KRISTOPHER MICHAEL CARBONE M.D.
NPI 1205220423
Emergency Medicine in Houston, TX
About Kristopher Michael Carbone M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KRISTOPHER MICHAEL CARBONE M.D. (NPI 1205220423) is an individual emergency medicine provider in Houston, Texas, licensed in Texas (S7018) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS, is affiliated with Uh St John Medical Center, and is a graduate of University Of Toledo College Of Medicine (2015).
NPPES Registry Identity
Specialties & Licenses 3
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.
Group Practice 1
Accepted 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
Kristopher Michael Carbone M.d. 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Uh St John Medical Center
Acute Care Hospitals · Westlake, OHUniversity Hospitals - Elyria Medical Center
Acute Care Hospitals · Elyria, OHPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77030 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
HOUSTON, TX 77030
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 Kristopher Carbone's NPI number?
The NPI number for Kristopher Carbone is 1205220423. It was assigned to this individual provider in the NPPES registry on March 25, 2015.
Where is Kristopher Carbone located?
Kristopher Carbone practices at 6411 Fannin St, Houston, TX 77030. The listed phone number is (713) 704-4000.
What is Kristopher Carbone's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Kristopher Carbone enrolled in Medicare?
Yes. Kristopher Carbone 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 Kristopher Carbone accept?
Health plans from Antidote Health Plan of Ohio, Inc., Blue Cross and Blue Shield of Texas, CareSource, Community Health Choice and Oscar Insurance Company list Kristopher Carbone 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 Kristopher Carbone affiliated with any hospitals?
According to CMS data, Kristopher Carbone is affiliated with Uh St John Medical Center and University Hospitals - Elyria Medical Center.
When was this NPI record last updated?
The NPPES record for Kristopher Carbone was last updated on July 22, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.
