CHRISTINA CARBONE PA-C
NPI 1255821609
Physician Assistant in Worcester, MA

Active since May 11, 2018PECOS EnrolledAccepts Medicare Assignment
97.02/100
CMS Quality Rating
119 BELMONT ST, WORCESTER, MA 01605(508) 334-1000 Get Directions Write a Review

NPPES record last updated: October 30, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 30, 2020, Jul 12, 2018, May 11, 2018 (3 updates tracked since 2018).

About Christina Carbone Pa-c NPPES

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

CHRISTINA CARBONE PA-C (NPI 1255821609) is an individual physician assistant in Worcester, Massachusetts, licensed in Massachusetts (PA6461) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Umass Memorial Medical Center/university Campus, and is a graduate of Yale University School Of Medicine (2017).

NPPES Registry Identity

NPI1255821609
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameCHRISTINA CARBONECredential: PA-C
Location Address119 BELMONT STWorcester, MA 01605-2903
Mailing AddressPo Box 415348Boston, MA 02241-5348 · (800) 225-8885 · Fax (508) 334-1977
Sole ProprietorNo
Medical School CMSYale University School Of MedicineGraduated 2017
Enumeration DateMay 11, 2018
Last NPPES UpdateOctober 30, 20203 updates tracked since enumeration
NPPES CertifiedOctober 30, 2020
NPI 1255821609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in MA · PA6461
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
119 BELMONT ST, Worcester, MA 01605

Other Identifiers 1

Medicaid110138806AMA

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

Christina Carbone Pa-c 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 ID941558621
PECOS Enrollment IDI20180813002532
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 2

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.

Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
64 services30 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
60 services38 patients

Hospital Affiliations CMS Care Compare

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

Umass Memorial Medical Center/University Campus

Acute Care Hospitals · Worcester, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220163
Location55 Lake Avenue NorthWorcester, MA 01655 · Worcester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01605 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
$90.70 typical visit price
range $58.86 – $177.36
Typical copayment $22.67 (range $14.71 – $44.34)
Most-billed visit code 99203
Established Patient
$73.22 typical visit price
range $19.11 – $144.84
Typical copayment $18.30 (range $4.77 – $36.21)
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.

97.02/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality78.09
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.

Family Medicine
119 BELMONT ST
WORCESTER, MA 01605
Internal Medicine (Rheumatology)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner (Neonatal, Critical Care)
119 BELMONT ST
WORCESTER, MA 01605
Obstetrics & Gynecology (Maternal & Fetal Medicine)
119 BELMONT ST
WORCESTER, MA 01605
Nurse Practitioner
119 BELMONT ST
WORCESTER, MA 01605
Social Worker
119 BELMONT ST
WORCESTER, MA 01605
Orthopaedic Surgery
119 BELMONT ST
WORCESTER, MA 01605
Physician Assistant
119 BELMONT ST
WORCESTER, MA 01605

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 Christina Carbone's NPI number?

The NPI number for Christina Carbone is 1255821609. It was assigned to this individual provider in the NPPES registry on May 11, 2018.

Where is Christina Carbone located?

Christina Carbone practices at 119 Belmont St, Worcester, MA 01605. The listed phone number is (508) 334-1000.

What is Christina Carbone's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Christina Carbone enrolled in Medicare?

Yes. Christina 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 Christina Carbone accept?

Health plans from Anthem Blue Cross and Blue Shield list Christina 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 Christina Carbone affiliated with any hospitals?

According to CMS data, Christina Carbone is affiliated with Umass Memorial Medical Center/University Campus.

When was this NPI record last updated?

The NPPES record for Christina Carbone was last updated on October 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.