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KEVIN JAMES CAREY D.O.
NPI 1477643294
Family Medicine in Plains, PA

Active since October 13, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 39D2043401 · Waiver
90.45/100
CMS Quality Rating
220 S RIVER ST, SUITE 200, PLAINS, PA 18705(570) 824-8151(570) 824-0111 Get Directions Write a Review

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

About Kevin James Carey D.o. NPPES

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

KEVIN JAMES CAREY D.O. (NPI 1477643294) is an individual family medicine provider in Plains, Pennsylvania, licensed in Pennsylvania (OS009805L) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 1, 2028, and is affiliated with Geisinger-community Medical Center.

NPPES Registry Identity

NPI1477643294
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameKEVIN JAMES CAREYCredential: D.O.
Location Address220 S RIVER ST, SUITE 200Plains, PA 18705-1137
Mailing Address220 River Rd Ste 200Plains, PA 18705-1137 · (570) 824-8151
Phone(570) 824-8151
Fax(570) 824-0111
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 1996
Enumeration DateOctober 13, 2006
Last NPPES UpdateJune 25, 2021
NPPES CertifiedJune 25, 2021
✔ NPI 1477643294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OS009805L
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
220 S RIVER ST, Plains, PA 18705
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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, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kevin James Carey 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 ID6507892130
PECOS Enrollment IDI20050714000376
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Kevin Carey reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Nepa Family Practice PLLC
Same address
Family Medicine
220 S RIVER ST
Plains, PA 18705
  • Reassigned Medicare billing, Pennsylvania enrollment
NPI 1205417151 (570) 824-8151
Berwick Clinic Company LLC
24 mi
Family Medicine
751 E 16TH ST, SUITE 400
Berwick, PA 18603
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 26 clinicians in this Medicare group
NPI 1184793127 (505) 759-5555

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D2043401

Dr Kevin Carey · Plains, PA
Active · expires Jul 1, 2028
CLIA Number39D2043401
Laboratory TypePhysician Office
Certificate Effective DateJuly 2, 2026
Certificate Expiration DateJuly 1, 2028
Laboratory DirectorDr. Kevin Carey Do
Laboratory Phone(570) 824-8151
Laboratory LocationDr Kevin Carey220 S River St Suite 200, Plains, PA 18705
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

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.
503 services284 patients
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.
338 services204 patients
Assessment of emotional or behavioral problems 96127
Assessment of emotional or behavioral problems involves a thorough evaluation of your feelings, thoughts, and behaviors. It's a process where professionals study patterns over time to identify potential issues like anxiety, depression, or other mental health conditions.
116 services76 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
112 services112 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
105 services105 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
84 services84 patients

Hospital Affiliations CMS Care Compare 4

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

Geisinger-Community Medical Center

Acute Care Hospitals · Scranton, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390001
Location1822 Mulberry StreetScranton, PA 18510 · Lackawanna County
Emergency services Birthing friendly

Geisinger Medical Center

Acute Care Hospitals · Danville, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390006
Location100 North Academy AvenueDanville, PA 17822 · Montour County
Emergency services Birthing friendly

Wilkes-Barre General Hospital

Acute Care Hospitals · Wilkes-Barre, PA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number390137
Location575 North River StreetWilkes-Barre, PA 18764 · Luzerne County
Emergency services

Geisinger Wyoming Valley Medical Center

Acute Care Hospitals · Wilkes Barre, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390270
Location1000 East Mountain BoulevardWilkes Barre, PA 18711 · Luzerne County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18705 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
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

90.45/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.91
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 11

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
15 suppliers105 claims186 services$5.67 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
9 suppliers34 claims37 services$1.02 avg. paid by Medicare
For diabetics only, fitting (including follow-up), custom preparation and supply of off-the-shelf depth-inlay shoe manufactured to accommodate multi-density insert(s), per shoe A5500
DME-Orthotic Devices · category DF000N
4 suppliers16 claims32 services$61.44 avg. paid by Medicare
For diabetics only, multiple density insert, direct formed, molded to foot after external heat source of 230 degrees fahrenheit or higher, total contact with patient's foot, including arch, base layer minimum of 1/4 inch material of shore a 35 durometer or 3/16 inch material of shore a 40 durometer (or higher), prefabricated, each A5512
DME-Orthotic Devices · category DF000N
2 suppliers13 claims78 services$25.09 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier18 claims18 services$13.46 avg. paid by Medicare
Wheelchair accessory, adjustable height, detachable armrest, complete assembly, each E0973
DME-Wheelchairs · category DD021N
1 supplier17 claims17 services$4.13 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

GEORGE RITZ MD
Orthopaedic Surgery
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 826-1555
DR. SCOTT FOLEY PHARM D.
Pharmacist
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 208-0277
DR. MICHAEL P BANAS M.D.
Orthopaedic Surgery
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 826-1555
THOMAS ALLARDYCE MD
Orthopaedic Surgery
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 826-1555
NADINE ELYSE ROLLES MSPT
Physical Therapist
220 S RIVER ST, C/O ADULT SERVIES UNLIMITED T/A RIVERSIDE REHAB
PLAINS, PA 18705
Luzerne County (570) 824-3444
KRISTEN ELAINE WERTMAN TPT
Physical Therapist
220 S RIVER ST, C/O ADULT SERVICES UNLIMITED T/A RIVERSIDE REHAB
PLAINS, PA 18705
Luzerne County (570) 824-3444
DONNA SOKOLOWSKI PHYSICAL THERAPIST
Physical Therapist
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 824-3444
ADVANCED PHARMACY SERVICES LLC
Pharmacy
220 S RIVER ST
PLAINS, PA 18705
Luzerne County (570) 208-0277

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 Kevin Carey's NPI number?

The NPI number for Kevin Carey is 1477643294. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Kevin Carey located?

Kevin Carey practices at 220 S River St Suite 200, Plains, PA 18705. The listed phone number is (570) 824-8151.

What is Kevin Carey's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Kevin Carey enrolled in Medicare?

Yes. Kevin Carey 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 organizations bill Medicare for Kevin Carey's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kevin Carey reassigns Medicare benefits to 2 organizations: Nepa Family Practice PLLC (Plains, PA) and Berwick Clinic Company LLC (Berwick, PA). Each 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 Kevin Carey's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Does Kevin Carey hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2043401) is associated with this NPI, valid through July 1, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Kevin Carey accept?

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

According to CMS data, Kevin Carey is affiliated with Geisinger-Community Medical Center, Geisinger Medical Center, Wilkes-Barre General Hospital and Geisinger Wyoming Valley Medical Center.

When was this NPI record last updated?

The NPPES record for Kevin Carey was last updated on June 25, 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.