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ZACHARY CARLISLE PA
NPI 1023994035
Physician Assistant in Kettering, OH

Active since August 14, 2025PECOS EnrolledAccepts Medicare Assignment
3535 SOUTHERN BLVD, KETTERING, OH 45429(937) 395-8166 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 13, 2026, Oct 9, 2025, Aug 14, 2025 (3 updates tracked since 2025).

About Zachary Carlisle Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ZACHARY CARLISLE PA (NPI 1023994035) is an individual physician assistant in Kettering, Ohio, licensed in Ohio (50.009631RX) and active in the NPI registry since August 2025. He is enrolled in Medicare PECOS, maintains 15 additional practice locations, and is a graduate of Other (2025).

NPPES Registry Identity

NPI1023994035
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameZACHARY CARLISLECredential: PA
Location Address3535 SOUTHERN BLVDKettering, OH 45429-1221
Mailing Address3131 Newmark Dr Ste 220Miamisburg, OH 45342-5400 · (937) 438-8910
Phone(937) 395-8166
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateAugust 14, 2025
Last NPPES UpdateMay 13, 20263 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
✔ NPI 1023994035 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in OH · 50.009631RX
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
3535 SOUTHERN BLVD, Kettering, OH 45429
Open in Google Maps ↗

Secondary Practice Locations 15

Location 11141 N Monroe DrXenia, OH 45385-1619 · Phone (937) 352-2500
Location 23700 Southern Blvd Ste 401Kettering, OH 45429-1265 · Phone (855) 500-2873 · Fax (937) 281-4391
Location 3600 W Main St Ste 130Troy, OH 45373-3384 · Phone (855) 500-2873 · Fax (937) 980-7057
Location 41010 Cereal Ave Ste 300Hamilton, OH 45013-2784 · Phone (855) 500-2873 · Fax (937) 281-3913
Location 53535 Pentagon BlvdBeavercreek, OH 45431-1705 · Phone (937) 702-4500
Location 6405 W Grand AveDayton, OH 45405-7538 · Phone (937) 723-3211
Location 7100 Kettering WayFranklin, OH 45005-1155 · Phone (937) 458-4700
Location 84000 Miamisburg Centerville RdMiamisburg, OH 45342-7615 · Phone (937) 384-8791
Location 98701 Old Troy PikeHuber Heights, OH 45424-1066 · Phone (937) 558-3338
Location 103535 Pentagon Blvd Ste 400Beavercreek, OH 45431-1705 · Phone (855) 500-2873 · Fax (937) 490-2266
Location 11450 Washington Jackson RdEaton, OH 45320-8699 · Phone (937) 456-8376
Location 121997 Miamisburg Centerville RdCenterville, OH 45459-3811 · Phone (937) 401-6228
Location 136147 State Route 122Middletown, OH 45005-5201 · Phone (513) 261-3410
Location 142300 N Limestone StSpringfield, OH 45503-1102 · Phone (937) 504-8305
Location 15600 W Main StTroy, OH 45373-3384 · Phone (937) 980-7010

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Zachary Carlisle Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9931699865
PECOS Enrollment IDI20251107003155
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45429 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RAGHEED KATKHUDA MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
ANNEMARIE ROSE UNDERWOOD PA-C
Physician Assistant
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8166
SYLVIA POLENAKOVIK M.D.
Internal Medicine
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-6665
SUSAN KAY ZANN RNFS
Registered Nurse (Registered Nurse First Assistant)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-8608
SWATHI DATLA M.B.B.S.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. LOREN ANN NALLU MD
Pediatrics (Neonatal-Perinatal Medicine)
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 752-2304
DR. JEREMY LAWTON CHAPMAN D.O.
Hospitalist
3535 SOUTHERN BLVD
KETTERING, OH 45429
Montgomery County (937) 395-6665
DR. RAHUL RAO DO
Radiology (Diagnostic Radiology)
3535 SOUTHERN BLVD
DAYTON, OH 45429
Montgomery County (937) 395-8627

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Zachary Carlisle's NPI number?

The NPI number for Zachary Carlisle is 1023994035. It was assigned to this individual provider in the NPPES registry on August 14, 2025.

Where is Zachary Carlisle located?

Zachary Carlisle practices at 3535 Southern Blvd, Kettering, OH 45429. The listed phone number is (937) 395-8166.

What is Zachary Carlisle's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Zachary Carlisle enrolled in Medicare?

Yes. Zachary Carlisle is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Zachary Carlisle was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.