1. Home
  2. Directory
  3. Pennsylvania
  4. Erie
  5. Surgery
  6. NPI Profile

CARLEEN CHO MD
NPI 1205231982
Surgery - Vascular Surgery in Erie, PA

Active since October 24, 2014PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
5401 PEACH ST STE 3400, ERIE, PA 16509(814) 868-2200(814) 868-2138 Get Directions Write a Review

NPPES record last updated: March 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Nov 7, 2023, Sep 30, 2020, Aug 30, 2018 (3 updates tracked since 2018).

About Carleen Cho Md NPPES

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

CARLEEN CHO MD (NPI 1205231982) is an individual vascular surgery provider in Erie, Pennsylvania, licensed in Pennsylvania (MD465250) and active in the NPI registry since October 2014. She is enrolled in Medicare PECOS, is affiliated with Upmc Hamot, and is a graduate of Drexel University College Of Medicine (2010).

NPPES Registry Identity

NPI1205231982
Entity TypeIndividualFemale
Primary Taxonomy2086S0129X
Provider Legal NameCARLEEN CHOCredential: MD
Location Address5401 PEACH ST STE 3400Erie, PA 16509-2601
Mailing Address1 Lecom PlErie, PA 16505-2571 · (814) 868-2529 · Fax (814) 868-2522
Phone(814) 868-2200
Fax(814) 868-2138
Sole ProprietorNo
Medical School CMSDrexel University College Of MedicineGraduated 2010
Enumeration DateOctober 24, 2014
Last NPPES UpdateMarch 13, 20243 updates tracked since enumeration
NPPES CertifiedMarch 13, 2024
✔ NPI 1205231982 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Vascular SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0129X
License✔ Licensed in PA · MD465250
Definition
A surgeon with expertise in the management of surgical disorders of the blood vessels, excluding the intracranial vessels or the heart.
5401 PEACH ST STE 3400, Erie, PA 16509
Open in Google Maps ↗

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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carleen Cho 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 ID6103177886
PECOS Enrollment IDI20180919001085
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.

Medicare Billing Reassignments

5

Medicare enrollment records show Carleen Cho reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Millcreek Community Hospital
Same address
Cardiovascular Disease
5401 PEACH ST STE 3500
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1609970284 (Pennsylvania)
  • 6 clinicians in this Medicare group
NPI 1245865583 (814) 868-2179
Clinical Practice Of Lecom Institute For Successful Living
0.1 mi
Internal Medicine
5401 PEACH ST STE 3400
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 19 clinicians in this Medicare group
NPI 1912768425 (814) 868-2200
Medical Associates Of Erie
0.1 mi
Family Medicine
1589 W 54TH ST
Erie, PA 16509
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 69 clinicians in this Medicare group
NPI 1568580629 (814) 864-0690
Corry Memorial Hospital Association
23 mi
Critical Access
965 SHAMROCK LN
Corry, PA 16407
  • Reassigned Medicare billing, Pennsylvania enrollment
  • Also billed through NPI 1841268877 (Pennsylvania), NPI 1124406376 (Pennsylvania)
  • 29 clinicians in this Medicare group
NPI 1518411677 (814) 664-4641
Pinnacle Health Regional Physicians
198 mi
Family Medicine
1533 COMMERCE AVE STE 2
Carlisle, PA 17015
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 468 clinicians in this Medicare group
NPI 1831629062 (717) 796-9300

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 2

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.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
18 services17 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Upmc Hamot

Acute Care Hospitals · Erie, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390063
Location201 State StreetErie, PA 16550 · Erie County
Emergency services Birthing friendly

Meadville Medical Center

Acute Care Hospitals · Meadville, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390113
Location751 Liberty StreetMeadville, PA 16335 · Crawford County
Emergency services Birthing friendly

Millcreek Community Hospital

Acute Care Hospitals · Erie, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390198
Location5515 Peach StreetErie, PA 16509 · Erie County
Emergency services

Lecom Health Corry Memorial Hospital

Critical Access Hospitals · Corry, PA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number391308
Location965 Shamrock LaneCorry, PA 16407 · Erie County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16509 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.

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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

CLINICAL PRACTICE OF LECOM INSTITUTE FOR SUCCESSFUL LIVING
Durable Medical Equipment & Medical Supplies
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 844-2858
JAMES Y LIN DO
Internal Medicine (Geriatric Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200
MILLCREEK COMMUNITY HOSPITAL
Family Medicine (Sports Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-7860
LIN VEIN CLINIC, PLLC
Internal Medicine (Geriatric Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200
ALAN KIDON DPM
Podiatrist (Foot & Ankle Surgery)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200
BRANDI ROXANNE BROOKS CRNP
Nurse Practitioner (Family)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200
MILLCREEK MANOR
Internal Medicine
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200
MEDICAL ASSOCIATES OF ERIE
Internal Medicine (Geriatric Medicine)
5401 PEACH ST STE 3400
ERIE, PA 16509
Erie County (814) 868-2200

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 Carleen Cho's NPI number?

The NPI number for Carleen Cho is 1205231982. It was assigned to this individual provider in the NPPES registry on October 24, 2014.

Where is Carleen Cho located?

Carleen Cho practices at 5401 Peach St Ste 3400, Erie, PA 16509. The listed phone number is (814) 868-2200.

What is Carleen Cho's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Vascular Surgery, with taxonomy code 2086S0129X.

Is Carleen Cho enrolled in Medicare?

Yes. Carleen Cho 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.

Which organizations bill Medicare for Carleen Cho's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carleen Cho reassigns Medicare benefits to 5 organizations: Millcreek Community Hospital (Erie, PA), Clinical Practice Of Lecom Institute For Successful Living (Erie, PA), Medical Associates Of Erie (Erie, PA), Corry Memorial Hospital Association (Corry, PA) and Pinnacle Health Regional Physicians (Carlisle, PA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carleen Cho's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carleen Cho accept?

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

According to CMS data, Carleen Cho is affiliated with Upmc Hamot, Meadville Medical Center, Millcreek Community Hospital and Lecom Health Corry Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carleen Cho was last updated on March 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.