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CARLY PETRIE PA
NPI 1265158810
Physician Assistant - Surgical in Meridian, ID

Active since October 17, 2022PECOS EnrolledAccepts Medicare Assignment
83.32/100
CMS Quality Rating
520 S EAGLE RD STE 1241, MERIDIAN, ID 83642(208) 381-6930 Get Directions Write a Review

NPPES record last updated: November 11, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 11, 2022, Oct 17, 2022 (2 updates tracked since 2022).

About Carly Petrie Pa NPPES

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

CARLY PETRIE PA (NPI 1265158810) is an individual surgical provider in Meridian, Idaho, licensed in Idaho (PA-2393) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1265158810
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameCARLY PETRIECredential: PA
Location Address520 S EAGLE RD STE 1241Meridian, ID 83642-6355
Mailing Address190 E Bannock StBoise, ID 83712-6241
Phone(208) 381-6930
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateOctober 17, 2022
Last NPPES UpdateNovember 11, 20222 updates tracked since enumeration
NPPES CertifiedNovember 11, 2022
✔ NPI 1265158810 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in ID · PA-2393
520 S EAGLE RD STE 1241, Meridian, ID 83642
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.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 Petrie Pa 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 ID7911377395
PECOS Enrollment IDI20221229000193
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.

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.
39 services29 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
12 services12 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
12 services12 patients

Hospital Affiliations CMS Care Compare 2

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

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130006
Location190 East Bannock StreetBoise, ID 83712 · Ada County
Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number130071
Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County
Emergency services Birthing friendly

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.

83.32/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.51
Promoting Interoperability100
Improvement Activities40
Cost64.88

Other Providers at the Same Location NPPES 13

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

DR. ETHAN A FERREL MD
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
TRACEY REEVE PA-C
Physician Assistant (Surgical)
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
DR. BRITANI RHEA HILL MD
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
CLAYTON MILLER D.O.
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
ERIN GROSSLIGHT ACNP
Nurse Practitioner (Acute Care)
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
DARYL A. REID M.D.
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
DR. CHRISTY LYN SMITH M.D.
Surgery
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930
RHODA E HEATON PA
Physician Assistant
520 S EAGLE RD STE 1241
MERIDIAN, ID 83642
Ada County (208) 381-6930

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 Petrie's NPI number?

The NPI number for Carly Petrie is 1265158810. It was assigned to this individual provider in the NPPES registry on October 17, 2022.

Where is Carly Petrie located?

Carly Petrie practices at 520 S Eagle Rd Ste 1241, Meridian, ID 83642. The listed phone number is (208) 381-6930.

What is Carly Petrie's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Carly Petrie enrolled in Medicare?

Yes. Carly Petrie 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 Petrie accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list Carly Petrie 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 Petrie affiliated with any hospitals?

According to CMS data, Carly Petrie is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

When was this NPI record last updated?

The NPPES record for Carly Petrie was last updated on November 11, 2022. 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.