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STEPHANIE CARDARELLA M.D.
NPI 1295834406
Internal Medicine - Medical Oncology in Weymouth, MA

Active since September 22, 2006PECOS EnrolledAccepts Medicare Assignment
82.78/100
CMS Quality Rating
101 COLUMBIAN ST FL 3, WEYMOUTH, MA 02190(781) 624-4800(781) 624-2620 Get Directions Write a Review

NPPES record last updated: April 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Stephanie Cardarella M.d. NPPES

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

STEPHANIE CARDARELLA M.D. (NPI 1295834406) is an individual medical oncology provider in Weymouth, Massachusetts, licensed in Massachusetts (230295) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with South Shore Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295834406
Entity TypeIndividualFemale
Primary Taxonomy207RX0202X
Provider Legal NameSTEPHANIE CARDARELLACredential: M.D.
Location Address101 COLUMBIAN ST FL 3Weymouth, MA 02190-1601
Mailing Address450 Brookline AveBoston, MA 02215-5450
Phone(781) 624-4800
Fax(781) 624-2620
Sole ProprietorNo
Medical School CMSMcgill University, Faculty Of MedicineGraduated 2004
Enumeration DateSeptember 22, 2006
Last NPPES UpdateApril 17, 2018
✔ NPI 1295834406 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Medical OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RX0202X
License✔ Licensed in MA · 230295
Definition
An internist who specializes in the diagnosis and treatment of all types of cancer and other benign and malignant tumors. This specialist decides on and administers therapy for these malignancies as well as consults with surgeons and radiotherapists on other treatments for cancer.
Also ListedInternal MedicineTaxonomy 207R00000X · License MD14487 (RI), 230295 (MA)
101 COLUMBIAN ST FL 3, Weymouth, MA 02190
Open in Google Maps ↗

Other Names 1

Former Name (1)Stephanie Heon M.d.

Secondary Practice Locations 2

Location 1593 Eddy StProvidence, RI 02903-4923 · Phone (401) 444-3985 · Fax (401) 444-3986
Location 2450 Brookline AveBoston, MA 02215-5450 · Phone (781) 624-4800 · Fax (781) 624-2620

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

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

Stephanie Cardarella 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.

PECOS PAC ID9537346812
PECOS Enrollment IDI20110614000685
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 Stephanie Cardarella reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Coastal Medical Associates
0.1 mi
Anesthesiology
55 FOGG RD
Weymouth, MA 02190
  • Reassigned Medicare billing, Massachusetts enrollment
  • 671 clinicians in this Medicare group
NPI 1932175684 (781) 340-4293

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

Areas of Expertise CMS Part B claims 4

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 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
206 services114 patients
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.
98 services67 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
60 services60 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
23 services23 patients

Hospital Affiliations CMS Care Compare 2

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

South Shore Hospital

Acute Care Hospitals · South Weymouth, MA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220100
Location55 Fogg RoadSouth Weymouth, MA 02190 · Norfolk County
Emergency services Birthing friendly

Brigham And Women's Hospital

Acute Care Hospitals · Boston, MA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number220110
Location75 Francis StreetBoston, MA 02115 · Suffolk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02190 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
$189.86 typical visit price
range $63.72 – $189.86
Typical copayment $47.46 (range $15.93 – $47.46)
Most-billed visit code 99205
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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.

82.78/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality88.33
Promoting Interoperability70
Improvement Activities40
Cost69.53

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 Stephanie Cardarella's NPI number?

The NPI number for Stephanie Cardarella is 1295834406. It was assigned to this individual provider in the NPPES registry on September 22, 2006. The provider is also known as Stephanie Heon M.D..

Where is Stephanie Cardarella located?

Stephanie Cardarella practices at 101 Columbian St Fl 3, Weymouth, MA 02190. The listed phone number is (781) 624-4800.

What is Stephanie Cardarella's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Medical Oncology, with taxonomy code 207RX0202X.

Is Stephanie Cardarella enrolled in Medicare?

Yes. Stephanie Cardarella 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 Stephanie Cardarella's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Stephanie Cardarella reassigns Medicare benefits to Coastal Medical Associates (Weymouth, MA). 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 Stephanie Cardarella's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Stephanie Cardarella accept?

Health plans from Anthem Blue Cross and Blue Shield list Stephanie Cardarella 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 Stephanie Cardarella affiliated with any hospitals?

According to CMS data, Stephanie Cardarella is affiliated with South Shore Hospital and Brigham And Women's Hospital.

When was this NPI record last updated?

The NPPES record for Stephanie Cardarella was last updated on April 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.