BILLY RAUL CARSTENS D.O.
NPI 1447342738
Physical Medicine & Rehabilitation in Schenectady, NY

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1270 BELMONT AVE, SCHENECTADY, NY 12308(518) 382-4530 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 10, 2024, Aug 8, 2019, Jul 26, 2019 and 3 more (6 updates tracked since 2017).

About Billy Raul Carstens D.o. NPPES

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

BILLY RAUL CARSTENS D.O. (NPI 1447342738) is an individual physical medicine & rehabilitation provider in Schenectady, New York, licensed in New York (212342) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jones Memorial Hospital, and is a graduate of Midwestern University, Chicago College Of Osteopathic Med (1994).

NPPES Registry Identity

NPI1447342738
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameBILLY RAUL CARSTENSCredential: D.O.
Location Address1270 BELMONT AVESchenectady, NY 12308-2104
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 1994
Enumeration DateSeptember 28, 2006
Last NPPES UpdateJuly 10, 20246 updates tracked since enumeration
NPPES CertifiedJuly 10, 2024
NPI 1447342738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License Licensed in NY · 212342
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
Also ListedPhysical Medicine & Rehabilitation · Pain MedicineTaxonomy 2081P2900X · License 212342-1 (NY)
1270 BELMONT AVE, Schenectady, NY 12308

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

Billy Raul Carstens 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 ID42250904
PECOS Enrollment IDI20050510000713
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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
48 services26 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services16 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
25 services16 patients
Injection of lower or sacral spine facet joint using imaging guidance, second level 64494
This procedure involves injecting medication into the facet joints of your lower or sacral spine to manage pain. Imaging guidance ensures accurate placement. It's the second level, meaning it's done on two different joint levels.
24 services16 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
23 services23 patients
Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance 27096
This procedure involves injecting medicine into the joint where your lower spine meets your hip bone. Using special imaging technology, the doctor ensures the medicine is delivered accurately. This can help reduce pain and inflammation in that area.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Jones Memorial Hospital

Acute Care Hospitals · Wellsville, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330096
Location191 North Main StreetWellsville, NY 14895 · Allegany County
Emergency services Birthing friendly

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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality100
Improvement Activities40

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.

Physical Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Physical Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Physical Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Physical Medicine & Rehabilitation
1270 BELMONT AVE
SCHENECTADY, NY 12308
Physical Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Occupational Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Physical Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308
Occupational Therapist
1270 BELMONT AVE
SCHENECTADY, NY 12308

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 Billy Carstens's NPI number?

The NPI number for Billy Carstens is 1447342738. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Billy Carstens located?

Billy Carstens practices at 1270 Belmont Ave, Schenectady, NY 12308. The listed phone number is (518) 382-4530.

What is Billy Carstens's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.

Is Billy Carstens enrolled in Medicare?

Yes. Billy Carstens 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 Billy Carstens affiliated with any hospitals?

According to CMS data, Billy Carstens is affiliated with Jones Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Billy Carstens was last updated on July 10, 2024. 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.