DR. KEVIN ALLAN MISHOCK (D.O.) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1063432896

DR. KEVIN ALLAN MISHOCK (D.O.) is a healthcare provider. based in State college, Pennsylvania. specializing in EMERGENCY MEDICINE. They hold the professional credentials D.O.. They hold a License No. OS18411 (FL). The NPI Number for DR. KEVIN ALLAN MISHOCK (D.O.) is 1063432896

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DR. KEVIN ALLAN MISHOCK (D.O.)
NPI
1063432896
Phone
(814) 234-6110
Address
1800 E PARK AVE
Enumeration Date
21 July 2006
Last Update Date
29 June 2023

Doctor Profile

Medical School Name
LAKE ERIE COLLEGE OF OSTEOPATHIC MEDICINE, BRADENTON
Secondary Phone
3214347000
Graduation Year
2000 (26 years ago)
PAC ID
7214913003
Group Practice PAC ID
1850535048
Professional Enrollment ID
I20230706000865
Address ID
FL329013224ME1350XSTXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

3,391 EMERGENCY MEDICINE in PA

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Provider Addresses for DR. KEVIN ALLAN MISHOCK (D.O.)

  • 1800, East Park Avenue, State College, Centre County, Pennsylvania, 16803, United States

    MOUNT NITTANY MEDICAL CENTER

    STATE COLLEGE, PA 168036701

    Phone: (814) 234-6110

    Type: Location

  • 617, Purdue Mountain Road, Valley View, Bellefonte, Centre County, Pennsylvania, 16823, United States

    BELLEFONTE, PA 168238931

    Phone: (814) 353-8922

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $18.

Total Amount is formed as General ($18) + Research ($0) + Ownership ($0) = $18.

Last reported payment date: 2023-03-22 • Largest payer in this snapshot: CSL Behring ($18).

Total Amount

$18

General + Research + Ownership

Payments

1

Total payment records

General Amount

$18

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-22

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
CSL Behring$18
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040624000546IEmergency MedicinePATBD
I20230706000865IEmergency MedicineFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only293282$0
99285Emergency department visit with high level of medical decision making279272$0
99284Emergency department visit with moderate level of medical decision making8383$0
99291Critical care, first 30-74 minutes4848$0
93042Electrocardiogram (ecg) 1 to 3 leads with review by physician only2424$0
View full utilization report →

Insurance plans in this area (ZIP 16803)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1850535048View full group profile

Reviews

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Frequently asked questions

What federal number belongs to DR. KEVIN ALLAN MISHOCK (D.O.)?
The federal identifier for DR. KEVIN ALLAN MISHOCK (D.O.) is NPI 1063432896.
Is DR. KEVIN ALLAN MISHOCK (D.O.)'s NPI currently valid?
The extract we use shows DR. KEVIN ALLAN MISHOCK (D.O.) as active.
Does DR. KEVIN ALLAN MISHOCK (D.O.) list a primary specialty?
If you are matching referrals, note Emergency Medical Services (Emergency Medicine) Physician for DR. KEVIN ALLAN MISHOCK (D.O.). Clinical services aligned with this taxonomy classification.
Where is DR. KEVIN ALLAN MISHOCK (D.O.)'s primary listing?
We display State College, Pennsylvania because that is what the record indicates for DR. KEVIN ALLAN MISHOCK (D.O.).
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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