CARLOS A VACA MD
NPI 1326572637
Emergency Medicine in Pennington, NJ

Active since April 13, 2017PECOS EnrolledAccepts Medicare Assignment
1 CAPITAL WAY, PENNINGTON, NJ 08534(609) 303-4010(609) 537-6168 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 9, 2026, Jun 3, 2025, Nov 22, 2024 and 2 more (5 updates tracked since 2017).

About Carlos A Vaca Md NPPES

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

CARLOS A VACA MD (NPI 1326572637) is an individual emergency medicine provider in Pennington, New Jersey, licensed in New York (312699) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Gulf Coast Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1326572637
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLOS A VACACredential: MD
Location Address1 CAPITAL WAYPennington, NJ 08534-2520
Mailing Address788 Columbus Ave Apt 7kNew York, NY 10025-5929 · (917) 330-5484
Fax(609) 537-6168
Sole ProprietorYes
Medical School CMSOtherGraduated 2016
Enumeration DateApril 13, 2017
Last NPPES UpdateJuly 9, 20265 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1326572637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in NY · 312699✔ Licensed in MN · 78419✔ Licensed in NJ · 25MA11278900✔ Licensed in WI · 13437
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
1 CAPITAL WAY, Pennington, NJ 08534

Secondary Practice Locations 2

Location 1234 E 149th StBronx, NY 10451-5504 · Phone (718) 579-6011
Location 21405 Mill StNew London, WI 54961-2155 · Phone (715) 258-1041 · Fax (715) 258-1042

Accepted 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

Carlos A Vaca 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 ID8921497108
PECOS Enrollment IDI20250610000666
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

17

Medicare enrollment records show Carlos Vaca reassigns Medicare billing to 17 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
750 BRUNSWICK AVE
Trenton, NJ 08638
  • Reassigned Medicare billing, New Jersey enrollment
  • 600 clinicians in this Medicare group
Clinic/Center
33 LEWIS ROAD, 2ND FLOOR
Binghamton, NY 13905
  • Reassigned Medicare billing, New York enrollment
  • 528 clinicians in this Medicare group
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 64 clinicians in this Medicare group
Emergency Medicine
427 GUY PARK AVE
Amsterdam, NY 12010
  • Reassigned Medicare billing, New York enrollment
  • 65 clinicians in this Medicare group
Critical Access
1405 MILL ST
New London, WI 54961
  • Reassigned Medicare billing, Wisconsin enrollment
  • 106 clinicians in this Medicare group
Anesthesiology
225 MEMORIAL DR
Berlin, WI 54923
  • Reassigned Medicare billing, Wisconsin enrollment
  • 104 clinicians in this Medicare group
Critical Access
100 COUNTY ROAD B
Shawano, WI 54166
  • Reassigned Medicare billing, Wisconsin enrollment
  • 174 clinicians in this Medicare group
Emergency Medicine
800 RIVERSIDE DR
Waupaca, WI 54981
  • Reassigned Medicare billing, Wisconsin enrollment
  • 110 clinicians in this Medicare group
Family Planning, Non-Surgical
801 S ROOSEVELT AVE STE C
Burlington, IA 52601
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
Emergency Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 138 clinicians in this Medicare group

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 4

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
100 services100 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
81 services81 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
27 services27 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
14 services14 patients

Hospital Affiliations CMS Care Compare 5

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

Hca Florida Gulf Coast Hospital

Acute Care Hospitals · Panama City, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100242
Location449 W 23rd StPanama City, FL 32405 · Bay County
Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160057
Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County
Emergency services Birthing friendly

Chippewa County Hospital

Critical Access Hospitals · Montevideo, MN
OwnershipGovernment - Local
CMS Certification Number241325
Location824 North 11th StreetMontevideo, MN 56265 · Chippewa County
Emergency services

Lifecare Medical Center

Critical Access Hospitals · Roseau, MN
OwnershipVoluntary non-profit - Private
CMS Certification Number241344
Location715 Delmore DriveRoseau, MN 56751 · Roseau County
Emergency services

United Hospital District

Critical Access Hospitals · Blue Earth, MN
OwnershipGovernment - Hospital District or Authority
CMS Certification Number241369
Location515 South Moore StreetBlue Earth, MN 56013 · Faribault County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08534 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

Anesthesiology
1 CAPITAL WAY, DEPT OF ANESTHESIOLOGY, CAPITAL HEALTH HOPEWELL MEDICAL
PENNINGTON, NJ 08534
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Nurse Anesthetist, Certified Registered
1 CAPITAL WAY
PENNINGTON, NJ 08534
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Emergency Medicine
1 CAPITAL WAY
PENNINGTON, NJ 08534
Student in an Organized Health Care Education/Training Program
1 CAPITAL WAY
PENNINGTON, NJ 08534
Nurse Practitioner
1 CAPITAL WAY
PENNINGTON, NJ 08534
Advanced Practice Midwife
1 CAPITAL WAY
PENNINGTON, NJ 08534

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 Carlos Vaca's NPI number?

The NPI number for Carlos Vaca is 1326572637. It was assigned to this individual provider in the NPPES registry on April 13, 2017.

Where is Carlos Vaca located?

Carlos Vaca practices at 1 Capital Way, Pennington, NJ 08534. The listed phone number is (609) 303-4010.

What is Carlos Vaca's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlos Vaca enrolled in Medicare?

Yes. Carlos Vaca 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 Carlos Vaca's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Vaca reassigns Medicare benefits to 17 organizations: Capital Health Multispecialty Group (Trenton, NJ), United Medical Associates PC (Binghamton, NY), Upstate Ny Physician PLLC (Amsterdam, NY), Wajeeh Sana Physician PC (Amsterdam, NY), Thedacare Medical Center - New London, Inc. (New London, WI) and 12 more organizations, listed in the Medicare section above. 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 Carlos Vaca's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Vaca accept?

Health plans from Medica, Oscar Health Maintenance Organization of Florida, Sanford Health Plan and Wellmark Health Plan of Iowa, Inc. list Carlos Vaca 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 Carlos Vaca affiliated with any hospitals?

According to CMS data, Carlos Vaca is affiliated with Hca Florida Gulf Coast Hospital, Southeast Iowa Regional Medical Center, Chippewa County Hospital, Lifecare Medical Center and United Hospital District.

When was this NPI record last updated?

The NPPES record for Carlos Vaca was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.