MICHAEL W SEMELKA (DO) – Family Medicine Physician, NPI 1639112840
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
6,103 FAMILY PRACTICE in PA
Provider Addresses for MICHAEL W SEMELKA (DO)
508 S CHURCH ST STE 100
MT PLEASANT, PA 156661702
Phone: (724) 547-4536
Fax: (724) 547-3799
Type: Mailing
520, Jefferson Avenue, Grapeville, Jeannette, Westmoreland County, Pennsylvania, 15644, United States
SUITE 400
JEANNETTE, PA 156442538
Phone: (724) 527-8060
Fax: (724) 522-4002
Type: Mailing
State Route 981, Norvelt, Mount Pleasant Township, Westmoreland County, Pennsylvania, 15674, United States
NORVELT, PA 15674
Phone: (724) 423-4051
Fax: (724) 423-7711
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: 2005-09-02
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050902000623 | I | Family Practice | PA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 162 | 120 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 89 | 89 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 56 | 42 | $0 |
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 36 | 12 | $0 |
| G0008 | Administration of influenza virus vaccine | 17 | 17 | $0 |
Insurance plans in this area (ZIP 15666)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology), Internal Medicine | PA | |
| P S Y C H I A T R Y | PA | |
| Physician Assistant | NJ | |
| Nurse Practitioner | PA | |
| Cardiovascular Disease (Cardiology) | PA | |
| Physician Assistant | PA | |
| Nurse Practitioner | PA | |
| - | PA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Physician Assistant | PA |
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