COURTNEY L. FEDOREK (PA-C) – Medical Physician Assistant, NPI 1063769008

COURTNEY L. FEDOREK (PA-C) is a healthcare provider. based in Pittsburgh, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. MA055594 (PA). The NPI Number for COURTNEY L. FEDOREK (PA-C) is 1063769008

Main info

Female
14 Years Of Experience
Accepts Medicare Assignment
Name
COURTNEY L. FEDOREK (PA-C)
NPI
1063769008
Phone
(412) 531-2902
Address
1910 COCHRAN RD STE 490
Enumeration Date
9 August 2012
Last Update Date
6 July 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7243562273
Graduation Year
2012 (14 years ago)
PAC ID
8921248410
Group Practice PAC ID
8527967256
Professional Enrollment ID
I20130703000637
Address ID
PA153401439HI4151XRDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:13State licenses:1Digital endpointsOther names

9,691 PHYSICIAN ASSISTANT in PA

Provider Addresses for COURTNEY L. FEDOREK (PA-C)

  • 1910 COCHRAN RD STE 490

    PITTSBURGH, PA 152201203

    Phone: (412) 531-2902

    Fax: (412) 531-2948

    Type: Mailing

  • 1302 7th Ave

    Beaver Falls, PA 150104217

    Phone: (724) 843-4400

    Fax: (724) 843-0316

    Type: Location

  • 1423 Burgettstown Plz

    Burgettstown, PA 150211187

    Phone: (724) 947-4770

    Fax: (724) 356-2585

    Type: Location

  • 701 TECHNOLOGY DR STE 150

    CANONSBURG, PA 153179531

    Phone: (412) 531-2902

    Fax: (412) 531-2948

    Type: Mailing

  • 4151 HENDERSON RD

    HICKORY, PA 153401439

    Phone: (724) 356-2273

    Fax: (724) 356-2585

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $31.

Total Amount is formed as General ($31) + Research ($0) + Ownership ($0) = $31.

Last reported payment date: 2024-04-26 • Largest payer in this snapshot: ABBVIE INC. ($31).

Total Amount

$31

General + Research + Ownership

Payments

2

Total payment records

General Amount

$31

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-26

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
ABBVIE INC.$31
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: 2013-07-03

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20130703000637IPhysician AssistantPATBD

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
99214Established patient office or other outpatient visit, 30-39 minutes2921$0
99213Established patient office or other outpatient visit, 20-29 minutes2824$0
G0444Annual depression screening, 5 to 15 minutes1212$0
View full utilization report →

Insurance plans in this area (ZIP 15220)

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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: 8527967256View full group profile
NameSpecialtyState
Family PracticePA
-PA
Family PracticePA
Family PracticePA
Internal MedicinePA
Nurse PractitionerPA
Family Practice, Geriatric MedicinePA
Family PracticePA
Family PracticePA
Internal MedicinePA

Reviews

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Frequently asked questions

What number should I use to identify COURTNEY L. FEDOREK (PA-C) for billing?
Administrative and clinical systems typically use NPI 1063769008 for COURTNEY L. FEDOREK (PA-C).
Quick check: is COURTNEY L. FEDOREK (PA-C) active?
Public NPPES data shows COURTNEY L. FEDOREK (PA-C) with an active NPI status right now.
What does the directory say COURTNEY L. FEDOREK (PA-C) does?
Insurance directories may phrase it differently, but here COURTNEY L. FEDOREK (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to COURTNEY L. FEDOREK (PA-C)?
COURTNEY L. FEDOREK (PA-C) shows a connection to Pittsburgh, Pennsylvania in registry-derived data.
Why is information missing for COURTNEY L. FEDOREK (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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