CARLY TOCK
NPI 1447842299
Dietitian, Registered in Urbana, IL

Active since February 03, 2021Accepts Medicare Assignment
1400 W PARK ST, URBANA, IL 61801(217) 337-2000 Get Directions Write a Review

NPPES record last updated: February 3, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Carly Tock NPPES

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

CARLY TOCK (NPI 1447842299) is an individual dietitian, registered in Urbana, Illinois, licensed in Illinois (164008276) and active in the NPI registry since February 2021. She is a graduate of Other (2020).

NPPES Registry Identity

NPI1447842299
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameCARLY TOCK
Location Address1400 W PARK STUrbana, IL 61801-2334
Mailing Address407 Orchard DrMahomet, IL 61853-3687
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2021
NPPES CertifiedFebruary 3, 2021
✔ NPI 1447842299 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in IL · 164008276
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
1400 W PARK ST, Urbana, IL 61801

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carly Tock 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 ID8628435708
PECOS Enrollment IDI20230605002536

Medicare Billing Reassignment

Medicare enrollment records show Carly Tock reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Family Medicine
520 N CUNNINGHAM AVENUE
Urbana, IL 61802
  • Reassigned Medicare billing, Illinois enrollment
  • 201 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61801 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
$0.00 typical visit price
range $54.80 – $168.44
Typical copayment $0.00 (range $13.70 – $42.11)
Most-billed visit code NA
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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 20

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

Nurse Practitioner
1400 W PARK ST
URBANA, IL 61801
Emergency Medicine
1400 W PARK ST
URBANA, IL 61801
Anesthesiology
1400 W PARK ST
URBANA, IL 61801
Ambulance (Land Transport)
1400 W PARK ST
URBANA, IL 61801
Family Medicine
1400 W PARK ST, EMERGENCY DEPARTMENT
URBANA, IL 61801
Pharmacist
1400 W PARK ST
URBANA, IL 61801
Nurse Anesthetist, Certified Registered
1400 W PARK ST
URBANA, IL 61801
Anesthesiology
1400 W PARK ST
URBANA, IL 61801

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 Tock's NPI number?

The NPI number for Carly Tock is 1447842299. It was assigned to this individual provider in the NPPES registry on February 3, 2021.

Where is Carly Tock located?

Carly Tock practices at 1400 W Park St, Urbana, IL 61801. The listed phone number is (217) 337-2000.

What is Carly Tock's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Carly Tock enrolled in Medicare?

Yes. Carly Tock 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.

Which organization bills Medicare for Carly Tock's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Tock reassigns Medicare benefits to Gibson Community Hospital Association (Urbana, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carly Tock's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Carly Tock was last updated on February 3, 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.