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PEYTON BENJAMIN CARLSON
NPI 1386254324
Physician Assistant in Hermitage, PA

Active since August 04, 2020PECOS EnrolledAccepts Medicare Assignment
78.53/100
CMS Quality Rating
1599 N HERMITAGE RD, HERMITAGE, PA 16148(724) 962-9622 Get Directions Write a Review

NPPES record last updated: August 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 5, 2021, Aug 4, 2020 (2 updates tracked since 2020).

About Peyton Benjamin Carlson NPPES

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

PEYTON BENJAMIN CARLSON (NPI 1386254324) is an individual physician assistant in Hermitage, Pennsylvania, licensed in Pennsylvania (MA061558) and active in the NPI registry since August 2020. He is enrolled in Medicare PECOS, is affiliated with Upmc Jameson, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1386254324
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePEYTON BENJAMIN CARLSON
Location Address1599 N HERMITAGE RDHermitage, PA 16148-3180
Mailing Address124 Heath DrBaden, PA 15005-9616
Phone(724) 962-9622
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateAugust 4, 2020
Last NPPES UpdateAugust 5, 20212 updates tracked since enumeration
NPPES CertifiedAugust 5, 2021
✔ NPI 1386254324 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 · MA061558
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.
1599 N HERMITAGE RD, Hermitage, PA 16148
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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

Peyton Benjamin Carlson 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 ID8921497371
PECOS Enrollment IDI20211105001243
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 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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 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.
36 services36 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
32 services21 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
31 services30 patients
Replacement of knee joint, both sides of knee 27447
A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.
28 services28 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Jameson

Acute Care Hospitals · New Castle, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390016
Location1211 Wilmington AvenueNew Castle, PA 16105 · Lawrence County
Emergency services

Upmc Horizon

Acute Care Hospitals · Greenville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390178
Location110 North Main StreetGreenville, PA 16125 · Mercer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16148 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
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.

78.53/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.61
Promoting Interoperability100
Improvement Activities40
Cost53.82

Other Providers at the Same Location NPPES 19

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

MS. SANDRA LOU O'LINC P.T.
Occupational Therapist
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 962-7920
JEROME H BONIER DO
Orthopaedic Surgery
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (427) 962-9622
EVAN ROSS PASSALINQUA DPT
Physical Therapist
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 662-1776
SYDNEY BARR PA
Physician Assistant
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 962-9622
BRADEN GLADYSZ
Physician Assistant
1599 N HERMITAGE RD, GREENVILLE MEDICAL CENTER
HERMITAGE, PA 16148
Mercer County (724) 962-9622
DEANNA ALAN
Physician Assistant (Medical)
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (180) 028-7585
MR. RICHARD LOUIS HOLZWORTH PT
Physical Therapist
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 962-7920
UPMC COMMUNITY MEDICINE INC
Internal Medicine (Pulmonary Disease)
1599 N HERMITAGE RD
HERMITAGE, PA 16148
Mercer County (724) 589-6527

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 Peyton Carlson's NPI number?

The NPI number for Peyton Carlson is 1386254324. It was assigned to this individual provider in the NPPES registry on August 4, 2020.

Where is Peyton Carlson located?

Peyton Carlson practices at 1599 N Hermitage Rd, Hermitage, PA 16148. The listed phone number is (724) 962-9622.

What is Peyton Carlson's specialty?

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

Is Peyton Carlson enrolled in Medicare?

Yes. Peyton Carlson 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 Peyton Carlson affiliated with any hospitals?

According to CMS data, Peyton Carlson is affiliated with Upmc Jameson and Upmc Horizon.

When was this NPI record last updated?

The NPPES record for Peyton Carlson was last updated on August 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.