DR. THOMAS A CARNEVALE M.D.
NPI 1740216316
Obstetrics & Gynecology in Clearfield, PA

Q: What is Thomas Carnevale's NPI number?

The NPI number for Thomas Carnevale is 1740216316. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Q: What is Thomas Carnevale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Q: When was this NPI record last updated?

The NPPES record for Thomas Carnevale 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.

Active since June 24, 2006PECOS Enrolled

96.56/100

CMS Quality Rating

807 TURNPIKE AVE, CLEARFIELD, PA 16830(814) 765-4151(814) 768-7319 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

On this page

About Dr. Thomas A Carnevale M.d. NPPES

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

DR. THOMAS A CARNEVALE M.D. (NPI 1740216316) is an individual obstetrics & gynecology provider in Clearfield, Pennsylvania, licensed in Pennsylvania (MD043867E) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1740216316

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. THOMAS A CARNEVALECredential: M.D.

Location Address807 TURNPIKE AVEClearfield, PA 16830-1238

Mailing Address807 Turnpike AveClearfield, PA 16830-1238 · (814) 765-4151 · Fax (814) 768-7319

Phone(814) 765-4151

Fax(814) 768-7319

Sole ProprietorYes

Enumeration DateJune 24, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1740216316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

License✔ Licensed in PA · MD043867E

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

807 TURNPIKE AVE, Clearfield, PA 16830

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Other Identifiers 3

Medicare ID-Type Unspecified705630PA

Medicare UPINF13129PA

Medicaid0012713850001PA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Thomas A Carnevale M.d. 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.

Medicare Billing Reassignments

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

Dubois Regional Medical Center

17 mi

Maternal & Fetal Medicine

869 BEAVER DR
Du Bois, PA 15801

Reassigned Medicare billing, Pennsylvania enrollment
28 clinicians in this Medicare group

NPI 1033213608 (814) 371-6501

St Francis Hospital Inc.

174 mi

Family Medicine

620 STANTON-CHRISTIANA RD, SUITE 302
Newark, DE 19713

Reassigned Medicare billing, Delaware enrollment
46 clinicians in this Medicare group

NPI 1871647404 (302) 660-7333

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

Areas of Expertise CMS Part B claims 3

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 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.

113 services62 patients

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101

This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.

99 services99 patients

Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091

A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.

30 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 16830 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.

96.56/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Promoting Interoperability

95.96

Improvement Activities

Other Providers at the Same Location NPPES 15

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

LAWRENCE D. BELL, M.D., P.C.

Orthopaedic Surgery (Pediatric Orthopaedic Surgery)

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

DR. RODOLFO S POLINTAN M.D.

Orthopaedic Surgery

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

DUBOIS REGIONAL MED CENTER - PENN HIGHLANDS DUBOIS MED ARTS CLEARFIELD

Internal Medicine

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 371-2200

CLEAR MED PROVIDER CORPORATION

Clinic/Center (Health Service)

807 TURNPIKE AVE, SUITE 260
CLEARFIELD, PA 16830

Clearfield County (814) 765-4151

DR. MICHAEL THOMAS DOTSEY M.D.

Surgery

807 TURNPIKE AVE, SUITE 120
CLEARFIELD, PA 16830

Clearfield County (814) 765-8590

CLEAR MED PROVIDER CORPORATION

Clinic/Center (Health Service)

807 TURNPIKE AVE, SUITE 220
CLEARFIELD, PA 16830

Clearfield County (814) 762-8064

DRMG OPTHALMOLOGY

Ophthalmology

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 768-8888

JASEN D. ROWLES, D.O.,P.C.

Family Medicine

807 TURNPIKE AVE
CLEARFIELD, PA 16830

Clearfield County (814) 339-7101

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 Thomas Carnevale's NPI number?

The NPI number for Thomas Carnevale is 1740216316. It was assigned to this individual provider in the NPPES registry on June 24, 2006.

Where is Thomas Carnevale located?

Thomas Carnevale practices at 807 Turnpike Ave, Clearfield, PA 16830. The listed phone number is (814) 765-4151.

What is Thomas Carnevale's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Thomas Carnevale enrolled in Medicare?

Yes. Thomas Carnevale is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Thomas Carnevale's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Thomas Carnevale reassigns Medicare benefits to 2 organizations: Dubois Regional Medical Center (Du Bois, PA) and St Francis Hospital Inc. (Newark, DE). 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 Thomas Carnevale's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Thomas Carnevale accept?

Health plans from AmeriHealth Caritas Next list Thomas Carnevale 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.

When was this NPI record last updated?

The NPPES record for Thomas Carnevale 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.