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Active NPI 1316698582 Individual Practitioner Female Practitioner

Carly Anne Wilson , PA

Physician Assistant • Raphine, VA

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Carly Anne Wilson, PA is a certified Physician Assistant practicing in Raphine, VA. With approximately 5 years of clinical experience since completing medical education in 2021, Carly Anne Wilson delivers high-quality medical care to the local community at 25 COMMERCE PARK DR.

Carly Anne Wilson is affiliated with Privia Medical Group, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include established patient outpatient office visit, injection, dexamethasone sodium phosphate, 1 mg, injection, triamcinolone acetonide, not otherwise specified, 10 mg. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

25 Commerce Park Dr

Raphine, VA 244722547

Telephone 5404902527

Medicare Profile & Education

Medical School

Other

Graduation Year

2021

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Raphine, VA

Experienced Practitioner (5-10 Yrs)
Practitioner Clinical Experience
5 Yrs Matches City Avg
City Avg: 5.0 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
2 Specialists

Practicing in Raphine, VA (4432 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
57.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Wilson (5 Years) 5 Yrs
Raphine Specialty Average (5.0 Years) 5.0 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
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
166 126 $240.00 $105.22
J1100 Injection, dexamethasone sodium phosphate, 1 mg
80 19 $1.00 $0.12
J3301 Injection, triamcinolone acetonide, not otherwise specified, 10 mg
76 18 $4.00 $1.00
J0696 Injection, ceftriaxone sodium, per 250 mg
72 16 $18.00 $0.46
36415 Insertion of needle into vein for collection of blood sample
57 43 $10.00 $8.65
G2211 Visit complexity inherent to evaluation and management associated with medical care services that serve as the continuing focal point for all needed health care services and/or with medical care services that are part of ongoing care related to a patient's
49 42 $33.00 $13.44
99213 Established patient office or other outpatient visit, typically 15 minutes
48 43 $170.00 $73.69
96372 Injection beneath the skin or into muscle for therapy, diagnosis, or prevention
42 28 $46.00 $11.79
81003 Automated urinalysis test
37 35 $5.00 $2.20
G0439 Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
27 27 $244.00 $106.30
99497 Advance care planning, first 30 minutes
20 20 $153.00 $67.05
83036 Hemoglobin A1C level
17 15 $21.00 $9.52

Medical Specialties & State Licenses

CMS Verified: 2022-03-14
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110008398

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.

Hospital & Practice Group Affiliations

Privia Medical Group, Llc

25 Commerce Park Dr, Raphine, VA 244722547

Phone: 5404902527

Privia Medical Group, Llc

60 Commerce Park Dr, Raphine, VA 244722547

Phone: 5404902527

Privia Medical Group, Llc

8644 Sudley Rd, Manassas, VA 201104425

Phone: 5713668845

Practice Associates & Co-Workers

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

6 Associated Practitioners
Ryan Pyles , PA-C, MPAS

Physician Assistant - Medical

NPI 1003371410

Physician Assistant (Certified), MPAS

Dr. Curtis Alitz , MD

Orthopaedic Surgery - Foot and Ankle Surgery

NPI 1215919352

Doctor of Medicine (M.D.)

Jeanette Mann

Nurse Practitioner - Family

NPI 1417569229
Laura Biazon , FNP-BC

Nurse Practitioner - Family

NPI 1487324307

Family Nurse Practitioner (Board Certified)

Victoria Tomlin , NP

Nurse Practitioner

NPI 1639618416

Nurse Practitioner

NPI 1891285490

Doctor of Medicine (M.D.), Doctor of Philosophy (Ph.D.)

Career & Practice History Timeline

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

7 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) March 14, 2022

Physician Assistant (License #0110008398 in VA)

NPI Profile Active January 10, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location January 10, 2022

Registered at 25 COMMERCE PARK DR, RAPHINE, VA 244722547 (Tel: 5404902527)

📍
Updated Business Mailing Address January 10, 2022

Registered at 40 BALL DIAMOND TRL, VESUVIUS, VA 244832901 (Tel: 5404210578)

👤
Provider Name / Credentials Updated January 10, 2022

Recorded as CARLY ANNE WILSON, PA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 10, 2022

Physician Assistant

🟢
Initial NPI Registration & Enumeration January 10, 2022

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: 1316698582
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 10, 2022
Last Update: March 14, 2022
Sole Proprietor: No

Mailing Address

40 Ball Diamond Trl

Vesuvius, VA 244832901

Phone: 5404210578

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.