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DR. CARLA PICARDO MD, MPH
NPI 1104925668
Obstetrics & Gynecology in Erie, PA

Active since September 21, 2006PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
3939 W RIDGE RD STE A200, ERIE, PA 16506(814) 835-8164(814) 838-3258 Get Directions Write a Review

NPPES record last updated: February 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 7, 2023, May 7, 2021, Feb 11, 2016 (3 updates tracked since 2016).

About Dr. Carla Picardo Md, Mph NPPES

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

DR. CARLA PICARDO MD, MPH (NPI 1104925668) is an individual obstetrics & gynecology provider in Erie, Pennsylvania, licensed in Pennsylvania (MD420480) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1104925668
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. CARLA PICARDOCredential: MD, MPH
Location Address3939 W RIDGE RD STE A200Erie, PA 16506-1886
Mailing Address5050 W Ridge Rd Fl 3Erie, PA 16506-1200 · (814) 877-8950 · Fax (814) 877-7601
Phone(814) 835-8164
Fax(814) 838-3258
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateSeptember 21, 2006
Last NPPES UpdateFebruary 7, 20233 updates tracked since enumeration
NPPES CertifiedFebruary 7, 2023
✔ NPI 1104925668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD420480
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedPreventive Medicine · Public Health & General Preventive MedicineTaxonomy 2083P0901X · License MD420480 (PA)
3939 W RIDGE RD STE A200, Erie, PA 16506
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Other Identifiers 1

Medicaid001949201PA

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

Dr. Carla Picardo Md, Mph 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 ID9032281282
PECOS Enrollment IDI20080702000492
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 16506 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Carla Picardo's NPI number?

The NPI number for Carla Picardo is 1104925668. It was assigned to this individual provider in the NPPES registry on September 21, 2006.

Where is Carla Picardo located?

Carla Picardo practices at 3939 W Ridge Rd Ste A200, Erie, PA 16506. The listed phone number is (814) 835-8164.

What is Carla Picardo's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carla Picardo enrolled in Medicare?

Yes. Carla Picardo 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 Carla Picardo was last updated on February 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years 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.