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: November 01, 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
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

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

Medicare Participation & PECOS CMS

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

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.

Medicare Billing Reassignments

2

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

Obstetrics & Gynecology
901 45TH ST
Mangonia Park, FL 33407
  • Reassigned Medicare billing, Florida enrollment
  • 237 clinicians in this Medicare group
Federally Qualified Health Center (FQHC)
1454 MADISON AVE W
Immokalee, FL 34142
  • Reassigned Medicare billing, Florida enrollment
  • 79 clinicians in this Medicare group

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

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.

Midwife
175 MARTIN AVE, STE 125
EPHRATA, PA 17522
Obstetrics & Gynecology
175 MARTIN AVE, SUITE 125
EPHRATA, PA 17522
Orthopaedic Surgery
175 MARTIN AVE, SUITE 315
EPHRATA, PA 17522
Plastic Surgery
175 MARTIN AVE, SUITE 320
EPHRATA, PA 17522
Advanced Practice Midwife
175 MARTIN AVE, SUITE 125
EPHRATA, PA 17522
Obstetrics & Gynecology (Obstetrics)
175 MARTIN AVE, STE 125
EPHRATA, PA 17522
Plastic Surgery
175 MARTIN AVE, SUITE 320
EPHRATA, PA 17522
Obstetrics & Gynecology (Maternal & Fetal Medicine)
175 MARTIN AVE
EPHRATA, PA 17522

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.

Which organizations bill Medicare for John Carini's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carini reassigns Medicare benefits to 2 organizations: Dhp Of Manatee PA (Mangonia Park, FL) and Collier Health Services Inc (Immokalee, FL). 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 John Carini's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 11 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.