NPPES file of Aug 9, 2026

Michael Pedone

Family Medicine Physician · Altoona, PA

Michael Pedone is a family medicine physician with a practice address in Altoona, Pennsylvania, and NPI 1013968734, issued on May 15, 2006. Check the license (Pennsylvania OS013689L, as entered in NPPES) on the Pennsylvania Department of State (PALS); the Medicare figures below come from public CMS files.

Record from CMS NPPES, file of Aug 9, 2026 · Medicare files 2023 and 2024 · method · Verify with CMS →

NPPES recordNPPES file of Aug 9, 2026
1013968734
Name
Michael Pedone
Primary taxonomy
Family Medicine Physician 207Q00000X
License number
OS013689L PA
Self-reported in NPPES; status is on the state search
Practice location
1400 9TH Ave, Altoona, PA 16602
Phone
(814) 941-8811
Enumerated
May 15, 2006
Record last updated
Mar 25, 2021 (not updated in 5 years: call before relying on the address or phone)
Medicare enrollment
Enrolled (PECOS I20070806000329); accepts Medicare assignment
Medical or professional school
Lake Erie College Of Osteopathic Medicine, Erie, 2004
Entity
Type 1 · individual
Public record from CMS NPPES (open it on the CMS NPI Registry). Enrollment, assignment, school and telehealth: CMS Doctors and Clinicians file, Aug 2026. A record is not a license: verify it with the state board.
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Also registered at 1400 9TH Ave

A shared address usually means a shared clinic or building; it does not show who employs whom.

  1. Jeffrey Armstrong, MDFamily Medicine Physician1336465814
  2. April Cindric, MDFamily Medicine Physician1790136869
  3. Penne EdgellFamily Medicine Physician1831169572
  4. Douglas Finkle, DOFamily Medicine Physician1831884766
  5. Tanya Holsopple, DOFamily Medicine Physician1548254873
  6. Beth LuttonRegistered Dietitian1710169461

Verify Michael Pedone in five checks

  1. 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
  2. 2LicenseActive license and public ordersPennsylvania Department of State (PALS)
    Search for license OS013689L
    Check the board
  3. 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
  4. 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
  5. 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Open the Pennsylvania license search

PlainDoctor does not match the HHS-OIG exclusion list to individual records: most entries carry no NPI. Search the OIG exclusion list by name.

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3.4 times the Medicare Part D claims of the average family medicine physician in 2024

12,180 Medicare Part D claims for 782 beneficiaries, against an average of 3,544 among the 117,163 providers of this specialty who prescribed in Part D. Brand-name drugs were 10% of claims. 727 claims were for opioids.

  1. Michael Pedone12,180
  2. Specialty average3,544

Most prescribed

  1. Atorvastatin Calcium525 claims
  2. Lisinopril509 claims
  3. Pantoprazole Sodium446 claims
  4. Gabapentin377 claims
  5. Levocetirizine Dihydrochloride324 claims
  6. Azelastine Hcl285 claims

Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.

The practice group's MIPS final score for 2023 (Medicare payment program): 73.6 of 100

The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.

  1. Qualityout of 100 · 30% of the final score69.8
  2. Costout of 100 · 30%42.3
  3. Promoting interoperabilityout of 100 · 25%100.0
  4. Improvement activities40 of 40 points · 15%100.0

Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).

Bills Medicare through one group practice

  1. Upmc Altoona Regional Health Services, Inc.Altoona, PA

Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).

Michael Pedone among 7,483 family medicine physician records in Pennsylvania

Michael Pedone is one of 7,483 family medicine physician records with a practice address in Pennsylvania. 79% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 12% of them.

  • NPI issued2006 · 12% of these records are older, 53% newer
  • In a Medicare fileYes · 79% of these records are
  • In the CMS Doctors and Clinicians fileYes · 61% of these records are
  • Graduated2004 · median 2005 among the 4,529 with a school on file
  • Record last updated2021 · 58% of these records were not updated in five years or more

Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 207Q00000X and a Pennsylvania practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).

53 family medicine physician records list a practice address in Altoona

They are 53 of the 1,985 NPPES records with a practice address in Altoona, and 7,483 family medicine physician records in Pennsylvania.

The 8 family medicine physician records with the nearest ZIP codes

  1. Jeffrey Armstrong, MDAltoona, PA 166021336465814
  2. April Cindric, MDAltoona, PA 166021790136869
  3. Suzanne DibAltoona, PA 166021033315569
  4. Penne EdgellAltoona, PA 166021831169572
  5. Fidelis Ejianreh, D.O.Altoona, PA 166021699746990
  6. Regino Flores, M.D.Altoona, PA 166021588640403
  7. Sean Hampton, D.O.Altoona, PA 166021023335320
  8. Tanya Holsopple, DOAltoona, PA 166021548254873

Common questions

What is Michael Pedone's NPI number?

Michael Pedone's National Provider Identifier (NPI) is 1013968734, issued on May 15, 2006. An NPI identifies a provider in billing; it is not a license.

Where is Michael Pedone located?

The NPPES record lists a practice address at 1400 9TH Ave, Altoona, PA, 16602. Phone: (814) 941-8811. Providers update this record themselves, so call before visiting.

How can I verify Michael Pedone's license?

NPPES lists Pennsylvania license number OS013689L, as entered by the provider. Search the Pennsylvania Department of State (PALS) at https://www.pals.pa.gov/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.

How much does Michael Pedone prescribe under Medicare Part D?

In 2024, Michael Pedone had 12,180 Medicare Part D claims for 782 beneficiaries; the average among family medicine physician prescribers was 3,544. Part D covers Medicare prescriptions only.

What is Michael Pedone's MIPS final score?

The 2023 MIPS final score is 73.6 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.

Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.

Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.