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FRANCES NICOLE MCCARRON MD
NPI 1174908586
Surgery in Youngstown, OH

Active since July 27, 2015PECOS EnrolledAccepts Medicare Assignment
95.35/100
CMS Quality Rating
1044 BELMONT AVE, YOUNGSTOWN, OH 44504(330) 480-6547(330) 480-5994 Get Directions Write a Review

NPPES record last updated: August 21, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 21, 2024, Aug 10, 2023, May 4, 2023 and 9 more (12 updates tracked since 2021).

About Frances Nicole Mccarron Md NPPES

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

FRANCES NICOLE MCCARRON MD (NPI 1174908586) is an individual surgery provider in Youngstown, Ohio, licensed in Ohio (35.140464) and active in the NPI registry since July 2015. She is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Other (2015).

NPPES Registry Identity

NPI1174908586
Entity TypeIndividualFemale
Primary Taxonomy208600000X
Provider Legal NameFRANCES NICOLE MCCARRONCredential: MD
Location Address1044 BELMONT AVEYoungstown, OH 44504-1006
Mailing Address1044 Belmont AveYoungstown, OH 44504-1006 · (330) 480-6547 · Fax (330) 480-5994
Phone(330) 480-6547
Fax(330) 480-5994
Sole ProprietorNo
Medical School CMSOtherGraduated 2015
Enumeration DateJuly 27, 2015
Last NPPES UpdateAugust 21, 202412 updates tracked since enumeration
NPPES CertifiedAugust 21, 2024
✔ NPI 1174908586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in OH · 35.140464
Definition
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.
1044 BELMONT AVE, Youngstown, OH 44504
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Frances Nicole Mccarron Md 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 ID1658669833
PECOS Enrollment IDI20210608002361
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
100 services37 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services38 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.
29 services20 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.
24 services21 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
19 services19 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
17 services14 patients

Hospital Affiliations CMS Care Compare 4

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360064
Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County
Emergency services

Mh St Joseph Warren Hospital

Acute Care Hospitals · Warren, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360161
Location667 Eastland Ave SEWarren, OH 44484 · Trumbull County
Emergency services Birthing friendly

Hmhp St Elizabeth Boardman Health Center

Acute Care Hospitals · Boardman, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number360276
Location8401 Market StreetBoardman, OH 44512 · Mahoning County
Emergency services Birthing friendly

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH
5/5 CMS rating
OwnershipProprietary
CMS Certification Number360352
Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44504 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$68.07 typical visit price
range $17.10 – $135.40
Typical copayment $17.01 (range $4.27 – $33.85)
Most-billed visit code 99213
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.

95.35/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.22
Promoting Interoperability100
Improvement Activities40

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. MICHAEL ALLEN VAN WINKLE D.O
Internal Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3676
DANIEL PAUL SABO
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-7142
JANELLE RHODES
Pharmacist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3868
DONALD HUFF RD,LD
Dietitian, Registered
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211
SHANNA MICHELE WIRTZ AG-ACNP
Student in an Organized Health Care Education/Training Program
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (000) 000-0000
MAHONING VALLEY EMERGENCY SPECIALISTS LLC
Emergency Medicine
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (844) 474-4019
DR. JOHN K SONTICH MD
Orthopaedic Surgery
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 480-3990
ERIC HAYBARGER
Physical Therapist
1044 BELMONT AVE
YOUNGSTOWN, OH 44504
Mahoning County (330) 746-7211

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 Frances Mccarron's NPI number?

The NPI number for Frances Mccarron is 1174908586. It was assigned to this individual provider in the NPPES registry on July 27, 2015.

Where is Frances Mccarron located?

Frances Mccarron practices at 1044 Belmont Ave, Youngstown, OH 44504. The listed phone number is (330) 480-6547.

What is Frances Mccarron's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Frances Mccarron enrolled in Medicare?

Yes. Frances Mccarron 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 Frances Mccarron accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and Antidote Health Plan of Ohio, Inc. and 4 other insurers list Frances Mccarron 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 Frances Mccarron affiliated with any hospitals?

According to CMS data, Frances Mccarron is affiliated with St Elizabeth Youngstown Hospital, Mh St Joseph Warren Hospital, Hmhp St Elizabeth Boardman Health Center and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Frances Mccarron was last updated on August 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.