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Active NPI 1558324830 Individual Practitioner Female Practitioner

Dr. Heather L Carone , MD

General Practice • Cleveland, OH

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Dr. Heather Carone, MD is a certified General Practice practicing in Cleveland, OH. With approximately 25 years of clinical experience since graduating from University Of Toledo College Of Medicine in 2001, Dr. Carone delivers high-quality medical care to the local community at 16600 W SPRAGUE RD STE 120.

Dr. Carone maintains professional affiliations with Emergency Physicians Of Northwest Ohio, Inc., Wrh Physicians, Inc, Ohio Valley Physicians Inc and accepts Medicare assignment.

Frequently performed procedures and clinical services include emergency department visit for life threatening or functioning severity, emergency department visit with moderate level of medical decision making, routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

16600 W Sprague Rd Ste 120

Cleveland, OH 441306300

Telephone 2484346169
Associated Practice Facility / Clinic
🏢 Vpa Pc Facility NPI 1962516286

Medicare Profile & Education

Medical School

University Of Toledo College Of Medicine

Graduation Year

2001

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Cleveland, OH

Senior Veteran Specialist (>20 Yrs)
Practitioner Clinical Experience
25 Yrs +8.2 yrs vs City Avg
City Avg: 16.8 Yrs
State Avg: 28.1 Yrs
Regional Practice Density
22 Specialists

Practicing in Cleveland, OH (336 Statewide)

Telehealth Adoption Rate
9.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
88.7% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Carone (25 Years) 25 Yrs
Cleveland Specialty Average (16.8 Years) 16.8 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
99285 Emergency department visit for life threatening or functioning severity
24 24 $1680.96 $162.05
99284 Emergency department visit with moderate level of medical decision making
16 16 $742.00 $110.94

Medical Specialties & State Licenses

CMS Verified: 2023-11-08
General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License OH 35087034

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Emergency Medicine

NUCC Taxonomy Code: 207P00000X

State License OH 35087034

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
104818437 (MI)
Commercial Insurance / Payer ID Railroad Medicare #
P00273838 (OH)
Commercial Insurance / Payer ID Bc/bs Individual #
000000387605 (OH)

Hospital & Practice Group Affiliations

Wrh Physicians, Inc

1900 23rd St, Cuyahoga Falls, OH 442231404

Phone: 3309717246

Emergency Physicians Of Northwest Ohio, Inc.

1001 Bellefontaine Ave, Lima, OH 458042800

Phone: 4192283335

Ohio Valley Physicians Inc

55 Hospital Dr, Athens, OH 457012302

Phone: 7405929349

Secondary Practice Locations

2213 Cherry St

Toledo, OH 436082603

Phone: 4192513232

1900 Indian Wood Cir Ste 202b

Maumee, OH 435374039

Phone: 4195788594

Practice Associates & Co-Workers

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

11 Associated Practitioners
Alexa Stortz , NP

Nurse Practitioner - Family

NPI 1083120497

Nurse Practitioner

Dr. Lito Belardo , MD

Family Medicine

NPI 1205812716

Doctor of Medicine (M.D.)

Adrienne Nalu , NP-C

Nurse Practitioner - Family

NPI 1235511080

Nurse Practitioner (Certified)

Abby Neff , NURSE PRACTITIONER

Nurse Practitioner - Family

NPI 1275311433

NURSEPRACTITIONER

NPI 1285205419

Adult-Gerontology Nurse Practitioner (Certified)

Sarah Slaasted , APN

Nurse Practitioner - Family

NPI 1346611670

Advanced Practice Nurse

Career & Practice History Timeline

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

8 Historical Events
📍
Updated Practice Location November 08, 2023

Registered at 16600 W SPRAGUE RD STE 120, CLEVELAND, OH 441306300 (Tel: 2484346169)

📍
Updated Business Mailing Address November 08, 2023

Registered at PO BOX 639295 DEPT 93394, CINCINNATI, OH 452639295 (Tel: 2484346169)

NPI Profile Active June 13, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location June 13, 2013

Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192513232)

📍
Updated Business Mailing Address June 13, 2013

Registered at 4750 HEMPSTEAD STATION DR, KETTERING, OH 454295164 (Tel: 8008750136)

👤
Provider Name / Credentials Updated June 13, 2013

Recorded as HEATHER CARONE, MD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 13, 2013

Emergency Medicine (License #35087034 in OH)

🟢
Initial NPI Registration & Enumeration April 08, 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: 1558324830
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 08, 2006
Last Update: November 08, 2023
Sole Proprietor: No

Mailing Address

Po Box 639295 Dept 93394

Cincinnati, OH 452639295

Phone: 2484346169

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.