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Active NPI 1043645690 Individual Practitioner Female Practitioner

Carly Nicole Smith , PA-C

Physician Assistant • Minnetonka, MN

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carly Smith, PA-C is a certified Physician Assistant practicing in Minnetonka, MN. With approximately 13 years of clinical experience since completing medical education in 2013, Carly Smith delivers high-quality medical care to the local community at 5435 FELTL RD.

Carly Smith maintains professional affiliations with Allina Health System, Ear Nose And Throat Specialty Care Of Minnesota Pa and accepts Medicare assignment.

Frequently performed procedures and clinical services include removal of impacted ear wax, new patient outpatient office visit, emergency department visit for life threatening or functioning severity. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

5435 Feltl Rd

Minnetonka, MN 553437983

Telephone 9528359880
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2013

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Minnetonka, MN

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
13 Yrs -2.0 yrs vs City Avg
City Avg: 15.0 Yrs
State Avg: 10.9 Yrs
Regional Practice Density
33 Specialists

Practicing in Minnetonka, MN (4026 Statewide)

Telehealth Adoption Rate
18.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
77.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Smith (13 Years) 13 Yrs
Minnetonka Specialty Average (15.0 Years) 15.0 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
69210 Removal of impacted ear wax
20 17 $218.90 $38.38
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
16 16 $359.00 $92.03

Medical Specialties & State Licenses

Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License MN 11656

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License IL 085004730

Definition to come...

Hospital & Practice Group Affiliations

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Allina Health System

440 Elm St E, Annandale, MN 553021109

Phone: 3206825225

Ear Nose And Throat Specialty Care Of Minnesota Pa

6099 Wayzata Blvd, St Louis Park, MN 554165538

Phone: 6128711144

Allina Health System

800 E 28th St, Minneapolis, MN 554073723

Allina Health System

303 Catlin St, Buffalo, MN 553131947

Allina Health System

2925 Chicago Ave, Minneapolis, MN 554071321

Phone: 6122627476

Ear Nose And Throat Specialty Care Of Minnesota Pa

9822 Hospital Dr, Maple Grove, MN 553694648

Phone: 6128711144

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jenny Bauer , CNP

Clinical Nurse Specialist - Family Health

NPI 1003015140

Certified Nurse Practitioner

Dr. Rebecca Meyer , MD

Emergency Medicine

NPI 1003128992

Doctor of Medicine (M.D.)

Reginald Lewis , PA

Physician Assistant

NPI 1013121565

Physician Assistant

NPI 1013171545

Doctor of Medicine (M.D.)

Meredith Lorig , PA-C

Physician Assistant

NPI 1013677137

Physician Assistant (Certified)

Dr. Shaun Adams , MD

Emergency Medicine

NPI 1023085289

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
NPI Profile Active January 27, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location January 27, 2017

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

📍
Updated Business Mailing Address January 27, 2017

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

👤
Provider Name / Credentials Updated January 27, 2017

Recorded as CARLY SMITH, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 27, 2017

Physician Assistant (License #11656 in MN)

NPI Profile Active June 16, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 16, 2015

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

📍
Updated Business Mailing Address June 16, 2015

Registered at 5435 FELTL RD, MINNETONKA, MN 553437983 (Tel: 9528359880)

👤
Provider Name / Credentials Updated June 16, 2015

Recorded as CARLY LARSON, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 16, 2015

Physician Assistant (License #11656 in MN)

🟢
Initial NPI Registration & Enumeration September 13, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1043645690
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: September 13, 2013
Last Update: January 27, 2017
Sole Proprietor: No

Mailing Address

5435 Feltl Rd

Minnetonka, MN 553437983

Phone: 9528359880

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.