Active NPI 1023097326 Individual Practitioner Male Practitioner

Dr. John J Cascone , MD

Surgery • Palm Coast, FL

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. John Cascone, MD is a certified Surgery practicing in Palm Coast, FL. With approximately 27 years of clinical experience since completing medical education in 1999, Dr. Cascone delivers high-quality medical care to the local community at 61 MEMORIAL MEDICAL PKWY.

Dr. Cascone maintains professional affiliations with Southland Burke Emergency Medical Services, Llc, Southland Emergency Medical Services Consolidated, Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit with moderate level of medical decision making, emergency department visit for life threatening or functioning severity, 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

61 Memorial Medical Pkwy
Suite 3805

Palm Coast, FL 321645981

Telephone 3865861605

Fax 3865861607

Associated Practice Facility / Clinic

🏢 Larry E. Reneker, D.o., Pa Facility NPI 1689641433

Medicare Profile & Education

Medical School

Other

Graduation Year

1999

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Surgery in Palm Coast, FL

Senior Veteran Specialist (>20 Yrs)

Practitioner Clinical Experience

27 Yrs +5.2 yrs vs City Avg

City Avg: 21.8 Yrs

State Avg: 26.3 Yrs

Regional Practice Density

6 Specialists

Practicing in Palm Coast, FL (2030 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

81.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Cascone (27 Years) 27 Yrs

Palm Coast Specialty Average (21.8 Years) 21.8 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
99284 Emergency department visit with moderate level of medical decision making	19	18	$586.00	$116.88
99285 Emergency department visit for life threatening or functioning severity	11	11	$922.00	$169.40

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	53	43	$269.74	$89.87
99221 Initial hospital inpatient care per day, typically 30 minutes	38	36	$255.00	$84.92
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	31	31	$500.00	$166.88
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	27	17	$240.00	$79.97
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	26	26	$396.00	$131.93
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	22	17	$361.00	$120.30
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	18	18	$381.44	$127.23
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	17	15	$168.00	$56.06
49650 Repair of groin hernia using an endoscope	12	12	$1703.75	$530.55

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	74	59	$272.89	$90.67
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	65	65	$410.00	$135.63
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	41	29	$215.00	$71.39
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	40	40	$507.00	$168.00
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	25	24	$384.00	$125.18
47562 Removal of gallbladder using an endoscope	22	22	$2128.00	$706.79
99221 Initial hospital inpatient care per day, typically 30 minutes	17	17	$307.00	$101.98
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	13	12	$170.00	$56.48
49650 Repair of groin hernia using an endoscope	12	12	$1782.67	$546.15
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	11	11	$340.00	$113.34

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	108	70	$273.44	$91.85
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	77	49	$217.06	$72.80
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	42	41	$411.00	$138.19
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	41	41	$339.00	$111.84
99221 Initial hospital inpatient care per day, typically 30 minutes	39	39	$308.21	$103.45
99231 Follow-up hospital inpatient care per day, typically 15 minutes	29	21	$116.00	$38.85
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	21	16	$311.43	$104.58
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	20	20	$508.00	$170.40
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	20	17	$390.00	$130.85
47562 Removal of gallbladder using an endoscope	20	20	$2120.50	$712.38
49650 Repair of groin hernia using an endoscope	19	19	$1739.63	$475.16
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	15	14	$168.00	$56.23
19301 Partial removal of breast	11	11	$2202.82	$740.45

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	90	47	$222.00	$68.06
99213 Established patient office or other outpatient visit, typically 15 minutes	72	58	$226.00	$75.92
99221 Initial hospital inpatient care per day, typically 30 minutes	63	60	$316.00	$102.96
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	33	30	$137.00	$45.70
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	32	32	$499.88	$167.89
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	29	27	$328.00	$106.29
99233 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes	27	19	$320.00	$103.50
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	26	26	$325.00	$109.17
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	19	18	$3215.00	$281.40
76937 Ultrasonic guidance for blood vessel access	18	17	$45.00	$15.00
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	17	17	$425.00	$142.29
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	16	15	$58.00	$19.44
99231 Follow-up hospital inpatient care per day, typically 15 minutes	13	11	$122.00	$40.64
19301 Partial removal of breast	12	12	$2479.00	$835.35
49568 Placement of mesh to repair incisional or abdominal hernia	12	11	$879.33	$278.76
49560 Repair of incisional or abdominal hernia	11	11	$2405.36	$667.61
49650 Repair of groin hernia using an endoscope	11	11	$1892.00	$530.90

