MS. JUSTINE M METCHO DPM NPI 1366474843

NPI Information

  • NPI: 1366474843
  • Provider Name: MS. JUSTINE M METCHO, DPM
  • Classification: Podiatrist - 213ES0103X
  • Specialization: Foot & Ankle Surgery
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 532 MAIN ST
    SUITE #2
    MOOSIC, PA
    ZIP 18507
  • Phone: (570) 457-6540

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NPI Details

MS. Justine M Metcho, DPM is a foot and ankle surgery podiatrist in Moosic, PA with 24 years of experience. MS. Justine M Metcho, DPM NPI is 1366474843. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: TEMPLE UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:2001

The provider's business location address is:

532 MAIN ST
SUITE #2
MOOSIC, PA
ZIP 18507-001
Phone: (570) 457-6540
Fax: (570) 457-6541

The NPI 1366474843 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Removal of fingernails or toenails, 6 or more nails (HCPCS:11721)
  • Removal of noncancer thickened skin growth, 2-4 growths (HCPCS:11056)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Removal of noncancer thickened skin growth, more than 4 growths (HCPCS:11057)
  • Removal of noncancer thickened skin growth, 1 growth (HCPCS:11055)
  • New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Simple separation of fingernail or toenail from nail bed, first nail (HCPCS:11730)

The enumeration date for this NPI number is 7/7/2006 and was last updated on 4/4/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1213ES0103XPodiatristFoot & Ankle SurgerySC004803LPENNSYLVANIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
13504465OTHERPENNSYLVANIAAETNA HEALTH PLANS HMO
27715557OTHERPENNSYLVANIAAETNA HEALTH PLANS PPO 7715557
31009955070005MEDICAIDPENNSYLVANIA
4074462OTHERPENNSYLVANIARAILROAD MEDICARE
586860OTHERPENNSYLVANIAGEISINGER HEALTH PLAN
6U97326MEDICARE UPINPENNSYLVANIA
7074462MEDICARE ID-TYPE UNSPECIFIEDPENNSYLVANIAMEDICARE
8163916OTHERPENNSYLVANIAUNISON
91620344OTHERPENNSYLVANIABLUE SHIELD PA
10818157OTHERPENNSYLVANIAFIRST PRIORITY HEALTH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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