Provider profile

Emily DecarloMD

Ophthalmology

2 locationsNPI 1952515850
319 2nd Street Pike, Southampton, PA 18966215-355-4428

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Medicare Advantage plans for Bucks and Philadelphia counties, PA.

Use the name or plan ID on your member card, or choose your insurance company.

Directory results See what each insurance company reports

Listed on 30 plans so far

Some of Highmark Blue Cross Blue Shield or Highmark Blue Shield, Aetna Medicare, Jefferson Health Plans, Highmark Wholecare Medicare Assured, Clover Health, Devoted, Geisinger Gold, HealthSpring, Humana, Perennial Advantage, UnitedHealthcare, UPMC for Life, UPMC for Life Complete Care, VISTA Health Plan Inc. and Wellcare's 2027 plans in Bucks and Philadelphia counties, PA haven't been checked yet.

The 101 Medicare Advantage plans we show for Bucks and Philadelphia counties, PA in 2027

  • 30 list Emily
  • 64 not listed
  • 7 not checked yet

Highmark Blue Cross Blue Shield or Highmark Blue Shield · Independence Blue Cross

12 plans list Emily.

12plans
  • Keystone 65 Assured Rx (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 319 2nd Street Pike, Southampton, PA, 18966
    • 10000 Anns Choice Way, Warminster, PA, 18974
    • 1648 Huntingdon Pike, Jenkintown, PA, 19046
    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 352 E Butler Ave, New Britain, PA, 18901
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage4 starsH3952-062-000Medicare.gov
    $0a month
  • Keystone 65 Focus Rx (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 319 2nd Street Pike, Southampton, PA, 18966
    • 10000 Anns Choice Way, Warminster, PA, 18974
    • 1648 Huntingdon Pike, Jenkintown, PA, 19046
    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 352 E Butler Ave, New Britain, PA, 18901
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage4 starsH3952-053-000Medicare.gov
    $0a month
  • Keystone 65 Liberty Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 319 2nd Street Pike, Southampton, PA, 18966
    • 10000 Anns Choice Way, Warminster, PA, 18974
    • 1648 Huntingdon Pike, Jenkintown, PA, 19046
    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 352 E Butler Ave, New Britain, PA, 18901
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-059-000Medicare.gov
    $0a month
  • Keystone 65 Preferred Medical Only (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 319 2nd Street Pike, Southampton, PA, 18966
    • 10000 Anns Choice Way, Warminster, PA, 18974
    • 1648 Huntingdon Pike, Jenkintown, PA, 19046
    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 352 E Butler Ave, New Britain, PA, 18901
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMONo drug coverage4 starsH3952-008-000Medicare.gov
    $0a month

2 more Highmark Blue Cross Blue Shield or Highmark Blue Shield plans haven't been checked yet.

Aetna Medicare

10 plans list Emily.

10plans
  • Aetna Medicare Advantra Eagle (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3401 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSNo drug coverage3.5 starsH3959-094-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature (HMO-POS)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3401 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    HMO-POSDrug coverage3.5 starsH3959-052-000Medicare.gov
    $0a month
  • Aetna Medicare Advantra Signature Giveback (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3401 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-017-000Medicare.gov
    $0a month
  • Aetna Medicare Elite (PPO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 3401 Civic Center Blvd, Philadelphia, PA, 19104

    This result applies to these offices. Other locations are not confirmed.

    PPODrug coverage4.5 starsH5522-028-000Medicare.gov
    $0a month

1 more Aetna Medicare plan hasn't been checked yet.

Jefferson Health Plans

6 plans list Emily; not listed on 2 other plans.

6plans
  • Jefferson Health Plans Complete (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104
    • 550 S Goddard Blvd, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-012-000Medicare.gov
    $0a month
  • Jefferson Health Plans Giveback (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104
    • 550 S Goddard Blvd, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-015-000Medicare.gov
    $0a month
  • Jefferson Health Plans Prime (HMO)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104
    • 550 S Goddard Blvd, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMODrug coverage3 starsH9207-002-000Medicare.gov
    $12.80a month
  • Jefferson Health Plans Dual Pearl (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 1840 Susquehanna Rd, Abington, PA, 19001
    • 500 W Butler Ave, Chalfont, PA, 18914
    • 3401 Civic Center Blvd, Philadelphia, PA, 19104
    • 3500 Civic Center Blvd, Philadelphia, PA, 19104
    • 550 S Goddard Blvd, King of Prussia, PA, 19406

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3 starsH9207-016-000Medicare.gov
    $12.80a month

Highmark Wholecare Medicare Assured

2 plans list Emily.

