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DAVID J CARNEY MD
NPI 1487663134
Urology in Johnstown, PA

Active since August 05, 2006PECOS EnrolledAccepts Medicare Assignment
93.78/100
CMS Quality Rating
903 OLD SCALP AVE, SUITE 275, JOHNSTOWN, PA 15904(814) 262-7447(814) 262-7499 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About David J Carney Md NPPES

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

DAVID J CARNEY MD (NPI 1487663134) is an individual urology provider in Johnstown, Pennsylvania, licensed in Pennsylvania (MD041294L) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Chan Soon- Shiong Medical Center At Windber, and is a graduate of Georgetown University School Of Medicine (1987).

NPPES Registry Identity

NPI1487663134
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDAVID J CARNEYCredential: MD
Location Address903 OLD SCALP AVE, SUITE 275Johnstown, PA 15904-1763
Mailing Address903 Old Scalp Ave, Suite 275Johnstown, PA 15904-1763 · (814) 262-7447 · Fax (814) 262-7499
Phone(814) 262-7447
Fax(814) 262-7499
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1987
Enumeration DateAugust 5, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1487663134 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in PA · MD041294L
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
903 OLD SCALP AVE, Johnstown, PA 15904
Open in Google Maps ↗

Other Identifiers 4

Medicare UPINF12156
Medicaid0012804640001PA
Other704344Highmark Bcbs
Medicare ID-Type Unspecified704344

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

David J Carney Md 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 ID3870695760
PECOS Enrollment IDI20070223000240
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 5

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.

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.
45 services45 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.
33 services27 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
26 services25 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.
23 services21 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

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

Chan Soon- Shiong Medical Center At Windber

Acute Care Hospitals · Windber, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390112
Location600 Somerset AvenueWindber, PA 15963 · Somerset County
Emergency services

Acmh Hospital

Acute Care Hospitals · Kittanning, PA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390163
LocationOne Nolte DriveKittanning, PA 16201 · Armstrong County
Emergency services Birthing friendly

Indiana Regional Medical Center

Acute Care Hospitals · Indiana, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390173
Location835 Hospital RoadIndiana, PA 15701 · Indiana County
Emergency services Birthing friendly

Punxsutawney Area Hospital

Acute Care Hospitals · Punxsutawney, PA
OwnershipVoluntary non-profit - Private
CMS Certification Number390199
Location81 Hillcrest DrivePunxsutawney, PA 15767 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15904 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
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.

93.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality85.07
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

SWITCH MENTAL HEALTH SERVICES INC
Community/Behavioral Health
903 OLD SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 713-1840
AMERICAN HOMEPATIENT, INC.
Durable Medical Equipment & Medical Supplies (Oxygen Equipment & Supplies)
903 OLD SCALP AVE, SUITES 170 & 172
JOHNSTOWN, PA 15904
Cambria County (814) 266-9955
DAVID J. CARNEY, MD, PC
Urology
903 OLD SCALP AVE, SUITE 275
JOHNSTOWN, PA 15904
Cambria County (814) 262-7447
BOBBI KISKO LCSW
Social Worker (Clinical)
903 OLD SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 713-1840
DR. BRIAN R OBERNEDER DPM
Podiatrist (Foot Surgery)
903 OLD SCALP AVE, APT 275
JOHNSTOWN, PA 15904
Cambria County (814) 255-9100
MRS. TORI ELISE REYNOLDS LAPC LBS
Counselor (Professional)
903 OLD SCALP AVE
JOHNSTOWN, PA 15904
Cambria County (814) 713-1840

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 David Carney's NPI number?

The NPI number for David Carney is 1487663134. It was assigned to this individual provider in the NPPES registry on August 5, 2006.

Where is David Carney located?

David Carney practices at 903 Old Scalp Ave Suite 275, Johnstown, PA 15904. The listed phone number is (814) 262-7447.

What is David Carney's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is David Carney enrolled in Medicare?

Yes. David Carney 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 David Carney accept?

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

According to CMS data, David Carney is affiliated with Chan Soon- Shiong Medical Center At Windber, Acmh Hospital, Indiana Regional Medical Center and Punxsutawney Area Hospital.

When was this NPI record last updated?

The NPPES record for David Carney was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.