JAMES E CARLY PA-C
NPI 1316240575
Physician Assistant - Medical in Provo, UT

Active since December 09, 2010PECOS EnrolledAccepts Medicare Assignment
280 W RIVERPARK DR STE 120, PROVO, UT 84604(801) 229-2011 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About James E Carly Pa-c NPPES

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

JAMES E CARLY PA-C (NPI 1316240575) is an individual medical provider in Provo, Utah, licensed in Utah (5354572-1206) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and is a graduate of Js Weill Medical College, Cornell University (2010).

NPPES Registry Identity

NPI1316240575
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameJAMES E CARLYCredential: PA-C
Location Address280 W RIVERPARK DR STE 120Provo, UT 84604
Mailing Address258 S 810 ESalem, UT 84653-4001 · (801) 471-3405
Sole ProprietorNo
Medical School CMSJs Weill Medical College, Cornell UniversityGraduated 2010
Enumeration DateDecember 9, 2010
Last NPPES UpdateMarch 4, 2011
NPI 1316240575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in UT · 5354572-1206
280 W RIVERPARK DR STE 120, Provo, UT 84604

Other Identifiers 1

Medicare PINU000072942UT

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

James E Carly Pa-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 ID7517147796
PECOS Enrollment IDI20110204000316
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Destruction of precancer skin growth, 2-14 growths 17003
This procedure involves removing 2-14 precancerous skin growths. The growths are treated to prevent them from potentially developing into skin cancer. The process is safe, with minimal discomfort, and promotes healthier skin.
42 services11 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
17 services16 patients
Destruction of precancer skin growth, 1 growth 17000
"Destruction of precancer skin growth" is a procedure that eliminates a single precancerous skin growth. This is done to prevent it from developing into skin cancer. The growth may be removed using various methods such as cryotherapy (freezing), laser therapy, or topical medications.
14 services13 patients

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316240575, enumerated as an "individual" on December 09, 2010.

The provider is located at 280 W RIVERPARK DR STE 120 PROVO, UT 84604 and the phone number is (801) 229-2011.

Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.

The provider might be accepting Accepts: BridgeSpan Health Company, Regence BlueCross. Please consult your insurance carrier or call the provider to verify.