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CARLY POTCHAK PA-C
NPI 1154849917
Physician Assistant in Butler, PA

Active since August 31, 2017PECOS EnrolledAccepts Medicare Assignment
1 HOSPITAL WAY, BUTLER, PA 16001(724) 285-0823(724) 285-0879 Get Directions Write a Review

NPPES record last updated: January 31, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 31, 2020, Aug 31, 2017 (2 updates tracked since 2017).

About Carly Potchak Pa-c NPPES

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

CARLY POTCHAK PA-C (NPI 1154849917) is an individual physician assistant in Butler, Pennsylvania and active in the NPI registry since August 2017. She is enrolled in Medicare PECOS, is affiliated with Butler Memorial Hospital, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1154849917
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY POTCHAKCredential: PA-C
Location Address1 HOSPITAL WAYButler, PA 16001-4670
Mailing AddressPo Box 1549Butler, PA 16003-1549 · (724) 285-0823 · Fax (724) 285-0879
Phone(724) 285-0823
Fax(724) 285-0879
Sole ProprietorYes
Medical School CMSOtherGraduated 2017
Enumeration DateAugust 31, 2017
Last NPPES UpdateJanuary 31, 20202 updates tracked since enumeration
✔ NPI 1154849917 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.
1 HOSPITAL WAY, Butler, PA 16001
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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 Potchak 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 ID5698032902
PECOS Enrollment IDI20171121002945
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 3

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.

Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
51 services50 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
35 services24 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
31 services27 patients

Hospital Affiliations CMS Care Compare

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

Butler Memorial Hospital

Acute Care Hospitals · Butler, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390168
LocationOne Hospital WayButler, PA 16001 · Butler County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16001 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

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.

UZMA SHAHZAD MD
Internal Medicine (Infectious Disease)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4309
TRICIA LEIGHT CRNP
Nurse Practitioner
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
MELISSE S MASER RN, CRNP
Nurse Practitioner (Family)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4699
DALE ORDEAN CRNP
Family Medicine
1 HOSPITAL WAY, FIRST FLOOR
BUTLER, PA 16001
Butler County (724) 431-0550
RICHARD THOMAS FILIAGGI DO
Pediatrics
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
GABRIEL PATRICK ARMANDO PA-C
Physician Assistant
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 283-6666
DR. STEPHANIE L CLARK M.D.
Internal Medicine
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 285-0823
MADISON ANN BIGLEY PA-C
Physician Assistant (Medical)
1 HOSPITAL WAY
BUTLER, PA 16001
Butler County (724) 284-4550

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 Potchak's NPI number?

The NPI number for Carly Potchak is 1154849917. It was assigned to this individual provider in the NPPES registry on August 31, 2017.

Where is Carly Potchak located?

Carly Potchak practices at 1 Hospital Way, Butler, PA 16001. The listed phone number is (724) 285-0823.

What is Carly Potchak's specialty?

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

Is Carly Potchak enrolled in Medicare?

Yes. Carly Potchak 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 Potchak accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carly Potchak 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 Potchak affiliated with any hospitals?

According to CMS data, Carly Potchak is affiliated with Butler Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carly Potchak was last updated on January 31, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.