2plans
  • Highmark Wholecare Medicare Assured Diamond (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10000 Anns Choice Way, Fl First, Warminster, PA, 18974
    • 1382 Newtown Langhorne Rd, Newtown, PA, 18940
    • 670 Woodbourne Rd, Ste 200, Langhorne, PA, 19047

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-012-000Medicare.gov
    $0a month
  • Highmark Wholecare Medicare Assured Ruby (HMO D-SNP)

    Source: Medicare.gov provider data.

    Listed offices for this plan:

    • 10000 Anns Choice Way, Fl First, Warminster, PA, 18974
    • 1382 Newtown Langhorne Rd, Newtown, PA, 18940
    • 670 Woodbourne Rd, Ste 200, Langhorne, PA, 19047

    This result applies to these offices. Other locations are not confirmed.

    HMOFor people with Medicare and MedicaidDrug coverage3.5 starsH5932-013-000Medicare.gov
    $12.80a month

Clover Health

Not listed on its 2 plans here. That isn't proof they're out of network.

Devoted

Not listed on its 9 plans here. That isn't proof they're out of network.

Geisinger Gold

Medicare.gov doesn't have provider data for these plans yet. We'll check again.

1 more Geisinger Gold plan hasn't been checked yet.

HealthSpring

Not listed on its 7 plans here. That isn't proof they're out of network.

Humana

Not checked yet.

2 more Humana plans haven't been checked yet.

Perennial Advantage

Not listed on its 1 plan here. That isn't proof they're out of network.

UnitedHealthcare

Not checked yet.

1 more UnitedHealthcare plan hasn't been checked yet.

UPMC for Life

Not listed on its 2 plans here. That isn't proof they're out of network.

UPMC for Life Complete Care

Not listed on its 1 plan here. That isn't proof they're out of network.

VISTA Health Plan Inc.

Not listed on its 1 plan here. That isn't proof they're out of network.

Wellcare

Not listed on its 3 plans here. That isn't proof they're out of network.

Premiums are each plan's own monthly premium, as filed with Medicare. You keep paying your Medicare Part B premium.

Can't find your plan?Tell us the plan you have, and a licensed Silverpath advisor will check whether Emily takes it. Free.

Original Medicare status

Most Medicare Supplement (Medigap) policies have no provider network: they help pay Original Medicare's cost sharing where Medicare is accepted. Medicare SELECT policies can require network providers for full benefits. Ask the office whether they accept Medicare.

Medicare enrollment and assignment have not been verified here. Advantage directory results do not answer this question.

No opt-out record in this CMS file. CMS's file covers data through 2026-08-31. This does not establish Medicare enrollment, assignment, or whether the office accepts new Medicare patients.

CMS opt-out source · Data through 2026-08-31 · Reviewed Oct 25, 2026

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2 practice locations

319 2nd Street Pike
Southampton, PA 18966

NPI Registry

3401 Civic Center Blvd
Philadelphia, PA 19104

NPI Registry
NPI issued
2007
Registry record updated
Nov 29, 2021

Medicare's clinician details aren't available on this page yet.

Common questions

Which 2027 Medicare Advantage plans list Emily Decarlo?

In Bucks and Philadelphia counties, PA, 30 Medicare Advantage plans for 2027 list Emily in provider data from Medicare.gov or the carrier, including Keystone 65 Assured Rx (HMO), Keystone 65 Focus Rx (HMO-POS) and Keystone 65 Liberty Medical Only (HMO). CMS matches apply to the covered offices shown with each plan; other offices are not confirmed. Networks can change during the year, so confirm with the office or the plan before you enroll.

Where does Emily Decarlo practice?

2 locations, including 319 2nd Street Pike, Southampton, PA. All of them are listed on this page.

How do I confirm Emily is in my plan's network?

Call the member services number on your plan card and give them the NPI 1952515850, or ask a Silverpath advisor to check for you. It's free.

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Talk to a licensed advisor

A Silverpath advisor can confirm Emily's networks with the carrier and help you compare plans that include them.

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For providers

Is this your practice?

Patients can use Silverpath to find practices and check plan networks in Bucks and Philadelphia counties, PA. Tell us which plans you take, or want to take, and we'll keep this page accurate and talk with you about reaching more Medicare patients and carriers.

Sources. Name, specialty and locations: the CMS NPI Registry (record updated 2021-11-29). Plan networks: carrier provider directories and Medicare.gov provider data, checked Oct 14, 2026. CMS matches apply to the covered offices shown with each plan. Plans: CMS 2027 Medicare Advantage landscape.

Networks change during the year, and a directory can be out of date. Confirm with the provider's office and the plan before you enroll or schedule care.

Silverpath is a licensed insurance agency. This page isn't affiliated with or endorsed by Emily Decarlo or their practice. Not connected with or endorsed by the U.S. government or the federal Medicare program.

We do not offer every plan available in your area. Please contact Medicare.gov or 1-800-MEDICARE to get information on all of your options.

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