CARLA A. PIANKA PA-C
NPI 1972693661
Physician Assistant in Moorestown, NJ

Active since October 13, 2006PECOS EnrolledAccepts Medicare Assignment
54.84/100
CMS Quality Rating
400 W ROUTE 38, MOORESTOWN, NJ 08057(856) 270-4003 Get Directions Write a Review

NPPES record last updated: December 24, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 24, 2024, Jun 21, 2024, Mar 6, 2024 (3 updates tracked since 2024).

About Carla A. Pianka Pa-c NPPES

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

CARLA A. PIANKA PA-C (NPI 1972693661) is an individual physician assistant in Moorestown, New Jersey, licensed in New Jersey (25MP00001800) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Cooper University Hospital, and is a graduate of Other (1991).

NPPES Registry Identity

NPI1972693661
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCARLA A. PIANKACredential: PA-C
Location Address400 W ROUTE 38Moorestown, NJ 08057-3219
Mailing Address1 Federal St Ste 200Camden, NJ 08103-1088 · (848) 288-6935 · Fax (732) 790-0107
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateOctober 13, 2006
Last NPPES UpdateDecember 24, 20243 updates tracked since enumeration
NPPES CertifiedDecember 24, 2024
NPI 1972693661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NJ · 25MP00001800
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.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License 25MP00001800 (NJ)
400 W ROUTE 38, Moorestown, NJ 08057

Accepted Insurance

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

Carla A. Pianka Pa-c 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 ID4789766783
PECOS Enrollment IDI20080130000220
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.

Areas of Expertise CMS Part B claims 8

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.
180 services93 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, each additional 20 minutes per calendar month 98981
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health remotely. They evaluate data from medical devices, adjust your treatment plan if necessary, and communicate with you about your health. This service is for an additional 20 minutes per month.
105 services37 patients
Remote therapeutic monitoring treatment management services by physician or other qualified health care professional, first 20 minutes per calendar month 98980
Remote therapeutic monitoring treatment management services involve a healthcare professional monitoring your health data remotely. This could include vital signs or other health information. The professional will manage your treatment for the first 20 minutes each month, adjusting as necessary based on the data received.
101 services52 patients
Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
76 services76 patients
Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms G0480
A definitive drug test is a detailed examination that can identify specific drugs in your system, even closely related ones. Techniques like GC/MS and LC/MS are used for high precision. This helps ensure accurate results for your safety and health.
73 services73 patients
Care management services for behavioral health conditions, 20 minutes or more clinical staff time directed by health care professional 99484
Care management for behavioral health involves a healthcare professional directing clinical staff to provide you with support for 20 minutes or more. This service can include planning your care, coordinating services, and managing your health conditions to improve your overall well-being.
34 services28 patients

Hospital Affiliations CMS Care Compare 3

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

Cooper University Hospital

Acute Care Hospitals · Camden, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310014
Location1 Cooper PlazaCamden, NJ 08103 · Camden County
Emergency services Birthing friendly

West Jersey Hospital

Acute Care Hospitals · Voorhees, NJ
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310022
Location100 Bowman DriveVoorhees, NJ 08043 · Camden County
Emergency services Birthing friendly

Inspira Medical Center Mullica Hill

Acute Care Hospitals · Mullica Hill, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310069
Location700 Mullica Hill RdMullica Hill, NJ 08062 · Gloucester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08057 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
$94.90 typical visit price
range $61.59 – $185.05
Typical copayment $23.72 (range $15.39 – $46.26)
Most-billed visit code 99203
Established Patient
$76.45 typical visit price
range $20.08 – $150.98
Typical copayment $19.11 (range $5.02 – $37.74)
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.

54.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality45.49
Promoting Interoperability0
Improvement Activities40
Cost65.37

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.

Eyewear Supplier
400 W ROUTE 38
MOORESTOWN, NJ 08057
Nurse Practitioner
400 W ROUTE 38
MOORESTOWN, NJ 08057
Occupational Therapist
400 W ROUTE 38
MOORESTOWN, NJ 08057
Clinic/Center
400 W ROUTE 38
MOORESTOWN, NJ 08057
Internal Medicine (Endocrinology, Diabetes & Metabolism)
400 W ROUTE 38
MOORESTOWN, NJ 08057
Physical Therapist
400 W ROUTE 38
MOORESTOWN, NJ 08057
Nurse Practitioner
400 W ROUTE 38
MOORESTOWN, NJ 08057
Eyewear Supplier
400 W ROUTE 38
MOORESTOWN, NJ 08057

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 Carla Pianka's NPI number?

The NPI number for Carla Pianka is 1972693661. It was assigned to this individual provider in the NPPES registry on October 13, 2006.

Where is Carla Pianka located?

Carla Pianka practices at 400 W Route 38, Moorestown, NJ 08057. The listed phone number is (856) 270-4003.

What is Carla Pianka's specialty?

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

Is Carla Pianka enrolled in Medicare?

Yes. Carla Pianka 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.

What insurance does Carla Pianka accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Carla Pianka 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.

Is Carla Pianka affiliated with any hospitals?

According to CMS data, Carla Pianka is affiliated with Cooper University Hospital, West Jersey Hospital and Inspira Medical Center Mullica Hill.

When was this NPI record last updated?

The NPPES record for Carla Pianka was last updated on December 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.