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DENNIS A CARDONE D.O.
NPI 1043224520
Family Medicine - Sports Medicine in New York, NY

Active since July 28, 2006PECOS EnrolledAccepts Medicare Assignment
84.47/100
CMS Quality Rating
530 1ST AVE, SUITE 8U, NEW YORK, NY 10016(212) 263-9192(212) 263-9701 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Apr 14, 2022, Mar 2, 2021 (2 updates tracked since 2021).

About Dennis A Cardone D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DENNIS A CARDONE D.O. (NPI 1043224520) is an individual sports medicine provider in New York, New York, licensed in New York (197292) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1043224520
Entity TypeIndividualMale
Primary Taxonomy207QS0010X
Provider Legal NameDENNIS A CARDONECredential: D.O.
Location Address530 1ST AVE, SUITE 8UNew York, NY 10016-6402
Mailing Address530 1st Ave, Suite 8uNew York, NY 10016-6402 · (212) 263-9192 · Fax (212) 263-9701
Phone(212) 263-9192
Fax(212) 263-9701
Sole ProprietorNo
Medical School CMSOtherGraduated 1990
Enumeration DateJuly 28, 2006
Last NPPES UpdateApril 14, 20222 updates tracked since enumeration
NPPES CertifiedApril 14, 2022
✔ NPI 1043224520 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207QS0010X
Licenses✔ Licensed in NY · 197292✔ Licensed in FL · OS737
Definition

A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation.

530 1ST AVE, New York, NY 10016
Open in Google Maps ↗

Other Identifiers 1

Other37115FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dennis A Cardone D.o. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID143308825
PECOS Enrollment IDI20080422000045
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 11

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
461 services88 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
436 services244 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
189 services163 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
184 services151 patients
Hyaluronan or derivative, monovisc, for intra-articular injection, per dose J7327
Monovisc is a treatment involving an injection of hyaluronan or its derivative into a joint, often the knee. This substance, found naturally in joint fluid, helps lubricate and cushion the joint. The injection can help ease pain, improve mobility, and reduce inflammation caused by arthritis.
178 services93 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
169 services169 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.47/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality93.33
Promoting Interoperability100
Improvement Activities40
Cost54.91

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. SEAN MICHAEL BAILEY M.D.
Pediatrics
530 1ST AVE, SUITE 7A
NEW YORK, NY 10016
New York County (212) 263-7477
MR. ROBERT PHILIP CHARLES HOLD JR. PA-C
Physician Assistant (Medical)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-3166
ELIZABETH MARIE KACZKA NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (630) 842-4805
HILDA NKANSAH FNP-BC
Nurse Practitioner (Family)
530 1ST AVE, SUITE 10Q
NEW YORK, NY 10016
New York County (212) 263-7021
MAUREEN LYNN NP
Nurse Practitioner (Acute Care)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-6384
NEW YORK UNIVERSITY
Plastic Surgery
530 1ST AVE, SUITE 8Y
NEW YORK, NY 10016
New York County (212) 263-8452
NATALIE JILL KLAR M.D.
Internal Medicine (Medical Oncology)
530 1ST AVE
NEW YORK, NY 10016
New York County (212) 263-4689
DR. MICHAEL D ZERVOS M.D.
Thoracic Surgery (Cardiothoracic Vascular Surgery)
530 1ST AVE, SUITE 9V
NEW YORK, NY 10016
New York County (212) 263-7102

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dennis Cardone's NPI number?

The NPI number for Dennis Cardone is 1043224520. It was assigned to this individual provider in the NPPES registry on July 28, 2006.

Where is Dennis Cardone located?

Dennis Cardone practices at 530 1st Ave Suite 8U, New York, NY 10016. The listed phone number is (212) 263-9192.

What is Dennis Cardone's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Sports Medicine, with taxonomy code 207QS0010X.

Is Dennis Cardone enrolled in Medicare?

Yes. Dennis Cardone is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dennis Cardone accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dennis Cardone as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dennis Cardone affiliated with any hospitals?

According to CMS data, Dennis Cardone is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for Dennis Cardone was last updated on April 14, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.