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	83	71	$224.00	$71.61
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	71	45	$223.00	$73.09
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	69	69	$328.00	$102.09
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	60	60	$421.00	$137.90
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	54	39	$135.00	$42.58
99231 Follow-up hospital inpatient care per day, typically 15 minutes	28	21	$121.00	$39.66
49650 Repair of groin hernia using an endoscope	20	20	$1995.20	$530.27
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	19	19	$328.00	$105.90
99204 New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more	17	17	$499.00	$161.50
47562 Removal of gallbladder using an endoscope	16	16	$2014.44	$601.12
49568 Placement of mesh to repair incisional or abdominal hernia	11	11	$876.00	$287.03

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	176	112	$217.10	$71.76
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	107	107	$323.97	$107.08
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	69	66	$420.00	$138.13
99212 Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more	47	38	$130.00	$43.25
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	44	37	$221.00	$73.31
99231 Follow-up hospital inpatient care per day, typically 15 minutes	22	20	$121.00	$39.59
47562 Removal of gallbladder using an endoscope	20	20	$2110.00	$695.16
49560 Repair of incisional or abdominal hernia	17	16	$2367.00	$687.35
49568 Placement of mesh to repair incisional or abdominal hernia	17	17	$869.00	$286.25
49505 Repair of groin hernia (5 years or older)	16	16	$1922.69	$615.40
49585 Repair of hernia at navel (5 years or older)	16	16	$1418.00	$306.40
36561 Insertion of central venous catheter and implanted device for infusion beneath the skin, patient 5 years or older	15	15	$3252.00	$313.71
76937 Ultrasonic guidance for blood vessel access	15	15	$45.00	$14.62
77001 Fluoroscopic guidance for insertion, replacement or removal of central venous access device	13	13	$59.00	$18.95
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	12	12	$620.00	$204.55
49650 Repair of groin hernia using an endoscope	12	12	$1819.67	$468.83

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
99213 Established patient office or other outpatient visit, typically 15 minutes	151	96	$219.68	$71.59
99203 New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more	81	81	$326.00	$107.36
99232 Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes	65	39	$221.00	$71.16
47562 Removal of gallbladder using an endoscope	33	33	$2110.00	$660.61
99222 Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes	33	32	$420.00	$137.60
99231 Follow-up hospital inpatient care per day, typically 15 minutes	27	22	$121.00	$38.00
99223 Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes	23	23	$620.00	$203.72
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more	22	20	$322.00	$104.62
99221 Initial hospital inpatient care per day, typically 30 minutes	20	20	$313.00	$102.51
49650 Repair of groin hernia using an endoscope	14	14	$1754.71	$543.53
49568 Placement of mesh to repair incisional or abdominal hernia	13	12	$869.00	$284.77
49505 Repair of groin hernia (5 years or older)	13	13	$1982.62	$644.75

Medical Specialties & State Licenses

CMS Verified: 2020-01-24

Surgery Primary Specialty

NUCC Taxonomy Code: 208600000X

State License FL ME121098

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

716606035G (GA)

Medicaid State Provider ID

716606035A (GA)

Medicaid State Provider ID

015312700 (FL)

Commercial Insurance / Payer ID Railroad Medicare

P00145921 (GA)

Commercial Insurance / Payer ID Peach State Health Plan

716606035A (GA)

Commercial Insurance / Payer ID Wellcare

379612 (GA)

Hospital & Practice Group Affiliations

Southland Emergency Medical Services Consolidated, Llc

351 S Liberty St, Waynesboro, GA 308309686

Phone: 7065544435

Southland Burke Emergency Medical Services, Llc

351 S Liberty St, Waynesboro, GA 308309686

Phone: 7065544435

Practice Associates & Co-Workers

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

2 Associated Practitioners

Dr. Matthew Wideroff , MD

Surgery

NPI 1134448129

Doctor of Medicine (M.D.)

Kellie Battillo , FNP-C, ARNP

Nurse Practitioner - Family

NPI 1740586288

Family Nurse Practitioner (Certified), Advanced Registered Nurse Practitioner

Career & Practice History Timeline

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

6 Historical Events

✅

NPI Profile Active January 15, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location January 15, 2016

Registered at 61 MEMORIAL MEDICAL PKWY, SUITE 3805, PALM COAST, FL 321645981 (Tel: 3855861605)

📍

Updated Business Mailing Address January 15, 2016

Registered at 61 MEMORIAL MEDICAL PKWY, SUITE 3805, PALM COAST, FL 321645981 (Tel: 3855861605)

👤

Provider Name / Credentials Updated January 15, 2016

Recorded as JOHN CASCONE, MD

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2016

Surgery (License #ME121098 in FL)

🟢

Initial NPI Registration & Enumeration January 13, 2006

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: 1023097326

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: January 13, 2006

Last Update: January 24, 2020

Sole Proprietor: No

Update or Correct Profile

Mailing Address

61 Memorial Medical Pkwy, Suite 3805

Palm Coast, FL 321645981

Phone: 3855861605

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.