Michael Gaffney, - Medicare Orthopedic Surgery in Natrona Heights, PA

Michael Gaffney, is a medicare enrolled "Orthopaedic Surgery" physician in Natrona Heights, Pennsylvania. He went to University Of Pittsburgh School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Orthopedic Surgery. He is a member of the group practice Upmc Community Medicine Inc, Keystone Rehabilitation Systems Inc and his current practice location is 1624 Pacific Ave, Ste A, Natrona Heights, Pennsylvania. You can reach out to his office (for appointments etc.) via phone at (724) 226-1199.

Michael Gaffney is licensed to practice in Pennsylvania (license number MD039946E) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1194726208.

Contact Information

Michael Gaffney,
1624 Pacific Ave, Ste A,
Natrona Heights, PA 15065-2145
(724) 226-1199
Not Available

Map and Direction




Physician's Profile

Full NameMichael Gaffney
GenderMale
SpecialityOrthopedic Surgery
Experience38 Years
Location1624 Pacific Ave, Natrona Heights, Pennsylvania
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Michael Gaffney attended and graduated from University Of Pittsburgh School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1194726208
  • Provider Enumeration Date: 08/10/2005
  • Last Update Date: 03/25/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 9133132574
  • Enrollment ID: I20090209000256

Medical Identifiers

Medical identifiers for Michael Gaffney such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1194726208NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207X00000XOrthopaedic Surgery MD039946E (Pennsylvania)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Encompass Health Home HealthPittsburgh, PAHome health agency
Westarm HomecareLower burrell, PAHome health agency
Upmc St MargaretPittsburgh, PAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Upmc Community Medicine Inc2062318975679
Keystone Rehabilitation Systems Inc7012826753533

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Michael Gaffney allows following entities to bill medicare on his behalf.
Entity NameUpmc Community Medicine Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558976092
PECOS PAC ID: 2062318975
Enrollment ID: O20040217000388

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Michael Gaffney is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Michael Gaffney,
1624 Pacific Ave, Ste A,
Natrona Heights, PA 15065

Ph: () -
Michael Gaffney,
1624 Pacific Ave, Ste A,
Natrona Heights, PA 15065-2145

Ph: (724) 226-1199

Reviews and Comments


Orthopaedic Surgery Doctors in Natrona Heights, PA

Fred Heidenreich,
Orthopedic Surgery
Medicare: Accepting Medicare Assignments
Practice Location: 1624 Pacific Ave, Ste A, Natrona Heights, PA 15065
Phone: 724-226-1199    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.