CARLY MAUCH PA-C
NPI 1679758700
Physician Assistant in Roseburg, OR

Q: What is Carly Mauch's NPI number?

The NPI number for Carly Mauch is 1679758700. It was assigned to this individual provider in the NPPES registry on January 8, 2008.

Q: What is Carly Mauch'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 Mauch was last updated on November 29, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since January 08, 2008PECOS Enrolled

1813 W HARVARD AVE, SUITE #310, ROSEBURG, OR 97471(541) 672-7546 Get Directions Write a Review

NPPES record last updated: November 29, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Carly Mauch Pa-c NPPES

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

CARLY MAUCH PA-C (NPI 1679758700) is an individual physician assistant in Roseburg, Oregon, licensed in Oregon (PA01409) and active in the NPI registry since January 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679758700

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameCARLY MAUCHCredential: PA-C

Location Address1813 W HARVARD AVE, SUITE #310Roseburg, OR 97471-2752

Mailing Address2423 Nw Troost StRoseburg, OR 97471-1706 · (541) 677-3400 · Fax (541) 677-3405

Phone(541) 672-7546

Sole ProprietorNo

Enumeration DateJanuary 8, 2008

Last NPPES UpdateNovember 29, 2017

✔ NPI 1679758700 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 OR · PA01409

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

1813 W HARVARD AVE, Roseburg, OR 97471

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Other Identifiers 1

OtherR144364OR · Ptan

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carly Mauch Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 97471 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

$84.82 typical visit price

range $54.96 – $166.64

Typical copayment $21.20 (range $13.74 – $41.66)

Most-billed visit code 99203

Established Patient

$68.64 typical visit price

range $17.68 – $136.19

Typical copayment $17.16 (range $4.42 – $34.04)

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.