Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1124683396 Individual Practitioner Female Practitioner

Carly Moock , PA-C

Physician Assistant • Roanoke, VA

Professional Overview & Biography Verified Profile Summary

Carly Moock, PA-C is a registered healthcare professional specializing in Physician Assistant in Roanoke, VA. Practice services are available at 3 RIVERSIDE CIR under active NPI credentials.

Frequently performed procedures and clinical services include established patient outpatient office visit. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

3 Riverside Cir

Roanoke, VA 240164955

Telephone 5402245170
Fax 5409838212
Associated Practice Facility / Clinic
🏢 Carilion Medical Center Facility NPI 1982908547

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Roanoke, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 8.4 Yrs
State Avg: 10.5 Yrs
Regional Practice Density
301 Specialists

Practicing in Roanoke, VA (4432 Statewide)

Telehealth Adoption Rate
13.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
56.5% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2020)
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
12 12 $213.00 $92.70

Medical Specialties & State Licenses

CMS Verified: 2021-01-28
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License VA 0110006713

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

NUCC Taxonomy Code: 363A00000X

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.

Practice Associates & Co-Workers

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

40 Associated Practitioners
Dr. Jed Gonzalo , MD

Internal Medicine

NPI 1003073685

Doctor of Medicine (M.D.)

Dr. Matthew Dawson , MD

Physical Medicine & Rehabilitation

NPI 1003159021

Doctor of Medicine (M.D.)

NPI 1003202425

Doctor of Medicine (M.D.)

Modupe White , FNP-C

Nurse Practitioner - Family

NPI 1003316431

Family Nurse Practitioner (Certified)

Dr. Vishal Gohil , MD

Internal Medicine - Gastroenterology

NPI 1013120997

Doctor of Medicine (M.D.)

Dr. John Fraser , MD

Neurological Surgery

NPI 1013987270

Doctor of Medicine (M.D.)

Career & Practice History Timeline

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

13 Historical Events
🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 28, 2021

Physician Assistant (License #0110006713 in VA)

📍
Updated Practice Location January 11, 2021

Registered at 3 RIVERSIDE CIR, ROANOKE, VA 240164955 (Tel: 5402245170)

📍
Updated Business Mailing Address January 11, 2021

Registered at 213 S JEFFERSON ST STE 625, ROANOKE, VA 240111713 (Tel: 5402245516)

📍
Updated Practice Location July 26, 2019

Registered at 1111 S JEFFERSON ST STE B, ROANOKE, VA 240164724 (Tel: 5403431007)

📍
Updated Business Mailing Address July 26, 2019

Registered at 1111 S JEFFERSON ST STE B, ROANOKE, VA 240164724 (Tel: 5403421007)

📍
Updated Practice Location June 10, 2019

Registered at 100 BALDWIN BLVD, FISHERSVILLE, VA 229392375 (Tel: 5408874000)

📍
Updated Business Mailing Address June 10, 2019

Registered at 100 BALDWIN BLVD, FISHERSVILLE, VA 229392375

NPI Profile Active May 03, 2019

NPI status registered as active in NPPES database

📍
Updated Practice Location May 03, 2019

Registered at 900 WELTON AVE SW # A, ROANOKE, VA 240152519 (Tel: 5405293534)

📍
Updated Business Mailing Address May 03, 2019

Registered at 900 WELTON AVE SW UNIT A, ROANOKE, VA 240152519 (Tel: 5405293534)

👤
Provider Name / Credentials Updated May 03, 2019

Recorded as CARLY MOOCK, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) May 03, 2019

Physician Assistant

🟢
Initial NPI Registration & Enumeration May 03, 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: 1124683396
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 03, 2019
Last Update: January 28, 2021
Sole Proprietor: No

Mailing Address

213 S Jefferson St Ste 625

Roanoke, VA 240111713

Phone: 5402245516

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.