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DR. CAROL A BILINSKI MD
NPI 1184603540
Pediatrics in Schuylkill Haven, PA

Active since January 13, 2006PECOS EnrolledAccepts Medicare Assignment
4 S GREENVIEW RD, SCHUYLKILL HAVEN, PA 17972(570) 366-7337(570) 366-7367 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Carol A Bilinski Md NPPES

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

DR. CAROL A BILINSKI MD (NPI 1184603540) is an individual pediatrics provider in Schuylkill Haven, Pennsylvania, licensed in Pennsylvania (MD051180L) and active in the NPI registry since January 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1184603540
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. CAROL A BILINSKICredential: MD
Location Address4 S GREENVIEW RDSchuylkill Haven, PA 17972-8642
Mailing Address4 S Greenview RdSchuylkill Haven, PA 17972-8642 · (570) 366-7337 · Fax (570) 366-7367
Phone(570) 366-7337
Fax(570) 366-7367
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 13, 2006
Last NPPES UpdateJune 5, 2025
NPPES CertifiedJune 5, 2025
✔ NPI 1184603540 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PA · MD051180L
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedPediatrics · Adolescent MedicineTaxonomy 2080A0000X · License MD051180L (PA)
4 S GREENVIEW RD, Schuylkill Haven, PA 17972
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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

Dr. Carol A Bilinski Md 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 ID6204180268
PECOS Enrollment IDI20181112001075
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 17972 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
Most-billed visit code 99214
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

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

BLUE MOUNTAIN PEDIATRICS PC
Pediatrics (Adolescent Medicine)
4 S GREENVIEW RD
SCHUYLKILL HAVEN, PA 17972
Schuylkill County (570) 366-7337

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 Carol Bilinski's NPI number?

The NPI number for Carol Bilinski is 1184603540. It was assigned to this individual provider in the NPPES registry on January 13, 2006.

Where is Carol Bilinski located?

Carol Bilinski practices at 4 S Greenview Rd, Schuylkill Haven, PA 17972. The listed phone number is (570) 366-7337.

What is Carol Bilinski's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carol Bilinski enrolled in Medicare?

Yes. Carol Bilinski 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 Carol Bilinski accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carol Bilinski 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.

When was this NPI record last updated?

The NPPES record for Carol Bilinski was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.