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CARLY L POLIZOTTO PA
NPI 1497326938
Physician Assistant in Lebanon, NH

Active since July 06, 2021PECOS EnrolledAccepts Medicare Assignment
ONE MEDICAL CENTER DR, LEBANON, NH 03756(603) 650-8537 Get Directions Write a Review

NPPES record last updated: April 12, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Apr 12, 2022, Sep 10, 2021, Jul 6, 2021 (3 updates tracked since 2021).

About Carly L Polizotto Pa NPPES

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

CARLY L POLIZOTTO PA (NPI 1497326938) is an individual physician assistant in Lebanon, New Hampshire, licensed in New Hampshire (1777) and active in the NPI registry since July 2021. She is enrolled in Medicare PECOS, is affiliated with Mary Hitchcock Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1497326938
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLY L POLIZOTTOCredential: PA
Location AddressONE MEDICAL CENTER DRLebanon, NH 03756-0001
Mailing AddressOne Medical Center DrLebanon, NH 03756-0001 · (603) 650-8537
Phone(603) 650-8537
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateJuly 6, 2021
Last NPPES UpdateApril 12, 20223 updates tracked since enumeration
NPPES CertifiedApril 12, 2022
✔ NPI 1497326938 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in NH · 1777
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
ONE MEDICAL CENTER DR, Lebanon, NH 03756
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld, Anthem Blue Cross and Blue Shield.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

Carly L Polizotto Pa 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 ID5092112987
PECOS Enrollment IDI20210920001776
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

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.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mary Hitchcock Memorial Hospital

Acute Care Hospitals · Lebanon, NH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number300003
Location1 Medical Center DriveLebanon, NH 03756 · Grafton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 03756 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
$89.14 typical visit price
range $57.75 – $174.26
Typical copayment $22.28 (range $14.43 – $43.56)
Most-billed visit code 99203
Established Patient
$71.85 typical visit price
range $18.70 – $142.15
Typical copayment $17.96 (range $4.67 – $35.53)
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.

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.

SAMUEL CLAYTON HEMBREE M.D.
Anesthesiology
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5922
MARY HITCHCOCK MEMORIAL HOSPITAL
General Acute Care Hospital
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5000
AMY M CHAN M.D.
Psychiatry & Neurology (Neurology)
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-2967
HANNAH I CHAUDRY M.D.
Internal Medicine (Interventional Cardiology)
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5724
JULIANA CASTELLANO MD, PHD
Pathology (Anatomic Pathology)
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-8693
ADAM C ECKHARDT CRNA
Nurse Anesthetist, Certified Registered
ONE MEDICAL CENTER DR, ANESTHESIOLOGY
LEBANON, NH 03756
Grafton County (603) 650-5922
STACIE G DEINER MD
Anesthesiology
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5922
WENZEL D KOVARIK M.D.
Anesthesiology
ONE MEDICAL CENTER DR
LEBANON, NH 03756
Grafton County (603) 650-5922

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 Polizotto's NPI number?

The NPI number for Carly Polizotto is 1497326938. It was assigned to this individual provider in the NPPES registry on July 6, 2021.

Where is Carly Polizotto located?

Carly Polizotto practices at One Medical Center Dr, Lebanon, NH 03756. The listed phone number is (603) 650-8537.

What is Carly Polizotto's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Carly Polizotto enrolled in Medicare?

Yes. Carly Polizotto 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 Carly Polizotto accept?

Health plans from Ambetter from NH Healthy Families, Anthem Blue Cross and Blue Sheld and Anthem Blue Cross and Blue Shield list Carly Polizotto 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 Carly Polizotto affiliated with any hospitals?

According to CMS data, Carly Polizotto is affiliated with Mary Hitchcock Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carly Polizotto was last updated on April 12, 2022. 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.