RACHEL DESTEFANO – Otolaryngology/Facial Plastic Surgery Physician, NPI 1124531934

RACHEL DESTEFANO is a healthcare provider. based in Altoona, Pennsylvania. specializing in PHYSICIAN ASSISTANT. They hold a License No. OA004357 (PA). The NPI Number for RACHEL DESTEFANO is 1124531934

Main info

Female
9 Years Of Experience
Accepts Medicare Assignment
Name
RACHEL DESTEFANO
NPI
1124531934
Phone
Not provided
Address
404 LODGE LN
Enumeration Date
15 November 2017
Last Update Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
2017 (9 years ago)
PAC ID
2769741693
Group Practice PAC ID
5395659312
Professional Enrollment ID
I20180122001780
Address ID
PA166483050HO800XXBLVD400

Contacts

Secure Messaging
upmchospitals@upmcdirect.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness85
Years active:8State licenses:1Other namesUpdated within 12 months

9,738 PHYSICIAN ASSISTANT in PA

Provider Addresses for RACHEL DESTEFANO

  • 404 LODGE LN

    SUITE 3100

    ALTOONA, PA 166017241

    Phone:

    Type: Mailing

  • 800 S LOGAN BLVD STE 3100

    SUITE 3100

    HOLLIDAYSBURG, PA 166483050

    Phone: (814) 889-4300

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2018-01-22

PECOS data refreshed: 2026-06-15

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
I20180122001780IPhysician 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
99213Established patient office or other outpatient visit, 20-29 minutes5147$0
99212Established patient office or other outpatient visit, 10-19 minutes5144$0
69210Removal of impacted ear wax4941$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
99214Established patient office or other outpatient visit, 30-39 minutes2120$0
View full utilization report →

Insurance plans in this area (ZIP 16601)

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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: 5395659312View full group profile
NameSpecialtyState
Physician AssistantPA
Diagnostic RadiologyID
-PA
-PA
Physician AssistantVA
Advanced Heart Failure And Transplant CardiologyPA
-PA
-PA
-PA
-PA

Reviews

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Frequently asked questions

How do payers reference RACHEL DESTEFANO?
For RACHEL DESTEFANO, use NPI 1124531934 as the unique 10-digit identifier.
Would RACHEL DESTEFANO appear as active to a payer?
You can treat RACHEL DESTEFANO as active for directory purposes; confirm clinical privileges separately.
How would a patient describe RACHEL DESTEFANO's focus?
For RACHEL DESTEFANO, the primary taxonomy reads as Otolaryngology/Facial Plastic Surgery Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with RACHEL DESTEFANO?
Directory geography for RACHEL DESTEFANO centers on Altoona, Pennsylvania.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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