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Active NPI 1295389849 Individual Practitioner Female Practitioner

Carly Elizabeth Haddock , PA-C

Physician Assistant • Fountain Hill, PA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carly Haddock, PA-C is a certified Physician Assistant practicing in Fountain Hill, PA. With approximately 7 years of clinical experience since completing medical education in 2019, Carly Haddock delivers high-quality medical care to the local community at 701 OSTRUM ST STE 201.

Carly Haddock is affiliated with St Lukes Physician Group Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, new patient outpatient office visit, subsequent hospital care with moderate levelof medical decision making, if using time, at least. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

701 Ostrum St Ste 201

Fountain Hill, PA 180151152

Telephone 4845266545
Fax 4845266546
Associated Practice Facility / Clinic

Medicare Profile & Education

Medical School

Other

Graduation Year

2019

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Fountain Hill, PA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
7 Yrs -4.1 yrs vs City Avg
City Avg: 11.1 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
32 Specialists

Practicing in Fountain Hill, PA (8068 Statewide)

Telehealth Adoption Rate
53.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
53.3% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Haddock (7 Years) 7 Yrs
Fountain Hill Specialty Average (11.1 Years) 11.1 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
99213 Established patient office or other outpatient visit, typically 15 minutes
86 75 $149.56 $75.94
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
85 73 $219.88 $106.13
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
11 11 $222.64 $94.27

Medical Specialties & State Licenses

CMS Verified: 2021-09-01
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License PA MA062781

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.

Family Medicine

NUCC Taxonomy Code: 207Q00000X

State License VA 0110-006780

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Hospital & Practice Group Affiliations

St Lukes Physician Group Inc

2200 St Luke's Blvd, Easton, PA 180455665

St Lukes Physician Group Inc

3565 Route 611, Bartonsville, PA 183217800

Phone: 4845262200

St Lukes Physician Group Inc

801 Ostrm St, Bethlehem, PA 180151000

St Lukes Physician Group Inc

1021 Park Ave, Quakertown, PA 189510130

St Lukes Physician Group Inc

500 St Lukes Dr, Lehighton, PA 182355000

Phone: 4845262200

St Lukes Physician Group Inc

1122 N St, Jim Thorpe, PA 182291717

Phone: 5703258835

St Lukes Physician Group Inc

614 Delaware Ave, Palmerton, PA 180712003

St Lukes Physician Group Inc

1530 8th Ave, Bethlehem, PA 180181883

St Lukes Physician Group Inc

1104 N St, Jim Thorpe, PA 182291717

Phone: 4845038281

St Lukes Physician Group Inc

1104 N St, Jim Thorpe, PA 182291717

Phone: 6109541735

St Lukes Physician Group Inc

1122 N St, Jim Thorpe, PA 182291717

Phone: 4845266545

Practice Associates & Co-Workers

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

40 Associated Practitioners
Jessica Fenner , PA-C

Physician Assistant

NPI 1003144882

Physician Assistant (Certified)

Andrea Bone , PA-C

Physician Assistant

NPI 1003398918

Physician Assistant (Certified)

Dr. Samantha Rollins , DO

Internal Medicine - Gastroenterology

NPI 1003431891

Doctor of Osteopathic Medicine (D.O.)

Dr. Shannon Tosounian , DO

Internal Medicine - Gastroenterology

NPI 1013398734

Doctor of Osteopathic Medicine (D.O.)

Brianna Taylor , PA-C

Physician Assistant

NPI 1023560059

Physician Assistant (Certified)

Dr. Charles Cohan , DO FACP

Internal Medicine - Gastroenterology

NPI 1043289903

DOFACP

Career & Practice History Timeline

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

9 Historical Events
📍
Updated Practice Location September 01, 2021

Registered at 701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 180151152 (Tel: 4845266545)

📍
Updated Business Mailing Address September 01, 2021

Registered at 701 OSTRUM ST STE 201, FOUNTAIN HILL, PA 180151152 (Tel: 4845266545)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) September 01, 2021

Physician Assistant (License #MA062781 in PA)

NPI Profile Active July 31, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location July 31, 2019

Registered at 935 S MAIN ST, FARMVILLE, VA 239012211 (Tel: 4343155340)

📍
Updated Business Mailing Address July 31, 2019

Registered at 722 MOUNTAIN RD APT 202, HALIFAX, VA 245582013 (Tel: 5708778058)

👤
Provider Name / Credentials Updated July 31, 2019

Recorded as CARLY HADDOCK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 31, 2019

Family Medicine (License #0110-006780 in VA)

🟢
Initial NPI Registration & Enumeration July 31, 2019

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: 1295389849
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 31, 2019
Last Update: September 01, 2021
Sole Proprietor: No

Mailing Address

701 Ostrum St Ste 201

Fountain Hill, PA 180151152

Phone: 4845266545

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.