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CAROLYN ROSE FON PA
NPI 1861229791
Physician Assistant in Vestal, NY

Active since September 16, 2024PECOS EnrolledAccepts Medicare Assignment
3101 SHIPPERS RD STE 203, VESTAL, NY 13850(607) 786-4822 Get Directions Write a Review

NPPES record last updated: December 2, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Dec 2, 2024, Sep 29, 2024, Sep 16, 2024 (3 updates tracked since 2024).

About Carolyn Rose Fon Pa NPPES

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

CAROLYN ROSE FON PA (NPI 1861229791) is an individual physician assistant in Vestal, New York, licensed in New York (032664) and active in the NPI registry since September 2024. She is enrolled in Medicare PECOS, is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1861229791
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCAROLYN ROSE FONCredential: PA
Location Address3101 SHIPPERS RD STE 203Vestal, NY 13850-2082
Mailing Address20 Mildred Ave Apt 2Johnson City, NY 13790-2979 · (914) 584-3643 · Fax (607) 251-2010
Phone(607) 786-4822
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateSeptember 16, 2024
Last NPPES UpdateDecember 2, 20243 updates tracked since enumeration
NPPES CertifiedDecember 2, 2024
✔ NPI 1861229791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Licenses✔ Licensed in NY · 032664✔ Licensed in PA · MA065946
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.
3101 SHIPPERS RD STE 203, Vestal, NY 13850
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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

Carolyn Rose Fon 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 ID3779015607
PECOS Enrollment IDI20241017000435
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.

Hospital Affiliations CMS Care Compare

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

Our Lady Of Lourdes Memorial Hospital, Inc

Acute Care Hospitals · Binghamton, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330011
Location169 Riverside DriveBinghamton, NY 13905 · Broome County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13850 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
$84.93 typical visit price
range $54.87 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$68.57 typical visit price
range $17.54 – $136.14
Typical copayment $17.14 (range $4.38 – $34.03)
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 4

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

KRISTI GARZO MS, RDN, CDN, CLC
Dietitian, Registered
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Broome County (607) 251-2105
PHUNG TRAN DO
Family Medicine
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Broome County (607) 786-4822
GREGORY HILTON STONIER MD
Family Medicine
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Broome County (607) 786-4822
DR. JOSEPH JOHN MURCKO IV DO
Family Medicine
3101 SHIPPERS RD STE 203
VESTAL, NY 13850
Broome County (607) 786-4822

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 Carolyn Fon's NPI number?

The NPI number for Carolyn Fon is 1861229791. It was assigned to this individual provider in the NPPES registry on September 16, 2024.

Where is Carolyn Fon located?

Carolyn Fon practices at 3101 Shippers Rd Ste 203, Vestal, NY 13850. The listed phone number is (607) 786-4822.

What is Carolyn Fon's specialty?

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

Is Carolyn Fon enrolled in Medicare?

Yes. Carolyn Fon 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.

Is Carolyn Fon affiliated with any hospitals?

According to CMS data, Carolyn Fon is affiliated with Our Lady Of Lourdes Memorial Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Carolyn Fon was last updated on December 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.