MS. SUSAN CARLISLE RPA-C
NPI 1225042443
Physician Assistant in Ithaca, NY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
82.9/100
CMS Quality Rating
10 BRENTWOOD DR, SUITE B, ITHACA, NY 14850(607) 266-0073(607) 266-9310 Get Directions Write a Review

NPPES record last updated: March 10, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ms. Susan Carlisle Rpa-c NPPES

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

MS. SUSAN CARLISLE RPA-C (NPI 1225042443) is an individual physician assistant in Ithaca, New York, licensed in New York (005198-1) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Guthrie Cortland Regional Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1225042443
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMS. SUSAN CARLISLECredential: RPA-C
Location Address10 BRENTWOOD DR, SUITE BIthaca, NY 14850-1865
Mailing Address1 Guthrie SqSayre, PA 18840-1625 · (570) 888-5858 · Fax (607) 266-9310
Fax(607) 266-9310
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJuly 27, 2006
Last NPPES UpdateMarch 10, 2021
NPPES CertifiedMarch 10, 2021
NPI 1225042443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses Licensed in NY · 005198-1 Licensed in NY · 0000081
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.

10 BRENTWOOD DR, Ithaca, NY 14850

Other Identifiers 1

Medicaid01611072NY

Accepted 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

Ms. Susan Carlisle Rpa-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 ID42394959
PECOS Enrollment IDI20080229000415
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 5

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
240 services39 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
69 services43 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
61 services61 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services51 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
56 services54 patients

Hospital Affiliations CMS Care Compare 3

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

Guthrie Cortland Regional Medical Center

Acute Care Hospitals · Cortland, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330175
Location134 Homer AvenueCortland, NY 13045 · Cortland County
Emergency services Birthing friendly

Cayuga Medical Center At Ithaca

Acute Care Hospitals · Ithaca, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330307
Location101 Dates DriveIthaca, NY 14850 · Tompkins County
Emergency services Birthing friendly

Robert Packer Hospital

Acute Care Hospitals · Sayre, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390079
LocationOne Guthrie SquareSayre, PA 18840 · Bradford County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 14850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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.

82.9/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.09
Promoting Interoperability100
Improvement Activities40
Cost65.94

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.

Physical Therapist
10 BRENTWOOD DR
ITHACA, NY 14850
Orthopaedic Surgery
10 BRENTWOOD DR
ITHACA, NY 14850
Occupational Therapist
10 BRENTWOOD DR
ITHACA, NY 14850
Optometrist
10 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Technician/Technologist (Optician)
10 BRENTWOOD DR, SUITE A
ITHACA, NY 14850
Durable Medical Equipment & Medical Supplies
10 BRENTWOOD DR
ITHACA, NY 14850
Physical Therapist
10 BRENTWOOD DR
ITHACA, NY 14850
Physical Therapist
10 BRENTWOOD DR
ITHACA, NY 14850

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 Susan Carlisle's NPI number?

The NPI number for Susan Carlisle is 1225042443. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Susan Carlisle located?

Susan Carlisle practices at 10 Brentwood Dr Suite B, Ithaca, NY 14850. The listed phone number is (607) 266-0073.

What is Susan Carlisle's specialty?

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

Is Susan Carlisle enrolled in Medicare?

Yes. Susan Carlisle 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 Susan Carlisle accept?

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

According to CMS data, Susan Carlisle is affiliated with Guthrie Cortland Regional Medical Center, Cayuga Medical Center At Ithaca and Robert Packer Hospital.

When was this NPI record last updated?

The NPPES record for Susan Carlisle was last updated on March 10, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.