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DR. LAURA G. CARBONE MD
NPI 1245235571
Internal Medicine - Nephrology in Plattsburgh, NY

Active since June 14, 2005PECOS EnrolledAccepts Medicare Assignment
159 MARGARET ST, STE 600, PLATTSBURGH, NY 12901(518) 563-2057(518) 563-2094 Get Directions Write a Review

NPPES record last updated: March 18, 2010. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Laura G. Carbone Md NPPES

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

DR. LAURA G. CARBONE MD (NPI 1245235571) is an individual nephrology provider in Plattsburgh, New York, licensed in New York (163106-1) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (1982).

NPPES Registry Identity

NPI1245235571
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameDR. LAURA G. CARBONECredential: MD
Location Address159 MARGARET ST, STE 600Plattsburgh, NY 12901-1883
Mailing Address159 Margaret St, Ste 600Plattsburgh, NY 12901-1883 · (518) 563-2057 · Fax (518) 563-2094
Phone(518) 563-2057
Fax(518) 563-2094
Sole ProprietorYes
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 1982
Enumeration DateJune 14, 2005
Last NPPES UpdateMarch 18, 2010
✔ NPI 1245235571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in NY · 163106-1
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
159 MARGARET ST, Plattsburgh, NY 12901
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINA61265NY
Medicare ID-Type Unspecified21E73NY · Provider Id Number
Medicaid01069992NY

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Laura G. Carbone 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 ID7810173911
PECOS Enrollment IDI20110525000069
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.

Medicare Billing Reassignment

Medicare enrollment records show Laura Carbone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Provider Profile
1.4 mi
Nephrology
52 TOM MILLER RD
Plattsburgh, NY 12901
  • Reassigned Medicare billing, New York enrollment
  • 4 clinicians in this Medicare group
NPI 1396758520 (518) 324-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12901 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%531 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%650 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
97%1,315 patients4/55-star benchmark: 100%
Falls: Risk Assessment
Percentage of patients aged 65 years and older with a history of falls that had a risk assessment for falls completed within 12 months
41%349 patients1/55-star benchmark: 100%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
33%24 patients2/55-star benchmark: 98%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
58%67 patients3/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
23%394 patients1/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%639 patients5/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
60%394 patients3/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
18%394 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
1 supplier11 claims11 services$58.71 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
5 suppliers37 claims2,055 services$0.29 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers24 claims900 services$0.18 avg. paid by Medicare
Sirolimus, oral, 1 mg J7520
Treatment-Treatment - Miscellaneous · category RX029N
2 suppliers16 claims1,080 services$2.58 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511
Treatment-Chemotherapy · category RH012N
4 suppliers34 claims34 services$17.84 avg. paid by Medicare
Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
5 suppliers48 claims51 services$12.12 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

MS. PAMELA ANNE MCDONALD SLP/NYS.L
Speech-Language Pathologist
159 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 335-3632
PRIMARY CARE HEALTH PARTNERS - NEW YORK LLP
Family Medicine
159 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 562-0151
LINDSEY BROOKE WILHELM D.O.
Family Medicine
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Clinton County (518) 314-3939
NIHIT NAVROZ MEHTA DO
Student in an Organized Health Care Education/Training Program
159 MARGARET ST
PLATTSBURGH, NY 12901
Clinton County (518) 314-3939
MAEGAN BOULERICE CABRERA M.D.
Family Medicine
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Clinton County (518) 562-7900
MRS. LORRAINE ROBERTA SANDWICK R-PAC
Physician Assistant (Medical)
159 MARGARET ST, SUITE 100
PLATTSBURGH, NY 12901
Clinton County (518) 324-2040
MS. MARIA ANIELA CZAJKOWSKI MD
Student in an Organized Health Care Education/Training Program
159 MARGARET ST, STE 100
PLATTSBURGH, NY 12901
Clinton County (518) 314-3939
PRIMARY CARE HEALTH PARTNERS-ADIRONDACK LLC
Pediatrics
159 MARGARET ST, SUITE 103
PLATTSBURGH, NY 12901
Clinton County (518) 562-0151

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 Laura Carbone's NPI number?

The NPI number for Laura Carbone is 1245235571. It was assigned to this individual provider in the NPPES registry on June 14, 2005.

Where is Laura Carbone located?

Laura Carbone practices at 159 Margaret St Ste 600, Plattsburgh, NY 12901. The listed phone number is (518) 563-2057.

What is Laura Carbone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Laura Carbone enrolled in Medicare?

Yes. Laura 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.

Which organization bills Medicare for Laura Carbone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Laura Carbone reassigns Medicare benefits to (Plattsburgh, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Laura Carbone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Laura Carbone was last updated on March 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.