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CARLY N. SIROTA FNP
NPI 1275872830
Nurse Practitioner - Family in Sacaton, AZ

Active since February 01, 2013PECOS EnrolledAccepts Medicare Assignment
86.99/100
CMS Quality Rating
483 WEST SEED FARM RD, SACATON, AZ 85147(602) 528-1200(602) 552-8125 Get Directions Write a Review

NPPES record last updated: October 6, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly N. Sirota Fnp NPPES

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

CARLY N. SIROTA FNP (NPI 1275872830) is an individual family provider in Sacaton, Arizona, licensed in Arizona (AP4835) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1275872830
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameCARLY N. SIROTACredential: FNP
Location Address483 WEST SEED FARM RDSacaton, AZ 85147
Mailing Address483 West Seed Farm RdSacaton, AZ 85147-0001 · (602) 528-1200 · Fax (602) 552-8125
Phone(602) 528-1200
Fax(602) 552-8125
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 1, 2013
Last NPPES UpdateOctober 6, 2015
✔ NPI 1275872830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AZ · AP4835
483 WEST SEED FARM RD, Sacaton, AZ 85147
Open in Google Maps ↗

Other Names 1

Former Name (1)Carly Camp

Other Identifiers 1

OtherAP4835AZ · Advanced Practitioner

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.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

Carly N. Sirota Fnp 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 ID3971742933
PECOS Enrollment IDI20130624000293
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 Reassignment

Medicare enrollment records show Carly Sirota reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Gila River Regional Behavioral Health Authority
0.1 mi
Community/Behavioral Health
483 W. SEED FARM ROAD
Sacaton, AZ 85247
  • Reassigned Medicare billing, Texas enrollment
  • Medicare enrollment name: Gila River Health Care Corporation
  • 482 clinicians in this Medicare group
NPI 1497880439 (602) 528-7135

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

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
93 services39 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85147 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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.

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.

86.99/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.35
Promoting Interoperability88
Improvement Activities40
Cost53.95

Reported Quality Measures

Diabetes: Foot Exam
The percentage of patients 18-75 years of age with diabetes (type 1 and type 2) who received a foot exam (visual inspection and sensory exam with mono filament and a pulse exam) during the measurement year
58%363 patients3/55-star benchmark: 98%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
99%2,614 patients4/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%20 patients4/55-star benchmark: 98%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
98%383 patients4/55-star benchmark: 100%
Pneumococcal Vaccination Status for Older Adults
Percentage of patients 65 years of age and older who have ever received a pneumococcal vaccine
93%55 patients5/55-star benchmark: 90%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%369 patients5/55-star benchmark: 97%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
91%314 patients4/55-star benchmark: 96%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
1%383 patients1/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Sirota's NPI number?

The NPI number for Carly Sirota is 1275872830. It was assigned to this individual provider in the NPPES registry on February 1, 2013. The provider is also known as Carly Camp.

Where is Carly Sirota located?

Carly Sirota practices at 483 West Seed Farm Rd, Sacaton, AZ 85147. The listed phone number is (602) 528-1200.

What is Carly Sirota's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Carly Sirota enrolled in Medicare?

Yes. Carly Sirota 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 organization bills Medicare for Carly Sirota's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Sirota reassigns Medicare benefits to Gila River Regional Behavioral Health Authority (Sacaton, AZ). The 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 Carly Sirota's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Sirota accept?

Health plans from Blue Cross Blue Shield of Arizona list Carly Sirota 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 Carly Sirota was last updated on October 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.