Active NPI 1710971882 Individual Practitioner Male Practitioner

Dr. Robert G Pickerill , MD

Specialist • Johnstown, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Robert Pickerill, MD is a certified Specialist practicing in Johnstown, PA. With approximately 50 years of clinical experience since graduating from University Of Pittsburgh School Of Medicine in 1976, Dr. Pickerill delivers high-quality medical care to the local community at 1086 FRANKLIN ST.

Dr. Pickerill accepts Medicare assignment.

Frequently performed procedures and clinical services include subsequent hospital care with moderate levelof medical decision making, if using time, at least, initial hospital care with moderate level of medical decision making, if using time, at least, change of breathing tube of windpipe in neck. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1086 Franklin St

Johnstown, PA 159054305

Telephone 8142420520

Associated Practice Facility / Clinic

🏢 Conemaugh Health Initiatives Facility NPI 1427051440

Medicare Profile & Education

Medical School

University Of Pittsburgh School Of Medicine

Graduation Year

1976

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Johnstown, PA

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

50 Yrs +9.8 yrs vs City Avg

City Avg: 40.2 Yrs

State Avg: 35.7 Yrs

Regional Practice Density

13 Specialists

Practicing in Johnstown, PA (2255 Statewide)

Telehealth Adoption Rate

7.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

28.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Pickerill (50 Years) 50 Yrs

Johnstown Specialty Average (40.2 Years) 40.2 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	472	38	$95.00	$74.73
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	414	46	$160.00	$110.37
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	48	45	$225.00	$160.16

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	561	58	$153.58	$114.71
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	411	48	$95.00	$76.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	69	61	$225.00	$167.18

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	557	64	$130.00	$99.15
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	550	56	$95.00	$68.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	74	66	$225.00	$191.90
31502 Change of breathing tube of windpipe in neck	36	22	$250.00	$34.43

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	618	73	$95.00	$70.28
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	611	89	$130.00	$100.99
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	92	86	$225.00	$195.79
31502 Change of breathing tube of windpipe in neck	22	16	$250.00	$34.64

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	1,127	110	$130.00	$103.48
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,118	97	$95.00	$71.71
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	122	112	$225.00	$201.09
31502 Change of breathing tube of windpipe in neck	42	28	$241.67	$35.45
94729 Test to examine how well the lungs exchange gases	31	28	$95.97	$46.13
94060 Test to measure expiratory airflow and volume changes before and after medication administration	29	27	$143.10	$48.62
94727 Determination of lung volumes using gas dilution or washout	29	26	$93.10	$38.29
94664 Evaluation of use of breathing device	20	17	$100.00	$15.65
94727 Determination of lung volumes using gas dilution or washout	15	15	$84.00	$12.39
94729 Test to examine how well the lungs exchange gases	15	15	$84.00	$9.20
94060 Test to measure expiratory airflow and volume changes before and after medication administration	15	15	$133.33	$13.07

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	1,158	159	$95.00	$71.55
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	581	143	$130.00	$102.28
94060 Test to measure expiratory airflow and volume changes before and after medication administration	135	82	$126.52	$40.66
94729 Test to examine how well the lungs exchange gases	132	81	$75.23	$36.91
94727 Determination of lung volumes using gas dilution or washout	128	78	$74.22	$31.67
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	115	104	$225.00	$198.96
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	60	39	$130.00	$105.34
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	32	22	$175.00	$141.42
94060 Test to measure expiratory airflow and volume changes before and after medication administration	22	22	$100.00	$12.93
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	21	21	$250.00	$201.40
94729 Test to examine how well the lungs exchange gases	20	20	$40.00	$9.09
94727 Determination of lung volumes using gas dilution or washout	19	19	$40.00	$12.24
31502 Change of breathing tube of windpipe in neck	12	12	$191.67	$33.81
94640 Inhalation treatment for airway obstruction or sputum production	11	11	$30.00	$16.96

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	353	64	$95.00	$69.34
94060 Test to measure expiratory airflow and volume changes before and after medication administration	135	78	$95.93	$19.73
94729 Test to examine how well the lungs exchange gases	133	79	$46.05	$15.80
94727 Determination of lung volumes using gas dilution or washout	131	76	$43.51	$16.78
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	70	34	$130.00	$100.24
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	67	56	$225.00	$191.79
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	50	25	$130.00	$99.74
94727 Determination of lung volumes using gas dilution or washout	38	38	$40.00	$11.88
94060 Test to measure expiratory airflow and volume changes before and after medication administration	38	38	$82.63	$12.55
94729 Test to examine how well the lungs exchange gases	37	37	$40.00	$8.82
99215 Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more	20	12	$175.00	$137.00
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	19	19	$250.00	$196.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	232	43	$95.86	$68.62
94727 Determination of lung volumes using gas dilution or washout	86	62	$49.65	$18.39
94060 Test to measure expiratory airflow and volume changes before and after medication administration	86	62	$85.12	$23.13
94729 Test to examine how well the lungs exchange gases	85	61	$53.53	$18.97
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	45	41	$225.00	$192.76
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	30	21	$122.67	$100.55
94729 Test to examine how well the lungs exchange gases	19	18	$44.74	$8.78
94060 Test to measure expiratory airflow and volume changes before and after medication administration	19	18	$68.42	$12.49
94727 Determination of lung volumes using gas dilution or washout	19	18	$44.74	$11.82
99205 New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more	16	16	$250.00	$194.37
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	14	14	$176.43	$154.13

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License PA MD019294E

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0009133850004 (PA)

Commercial Insurance / Payer ID Ion Health

P31109403853 (PA)

Commercial Insurance / Payer ID Three Rivers Health Plan

87201 (PA)

Commercial Insurance / Payer ID Gateway

1025205 (PA)

Commercial Insurance / Payer ID Highmark Blue Shield

547286 (PA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners

Dr. Joseph Hensley , DO

Emergency Medicine

NPI 1003132044

Doctor of Osteopathic Medicine (D.O.)

Dr. Nicole Dolhi , DO

Emergency Medicine

NPI 1003309626

Doctor of Osteopathic Medicine (D.O.)

Bradley Winegardner

Surgery

NPI 1003481334

Dr. Sai Harsha Bobba , MD

Family Medicine

NPI 1003594896

Doctor of Medicine (M.D.)

Dr. Ayesha Haq , MD

Internal Medicine

NPI 1003653643

Doctor of Medicine (M.D.)

Christina Davis , PA-C

Physician Assistant - Medical

NPI 1003894361

Physician Assistant (Certified)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 08, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location March 08, 2016

Registered at 1086 FRANKLIN ST, JOHNSTOWN, PA 159054305 (Tel: 8142420520)

📍

Updated Business Mailing Address March 08, 2016

Registered at 1107 CLUB DR, JOHNSTOWN, PA 159051906 (Tel: 8142420520)

👤

Provider Name / Credentials Updated March 08, 2016

Recorded as ROBERT PICKERILL, M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 08, 2016

Specialist (License #MD019294E in PA)

🟢

Initial NPI Registration & Enumeration September 06, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710971882

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: September 06, 2005

Last Update: March 08, 2016

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

1107 Club Dr

Johnstown, PA 159051906

Phone: 8142420520

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.