security deficiencies as part of the MIPS eligible clinician's risk management process. | ||
| Use of decision support and standardized treatment protocols | Yes | N/A |
| Use decision support and standardized treatment protocols to manage workflow in the team to meet patient needs. | ||
Find Provider Hospital Affiliations - Privileges
Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.
Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Buday is affiliated with the following medical facilities:
| Hospital Name | Address | Phone | Hospital Type | Overall Rating |
|---|---|---|---|---|
| CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER | 600 SOMERSET AVENUE WINDBER, PA 15963 | (814) 467-3000 | Acute Care Hospitals |
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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 | 5 | 1 | 8 | 9 | 4 | 7 | 7 | 2 | 0 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 5 | 2 | 8 | 18 | 4 | 14 | 7 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 5 + 2 + 8 + 1 + 8 + 4 + 1 + 4 + 7 + 4 + 24 = 70 | |||||||||
| Step 3: because the number obtained in step 2 ends in zero, the check digit is zero. | |||||||||
| 0 | |||||||||
The NPI number 1518947720 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508818410 | DR. THOMAS RICHARD ELLENBERGER JR. M.D. Individual | Internal Medicine | 321 MAIN ST SUITE 5D JOHNSTOWN, PA 15901 (814) 535-7885 |
| 1891734745 | CARDIOVASCULAR CARE, PC Organization | Internal Medicine (Cardiovascular Disease) | 321 MAIN ST SUITE 5H JOHNSTOWN, PA 15901 (814) 535-3310 |
| 1841223955 | RASHID NADEEM MD Individual | Internal Medicine (Pulmonary Disease) | 321 MAIN ST SUITE 5F JOHNSTOWN, PA 15901 (814) 536-9844 |
| 1558463117 | DR. NICHOLAS J. MASCIOTRA MD Individual | Specialist | 321 MAIN ST SUITE 4C JOHNSTOWN, PA 15901 (814) 536-7725 |
| 1003993007 | MRS. KIMBERLY R. WISNIEWSKI CRNP Individual | Nurse Practitioner (Acute Care) | 321 MAIN ST SUITE 5 G JOHNSTOWN, PA 15901 (814) 535-7721 |
| 1205990512 | MRS. NADIA EVA BERNARDY MPAS, PA-C Individual | Physician Assistant | 321 MAIN ST SUITE 3C JOHNSTOWN, PA 15901 (814) 535-6521 |
| 1235296039 | DR. YI YAN HONG M.D. Individual | Specialist | 321 MAIN ST SUITE 5-J JOHNSTOWN, PA 15901 (814) 533-8941 |
| 1023294394 | DONATO R CARUSI, M. D. Organization | Eyewear Supplier | 321 MAIN ST SUITE 4B JOHNSTOWN, PA 15901 (814) 535-7661 |
| 1962663534 | NICHOLAS J. MASCIOTRA MD PC Organization | Specialist | 321 MAIN ST SUITE 4C JOHNSTOWN, PA 15901 (814) 536-7725 |
| 1639154545 | BRIAN E GUNNLAUGSON MD Individual | Orthopaedic Surgery | 321 MAIN ST STE 3C JOHNSTOWN, PA 15901 (814) 535-6521 |
| 1316338437 | PENN NEUROMUSCULAR DIAGNOSTICS, LLC Organization | Clinic/Center (Physical Therapy) | 321 MAIN ST SUITE 5A, SEIFERT MEDICAL BUILDING JOHNSTOWN, PA 15901 (724) 801-8894 |
| 1831560036 | SHRIRAM SIRSIKAR LLC Organization | Internal Medicine | 321 MAIN ST SUITE 3G JOHNSTOWN, PA 15901 (814) 535-7576 |
| 1164879359 | MD MASSOUD LLC Organization | Family Medicine | 321 MAIN ST SUITE 3G JOHNSTOWN, PA 15901 (814) 535-7576 |
| 1780638106 | CAMBRIA CARDIOLOGY, INC. Organization | Internal Medicine (Cardiovascular Disease) | 321 MAIN ST SUITE 4H JOHNSTOWN, PA 15901 (814) 535-1234 |
| 1023134251 | HONGCARES Organization | Specialist | 321 MAIN ST SUITE 5-J JOHNSTOWN, PA 15901 (814) 533-8941 |
| 1285483248 | SHANNYN SWALLOW Individual | Counselor | 321 MAIN ST JOHNSTOWN, PA 15901 (814) 254-4905 |
| 1770881351 | MISS LINDSAY ANN SOSSONG LSW Individual | Social Worker | 321 MAIN ST JOHNSTOWN, PA 15901 (814) 254-4905 |
| 1932804523 | ALICIA JOY CIARIMBOLI RN Individual | Registered Nurse | 321 MAIN ST JOHNSTOWN, PA 15901 (814) 254-4905 |
| 1114748563 | KIMBERLY BESKID Individual | Registered Nurse | 321 MAIN ST JOHNSTOWN, PA 15901 (814) 254-4905 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518947720, enumerated in the NPI registry as an "individual" on January 23, 2006
The provider is located at 321 Main St Suite 3c Johnstown, Pa 15901 and the phone number is (814) 535-6521
The provider's speciality is Physician Assistant with taxonomy code 363AS0400X with a focus in Surgical
The provider has more than 28 years of experience.
The provider might be accepting Accepts: Ambetter Health and Ambetter Health of Delaware. 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.
The most common procedures or services performed by this practitioner are: Replacement of knee joint, both sides of knee and Replacement of thigh bone and hip joint with prosthesis.
The practitioner is affiliated to the following hospital(s): CHAN SOON- SHIONG MEDICAL CENTER AT WINDBER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.
This NPI record was last updated on January 23, 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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