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JOHN CARINI MD
NPI 1891890232
Obstetrics & Gynecology in Ephrata, PA

Active since September 13, 2006PECOS Enrolled
175 MARTIN AVE, SUITE125, EPHRATA, PA 17522(717) 721-5700(717) 721-5712 Get Directions Write a Review

NPPES record last updated: October 16, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About John Carini Md NPPES

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

JOHN CARINI MD (NPI 1891890232) is an individual obstetrics & gynecology provider in Ephrata, Pennsylvania, licensed in Pennsylvania (MD043855L) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891890232
Entity TypeIndividualMale
Primary Taxonomy207V00000X
Provider Legal NameJOHN CARINICredential: MD
Location Address175 MARTIN AVE, SUITE125Ephrata, PA 17522-1761
Mailing Address175 Martin Avenue, Suite 125Ephrata, PA 17522-9550 · (717) 721-5700 · Fax (717) 721-5712
Phone(717) 721-5700
Fax(717) 721-5712
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateOctober 16, 2015
✔ NPI 1891890232 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 · MD043855L
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.
175 MARTIN AVE, Ephrata, PA 17522
Open in Google Maps ↗

Other Identifiers 9

Other4292038PA · Aetna
Other4292038PA · Ush/hmo
Other1510648PA · Gateway
Medicaid12388180008PA
Other662024PA · Blue Shield
Other172492PA · Three Rivers
Medicare UPINE78222PA
Other160048490PA · Rrmcr
Other50051206PA · Capital Blue Cross

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Carini Md 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 17522 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.

Other Providers at the Same Location NPPES 20

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

JANE E. HEARREN CNM
Midwife
175 MARTIN AVE, STE 125
EPHRATA, PA 17522
Lancaster County (717) 721-5700
JONATHAN H GRINER MD
Obstetrics & Gynecology
175 MARTIN AVE, SUITE 125
EPHRATA, PA 17522
Lancaster County (717) 721-5700
LANCASTER ORTHOPEDIC GROUP, INC.
Orthopaedic Surgery
175 MARTIN AVE, SUITE 315
EPHRATA, PA 17522
Lancaster County (717) 733-9200
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Plastic Surgery
175 MARTIN AVE, SUITE 320
EPHRATA, PA 17522
Lancaster County (717) 721-5800
DANICA BEEBE CNM
Advanced Practice Midwife
175 MARTIN AVE, SUITE 125
EPHRATA, PA 17522
Lancaster County (717) 721-5700
NORTHERN LANCASTER COUNTY MEDICAL GROUP
Obstetrics & Gynecology (Obstetrics)
175 MARTIN AVE, STE 125
EPHRATA, PA 17522
Lancaster County (717) 721-5763
NIRUTISAI K GRAFF MD
Plastic Surgery
175 MARTIN AVE, SUITE 320
EPHRATA, PA 17522
Lancaster County (717) 721-5800
WELLSPAN MEDICAL GROUP
Obstetrics & Gynecology (Maternal & Fetal Medicine)
175 MARTIN AVE
EPHRATA, PA 17522
Lancaster County (866) 244-3492

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 John Carini's NPI number?

The NPI number for John Carini is 1891890232. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is John Carini located?

John Carini practices at 175 Martin Ave Suite125, Ephrata, PA 17522. The listed phone number is (717) 721-5700.

What is John Carini's specialty?

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

Is John Carini enrolled in Medicare?

Yes. John Carini is registered in the Medicare PECOS enrollment system.

What insurance does John Carini accept?

Health plans from Ambetter Health, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Wellpoint list John Carini 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 John Carini was last updated on October 16, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.