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DR. BRETT ADAM CARESTIA D.O.
NPI 1407119944
Internal Medicine - Critical Care Medicine in Langhorne, PA

Active since June 20, 2012PECOS EnrolledAccepts Medicare Assignment
12 NEWBURYPORT RD, LANGHORNE, PA 19053(267) 566-1916(215) 860-2093 Get Directions Write a Review

NPPES record last updated: September 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 8, 2021, Nov 18, 2016 (2 updates tracked since 2016).

About Dr. Brett Adam Carestia D.o. NPPES

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

DR. BRETT ADAM CARESTIA D.O. (NPI 1407119944) is an individual critical care medicine provider in Langhorne, Pennsylvania, licensed in Pennsylvania (OS018164) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS, is affiliated with Jefferson Health- Northeast, and maintains a secondary practice location in East Stroudsburg.

NPPES Registry Identity

NPI1407119944
Entity TypeIndividualMale
Primary Taxonomy207RC0200X
Provider Legal NameDR. BRETT ADAM CARESTIACredential: D.O.
Location Address12 NEWBURYPORT RDLanghorne, PA 19053-1556
Mailing Address12 Newburyport RdLanghorne, PA 19053-1556 · (267) 566-1916 · Fax (215) 860-2093
Phone(267) 566-1916
Fax(215) 860-2093
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 20, 2012
Last NPPES UpdateSeptember 8, 20212 updates tracked since enumeration
NPPES CertifiedSeptember 8, 2021
✔ NPI 1407119944 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in PA · OS018164
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedInternal MedicineTaxonomy 207R00000X · License OS018164 (PA)
12 NEWBURYPORT RD, Langhorne, PA 19053
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Secondary Practice Location 1

Location 1206 E Brown StEast Stroudsburg, PA 18301-3006 · Phone (570) 421-4000 · Fax (570) 476-3786

Other Identifiers 1

OtherOS018164PA · State License

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.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

Dr. Brett Adam Carestia D.o. 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 ID7012297294
PECOS Enrollment IDI20161205001447
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 6

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.

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.
229 services164 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
75 services44 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
26 services24 patients
Insertion of non-tunneled central venous tube for infusion (5 years or older) 36556
This procedure involves placing a thin tube into a large vein, usually in the neck or chest, to administer medication or fluids. It's done under local anesthesia to minimize discomfort. It's a standard, safe procedure for individuals aged 5 and above.
17 services17 patients
Emergent insertion of breathing tube into windpipe using an endoscope 31500
This is a procedure where a thin tube is inserted into your windpipe to aid in breathing. It's done in emergency situations, using an endoscope, a tool with a light and camera, to ensure correct placement.
16 services16 patients
Insertion of needle or tube into artery of arm or leg 36140
This procedure involves inserting a needle or a small tube into an artery in your arm or leg. It's typically done to monitor blood pressure, take blood samples, or administer medication. You may feel a small prick or pressure. It's generally safe with minimal discomfort.
11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Jefferson Health- Northeast

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390115
Location10800 Knights RoadPhiladelphia, PA 19114 · Philadelphia County
Emergency services

Nazareth Hospital

Acute Care Hospitals · Philadelphia, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390204
Location2601 Holme AvePhiladelphia, PA 19152 · Philadelphia County
Emergency services

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19053 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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 3

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

PAVEL VLADIMIROVICH LOBANOV MD
Anesthesiology
12 NEWBURYPORT RD
UPPER HOLLAND, PA 19053
Bucks County (215) 860-4110
TAYLOR MEGANNE CARESTIA DPT
Physical Therapist
12 NEWBURYPORT RD
FEASTERVILLE TREVOSE, PA 19053
Bucks County (920) 470-9480
MICHELE GUNNELLS DO
Anesthesiology
12 NEWBURYPORT RD
UPPER HOLLAND, PA 19053
Bucks County (215) 860-4110

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 Brett Carestia's NPI number?

The NPI number for Brett Carestia is 1407119944. It was assigned to this individual provider in the NPPES registry on June 20, 2012.

Where is Brett Carestia located?

Brett Carestia practices at 12 Newburyport Rd, Langhorne, PA 19053. The listed phone number is (267) 566-1916.

What is Brett Carestia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Brett Carestia enrolled in Medicare?

Yes. Brett Carestia 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.

What insurance does Brett Carestia accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Brett Carestia 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 Brett Carestia affiliated with any hospitals?

According to CMS data, Brett Carestia is affiliated with Jefferson Health- Northeast, Nazareth Hospital and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Brett Carestia was last updated on September 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.