CHARLES J CAREY PA NPI 1821290123

Physician Assistant in Long Valley, NJ

NPI 1821290123 Individual Male Years of Experience 27 Physician Assistant PECOS Enrolled Accepts Medicare Approved Payment

NPI Profile for CHARLES J CAREY PA

Charles Carey is a primary care provider established in Long Valley, New Jersey and his medical specialization is physician assistant with more than 27 years of experience. The NPI number of Charles Carey is 1821290123 and was assigned on May 2007. The practitioner's primary taxonomy code is 363A00000X with license number 25MP00023100 (NJ). The provider is registered as an individual and his NPI record was last updated one year ago.

A primary care provider (PCP) like Charles J Carey Pa sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Charles Carey is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Charles Carey is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Morristown Medical Center.

The typical physician office visit costs for Medicare beneficiaries in this area are: $25.35 for a new patient copayment and $20.64 for an established patient copayment.

NPI

1821290123

Provider Name CHARLES J CAREY PA
Provider Location Address59 E MILL RD LONG VALLEY, NJ 07853
Provider Mailing Address404 LIPPINCOTT DR MARLTON, NJ 08053
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1996
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-31-2007
Last Update Date12-20-2021


Primary Taxonomy

Taxonomy Code363A00000X
ClassificationPhysician Assistant
TypePhysician Assistants & Advanced Practice Nursing Providers
License No.25MP00023100
License StateNJ
Taxonomy DescriptionA 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.

Business Address

CHARLES J CAREY PA
59 E MILL RD
LONG VALLEY, NJ
ZIP 07853
Phone: (908) 876-5300

Get Directions


Mailing Address

CHARLES J CAREY PA
404 LIPPINCOTT DR
MARLTON, NJ
ZIP 08053
Phone: (856) 782-3300
Fax: (856) 504-8029



PECOS Enrollment and Medicare Participation

What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.

Registered in PECOS? Yes
PECOS PAC ID9739229105
PECOS Enrollment IDI20091215000555
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 07853 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99203
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$66.45 $198.48 $101.4
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$16.61 $49.62 $25.35
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99213
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$21.27 $162.58 $82.58
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$5.31 $40.64 $20.64

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 215Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • 162Administration of influenza virus vaccine (HCPCS:G0008)
  • 48Administration of pneumococcal vaccine (HCPCS:G0009)
  • 48Pneumococcal vaccine for injection into muscle (HCPCS:90670)
  • 32Urinalysis, manual test (HCPCS:81002)
  • 22Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • 14Removal of impact ear wax, one ear (HCPCS:69210)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Charles Carey is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
MORRISTOWN MEDICAL CENTER100 MADISON AVE
MORRISTOWN, NJ 7960
(973) 971-5000Acute Care Hospitals310015

NPI Validation Check Digit Calculation


The following table explains step by step the NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1821290123
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
284149014
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 4 + 1 + 4 + 9 + 0 + 1 + 4 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1821290123 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the same location


The following 11 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1831171248DR. NOEL REGINA SORVINO M.D.
Individual
Pediatrics59 E MILL RD
LONG VALLEY, NJ 07853
(908) 876-4900
1205841863DR. WILLIAM JOHN VOYCE D.C.
Individual
Chiropractor59 E MILL RD SUITE 3-102
LONG VALLEY, NJ 07853
(908) 876-9188
1689736365 KRISTIN KUEHNER RAVO MSW
Individual
Social Worker (Clinical)59 E MILL RD SUITE 2-202
LONG VALLEY, NJ 07853
(908) 876-8764
1053436105DR. HOWARD GOODKIN DMD
Individual
Dentist (General Practice)59 E MILL RD SUITE 2-2034
LONG VALLEY, NJ 07853
(908) 876-5225
1669597399DR. KIMBERLY TAUBER DMD
Individual
Dentist (General Practice)59 E MILL RD SUTIE 2-2034
LONG VALLEY, NJ 07853
(908) 876-5225
1528184348DR. CARSON FERRIS-ZEOLLA DMD
Individual
Dentist (General Practice)59 E MILL RD SUITE 2-2034
LONG VALLEY, NJ 07853
(908) 876-5225
1003002031CHRISTOPHER P MUENZEN MD PA
Organization
Internal Medicine59 E MILL RD
LONG VALLEY, NJ 07853
(908) 876-5300
1861776031 KEARSTIN R SAYA L.AC
Individual
Acupuncturist59 E MILL RD
LONG VALLEY, NJ 07853
(973) 330-2028
1154738938ADVOCARE, LLC
Organization
Pediatrics59 E MILL RD SUITE 101
LONG VALLEY, NJ 07853
(908) 876-4900
1659742963PRIMARY CARE PARTNERS, LLC
Organization
Internal Medicine59 E MILL RD
LONG VALLEY, NJ 07853
(908) 876-5300
1396414736 ROBERT CHASEMAN LPC
Individual
Counselor (Professional)59 E MILL RD
LONG VALLEY, NJ 07853
(973) 296-1876

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
Charles J Carey Pa is registered as an entity type code: 1. The entity type code describes the type of health care provider that is being assigned an NPI. The entity type codes are:

  • 1 = Person: individual human being who furnishes health care.
  • 2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.