CARLY JO REIGART PA
NPI 1629627401
Physician Assistant in York, PA

Q: What is Carly Reigart's NPI number?

The NPI number for Carly Reigart is 1629627401. It was assigned to this individual provider in the NPPES registry on September 5, 2019. The provider is also known as Carly Jo Bolton PA.

Q: What is Carly Reigart's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Carly Reigart was last updated on February 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.

Active since September 05, 2019PECOS EnrolledAccepts Medicare Assignment

25 MONUMENT RD STE 290, YORK, PA 17403(717) 812-4090(717) 812-4092 Get Directions Write a Review

NPPES record last updated: February 26, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 26, 2025, Dec 4, 2024, Dec 5, 2019 and 2 more (5 updates tracked since 2019).

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About Carly Jo Reigart Pa NPPES

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

CARLY JO REIGART PA (NPI 1629627401) is an individual physician assistant in York, Pennsylvania, licensed in Pennsylvania (MA060736) and active in the NPI registry since September 2019. She is enrolled in Medicare PECOS, is affiliated with Wellspan York Hospital, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1629627401

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARLY JO REIGARTCredential: PA

Location Address25 MONUMENT RD STE 290York, PA 17403-5073

Mailing Address601 Memory LnYork, PA 17402-2231 · (717) 851-6110 · Fax (717) 741-1076

Phone(717) 812-4090

Fax(717) 812-4092

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateSeptember 5, 2019

Last NPPES UpdateFebruary 26, 20255 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1629627401 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in PA · MA060736

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.

25 MONUMENT RD STE 290, York, PA 17403

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Other Names 1

Former Name (1)Carly Jo Bolton Pa

Secondary Practice Locations 4

Location 11695 Roosevelt AveYork, PA 17408-8521 · Phone (717) 812-4090 · Fax (717) 798-3687

Location 22319 S George StYork, PA 17403-5009 · Phone (717) 812-4090 · Fax (717) 741-3554

Location 325 Monument Rd Ste 250York, PA 17403-5060 · Phone (717) 812-4090 · Fax (717) 812-4092

Location 425 Monument Rd Ste 100York, PA 17403-5050 · Phone (717) 812-7500 · Fax (717) 848-2074

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 Jo Reigart 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 ID8224369863

PECOS Enrollment IDI20191011000746

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.

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

107 services106 patients

Hospital Affiliations CMS Care Compare

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

Wellspan York Hospital

Acute Care Hospitals · York, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390046

Location1001 South George StreetYork, PA 17403 · York County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17403 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

$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.

Other Providers at the Same Location NPPES 16

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

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