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DR. EMILY RUTH CARBAUGH MD
NPI 1336600295
Obstetrics & Gynecology in Clarion, PA

Active since March 25, 2019PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1008 S 5TH AVE STE 203, CLARION, PA 16214(814) 223-9280 Get Directions Write a Review

NPPES record last updated: April 16, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 16, 2023, Jul 21, 2021 (2 updates tracked since 2021).

About Dr. Emily Ruth Carbaugh Md NPPES

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

DR. EMILY RUTH CARBAUGH MD (NPI 1336600295) is an individual obstetrics & gynecology provider in Clarion, Pennsylvania, licensed in Pennsylvania (MD475383) and active in the NPI registry since March 2019. She is enrolled in Medicare PECOS, is affiliated with Upmc Northwest, and maintains a secondary practice location in Pittsburgh.

NPPES Registry Identity

NPI1336600295
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameDR. EMILY RUTH CARBAUGHCredential: MD
Location Address1008 S 5TH AVE STE 203Clarion, PA 16214-8676
Mailing Address3600 Forbes Ave Ste 140Pittsburgh, PA 15213-3410
Phone(814) 223-9280
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2019
Enumeration DateMarch 25, 2019
Last NPPES UpdateApril 16, 20232 updates tracked since enumeration
NPPES CertifiedApril 16, 2023
✔ NPI 1336600295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Licenses✔ Licensed in PA · MD475383✔ Licensed in PA · MT218248
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1008 S 5TH AVE STE 203, Clarion, PA 16214
Open in Google Maps ↗

Secondary Practice Location 1

Location 1300 Halket Street, Magee Womens Hospital of UPMC, Outpatient Clinic, Lvl 0Pittsburgh, PA 15213-3180 · Phone (412) 641-4455

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

Dr. Emily Ruth Carbaugh 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 ID6800120809
PECOS Enrollment IDI20230915003545
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

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
23 services23 patients

Hospital Affiliations CMS Care Compare

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

Upmc Northwest

Acute Care Hospitals · Seneca, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390091
Location100 Fairfield DriveSeneca, PA 16346 · Venango County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16214 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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 Emily Carbaugh's NPI number?

The NPI number for Emily Carbaugh is 1336600295. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Where is Emily Carbaugh located?

Emily Carbaugh practices at 1008 S 5th Ave Ste 203, Clarion, PA 16214. The listed phone number is (814) 223-9280.

What is Emily Carbaugh's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Emily Carbaugh enrolled in Medicare?

Yes. Emily Carbaugh 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.

Is Emily Carbaugh affiliated with any hospitals?

According to CMS data, Emily Carbaugh is affiliated with Upmc Northwest.

When was this NPI record last updated?

The NPPES record for Emily Carbaugh was last updated on April 16, 2023. 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.