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CARLY ST CLAIR PA-C
NPI 1104602838
Physician Assistant in Dayton, OH

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
30 E APPLE ST, DAYTON, OH 45409(937) 208-3220 Get Directions Write a Review

NPPES record last updated: December 26, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2025, Sep 7, 2023 (2 updates tracked since 2023).

About Carly St Clair Pa-c NPPES

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

CARLY ST CLAIR PA-C (NPI 1104602838) is an individual physician assistant in Dayton, Ohio and active in the NPI registry since September 2023. She is enrolled in Medicare PECOS, is affiliated with Miami Valley Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1104602838
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY ST CLAIRCredential: PA-C
Location Address30 E APPLE STDayton, OH 45409-2939
Mailing Address30 E Apple StDayton, OH 45409-2939
Phone(937) 208-3220
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 7, 2023
Last NPPES UpdateDecember 26, 20252 updates tracked since enumeration
NPPES CertifiedDecember 26, 2025
✔ NPI 1104602838 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
30 E APPLE ST, Dayton, OH 45409
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.Insurance ›

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

Carly St Clair Pa-c 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 ID5991152076
PECOS Enrollment IDI20231110001717
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Coronary artery bypass using artery graft, 1 graft 33533
A coronary artery bypass with one artery graft is a surgical procedure to improve blood flow to your heart. An artery from another part of your body is used to bypass a blocked or narrowed coronary artery. This can help reduce chest pain and risk of heart attack.
18 services18 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Miami Valley Hospital

Acute Care Hospitals · Dayton, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360051
LocationOne Wyoming StreetDayton, OH 45409 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 45409 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.

JEFFREY R MILLARD MD
Hospitalist
30 E APPLE ST, STE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AHMED MOHANDES MD
Internal Medicine
30 E APPLE ST, SUITE 6250
DAYTON, OH 45409
Montgomery County (937) 208-8394
AMBER MICHELLE SERNA FNP
Nurse Practitioner (Family)
30 E APPLE ST, STE NW 3300
DAYTON, OH 45409
Montgomery County (937) 208-8394
KELLY M THOBE PA
Physician Assistant
30 E APPLE ST, SUITE 5253
DAYTON, OH 45409
Montgomery County (937) 208-2552
PREMIER HEALTH SPECIALISTS INC
Surgery
30 E APPLE ST, STE 6258
DAYTON, OH 45409
Montgomery County (937) 208-5300
CRYSTAL GILLIGAN
Nurse Practitioner (Acute Care)
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DR. FADI M TAYIM PH.D.
Clinical Neuropsychologist
30 E APPLE ST, SUITE 5254A
DAYTON, OH 45409
Montgomery County (937) 208-4200
DEBORAH LYNNE CONLEY RN
Registered Nurse
30 E APPLE ST, SUITE 6252
DAYTON, OH 45409
Montgomery County (937) 208-6232

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 Carly St Clair's NPI number?

The NPI number for Carly St Clair is 1104602838. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Carly St Clair located?

Carly St Clair practices at 30 E Apple St, Dayton, OH 45409. The listed phone number is (937) 208-3220.

What is Carly St Clair's specialty?

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

Is Carly St Clair enrolled in Medicare?

Yes. Carly St Clair 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.

What insurance does Carly St Clair accept?

Health plans from CareSource list Carly St Clair as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Carly St Clair affiliated with any hospitals?

According to CMS data, Carly St Clair is affiliated with Miami Valley Hospital.

When was this NPI record last updated?

The NPPES record for Carly St Clair was last updated on December 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.