Karla Marina Combs , MPAS, PA-C
Physician Assistant • Truckee, CA
10775 Pioneer Trl Ste 215
Truckee, CA 961610234
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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NPI assigned on February 1, 2007; this date does not establish years in practice.
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Published CMS data list 23 Original Medicare Part B services in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Published rows only; this is not a quality measure.
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Published Part B service records, 2020:
- 99203 — New patient outpatient office visit: 23 service units.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020. Units differ by code; these are not visits or a measure of quality.
CPT® only copyright 2019 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2020). CPT notice
See the full table · Guide: How to read Medicare Part B data
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Published CMS data list 12 Medicare Part D prescriptions, including refills, in 2019.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Published rows only; this is not a quality measure.
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Published Part D records, 2019:
- Azithromycin — 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table · Guide: How to read Medicare Part D prescriber data
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Medicare Part B services went from 14 in 2018 to 23 in 2020.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2018–2020.
Practice Location & Contact Primary Location
10775 Pioneer Trl Ste 215
Truckee, CA 961610234
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Coral Gables, FL; Irving, TX. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
What Public CMS Data Show
Physician Assistant: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare-allowed amount
About $1,598 in 2020
The total amount Medicare approved for these services in 2020. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
What this does not show: Medicare-allowed amount
This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
Paid by Medicare
About $1,313 in 2020
The part of the Medicare-allowed amount that Medicare itself paid in 2020, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
What this does not show: Paid by Medicare
This is not the clinician's income and not a measure of quality.
Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2020.
30-day fills
12 standardized 30-day fills in 2019
CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.
What this does not show: 30-day fills
It is not a count of patients and not a measure of quality.
Part D drug cost
$80 in 2019
The total cost of these prescriptions in 2019, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
What this does not show: Part D drug cost
A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.
Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2019.
Industry payments (Open Payments)
No Open Payments records are listed for this clinician for 2021–2025.
NPI first issued
2007
The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.
What this does not show: NPI first issued
NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.
Source: CMS NPPES NPI Registry.
Medicare assignment not listed
CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.
Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.
Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”
No telehealth indicator
CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.
Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.
Can order Medicare-covered services
CMS lists Karla Combs as eligible to order or refer durable medical equipment (DME) for people with Medicare.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
What this does not show: Can order Medicare-covered services
It does not mean the clinician offers these services directly.
Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.
Compared with the same specialty in Truckee and California
Billing and prescribing volume is not a quality rating.
Medicare Part B
Comparisons use 2024 data. The latest CMS data for Karla Combs are from 2020.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Karla Combs are from 2019.
25 active clinicians are listed under Physician Assistant with a practice address in Truckee, CA (14,458 in California).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Truckee
4% of these 25 clinicians have the CMS telehealth indicator.
48% of these 25 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services went from 14 in 2018 to 23 in 2020.
- 2018: 14
- 2019: 31
- 2020: 23
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Medicare-allowed amount
Medicare-allowed amount decreased 18% from $1,939 in 2018 to $1,598 in 2020.
- 2018: $1,939
- 2019: $3,572
- 2020: $1,598
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Paid by Medicare
Paid by Medicare increased 10% from $1,198 in 2018 to $1,313 in 2020.
- 2018: $1,198
- 2019: $2,272
- 2020: $1,313
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Medicare Part D prescriptions
Medicare Part D prescriptions went from 12 in 2016 to 12 in 2019.
- 2016: 12
- 2017: 41
- 2019: 12
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30-day fills
30-day fills decreased 45% from 22 in 2016 to 12 in 2019.
- 2016: 22
- 2017: 69
- 2019: 12
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Part D drug cost
Part D drug cost went from $183 in 2016 to $80 in 2019.
- 2016: $183
- 2017: $551
- 2019: $80
Sources: CMS Medicare Physician & Other Practitioners (2020), CMS Medicare Part D Prescribers (2019), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo · Report an error.
Performed Procedures & Service Volume
CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2017–2019 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2018–2020; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.
| HCPCS Code | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
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99203
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more
|
23 | 23 | $272.22 | $69.46 |
Source: CMS Part B by Provider and Service, 2020; services under 11 beneficiaries omitted by CMS. Privacy limits
Submitted charges are billed amounts, not a price quote for your visit.
Medicare Part D Prescribing Profile & Medications
Medicare Part D prescriptions filled, including refills, in 2019.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Azithromycin | Azithromycin | 12 | 60 | $79.57 | 12 |
Source: CMS Part D by Provider and Drug, 2019; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2025-09-11NUCC 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.
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.
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.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSSources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Secondary Practice Locations
8300 Esters Blvd Ste 900
Irving, TX 750632233
Phone: 4154244266
475 Biltmore Way Ste 109
Coral Gables, FL 331345724
Phone: 4154244266
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Advanced Practice Midwife
Certified Nurse Midwife, Family Nurse Practitioner
Nurse Practitioner - Family
Master of Science, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Physician Assistant
Physician Assistant (Certified)
Nurse Practitioner - Family
Advanced Practice Registered Nurse, Family Nurse Practitioner
Nurse Practitioner - Family
Master of Science in Nursing, Advanced Practice Registered Nurse, Family Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 8300 ESTERS BLVD STE 900, IRVING, TX 750632233 (Tel: 4154244166)
Physician Assistant (license number reported to NPPES: FL PA9114501)
Registered at 10775 PIONEER TRL STE 215, TRUCKEE, CA 961610234 (Tel: 4154244266)
Physician Assistant (license number reported to NPPES: TX PA04786)
Registered at 8300 ESTERS BLVD STE 900, IRVING, TX 750632233 (Tel: 4154244266)
Registered at 9100 S DADELAND BLVD STE 1500, MIAMI, FL 331567816 (Tel: 4155206633)
Recorded as KARLA COMBS, MPAS, PA-C
Physician Assistant (license number reported to NPPES: FL PA9114501)
NPI status registered as active in NPPES database
Registered at 3301 MATLOCK RD, ARLINGTON, TX 760152908 (Tel: 8174724869)
Registered at PO BOX 201606, DALLAS, TX 753201606 (Tel: 9727583598)
Recorded as KARLA COMBS, PAC
Physician Assistant (license number reported to NPPES: TX PA04786)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other Physician Assistants in Truckee
- Melissa Rider, PA-C
- Tatiana Fields, PA
- Colleen Holloway, PA
- Daniel Buchanan, PA-C
- Porscha Adams, PA-C
- Gillian Piatti
Mailing Address
8300 Esters Blvd Ste 900
Irving, TX 750632233
Phone: 4154244166