1. Home
  2. Directory
  3. Pennsylvania
  4. Bala Cynwyd
  5. Physician Assistant
  6. NPI Profile

CARLY LIBERATORE
NPI 1346013349
Physician Assistant in Bala Cynwyd, PA

Active since November 01, 2023PECOS EnrolledAccepts Medicare Assignment
9 PRESIDENTIAL BLVD UNIT 103, BALA CYNWYD, PA 19004(610) 934-4100 Get Directions Write a Review

NPPES record last updated: November 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Carly Liberatore NPPES

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

CARLY LIBERATORE (NPI 1346013349) is an individual physician assistant in Bala Cynwyd, Pennsylvania, licensed in Pennsylvania (OA006729) and active in the NPI registry since November 2023. She is enrolled in Medicare PECOS, is affiliated with Pennsylvania Hospital, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1346013349
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY LIBERATORE
Location Address9 PRESIDENTIAL BLVD UNIT 103Bala Cynwyd, PA 19004-1025
Mailing Address1547 Wickerton DrWest Chester, PA 19382-7755
Phone(610) 934-4100
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateNovember 1, 2023
NPPES CertifiedNovember 1, 2023
✔ NPI 1346013349 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in PA · OA006729
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
9 PRESIDENTIAL BLVD UNIT 103, Bala Cynwyd, PA 19004
Open in Google Maps ↗

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 Liberatore 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 ID941653802
PECOS Enrollment IDI20240126001275
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.

Hospital Affiliations CMS Care Compare

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

Pennsylvania Hospital

Acute Care Hospitals · Philadelphia, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390226
Location800 Spruce StreetPhiladelphia, PA 19107 · Philadelphia County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19004 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
$92.69 typical visit price
range $59.88 – $180.99
Typical copayment $23.17 (range $14.97 – $45.24)
Most-billed visit code 99203
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

ALLIED MEDICAL ASSOCIATES
Internal Medicine
9 PRESIDENTIAL BLVD UNIT 103
BALA CYNWYD, PA 19004
Montgomery County (610) 934-4100

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 Liberatore's NPI number?

The NPI number for Carly Liberatore is 1346013349. It was assigned to this individual provider in the NPPES registry on November 1, 2023.

Where is Carly Liberatore located?

Carly Liberatore practices at 9 Presidential Blvd Unit 103, Bala Cynwyd, PA 19004. The listed phone number is (610) 934-4100.

What is Carly Liberatore's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carly Liberatore enrolled in Medicare?

Yes. Carly Liberatore 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 Carly Liberatore affiliated with any hospitals?

According to CMS data, Carly Liberatore is affiliated with Pennsylvania Hospital.

When was this NPI record last updated?

The NPPES record for Carly Liberatore was last updated on November 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.