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GARREN JAMES DECARO M.D.
NPI 1326381682
Internal Medicine in Middleburg Heights, OH

Active since April 04, 2013PECOS Enrolled
16600 W SPRAGUE RD, STE 120, MIDDLEBURG HEIGHTS, OH 44130(440) 826-0500(440) 826-0501 Get Directions Write a Review

NPPES record last updated: December 19, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Garren James Decaro M.d. NPPES

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

GARREN JAMES DECARO M.D. (NPI 1326381682) is an individual internal medicine provider in Middleburg Heights, Ohio, licensed in Ohio (35.127939) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1326381682
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameGARREN JAMES DECAROCredential: M.D.
Location Address16600 W SPRAGUE RD, STE 120Middleburg Heights, OH 44130-6318
Mailing Address16600 W Sprague Rd, Ste 120Middleburg Heights, OH 44130-6318 · (440) 826-0500 · Fax (440) 826-0501
Phone(440) 826-0500
Fax(440) 826-0501
Sole ProprietorNo
Enumeration DateApril 4, 2013
Last NPPES UpdateDecember 19, 2016
✔ NPI 1326381682 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.127939
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
16600 W SPRAGUE RD, Middleburg Heights, OH 44130
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, McLaren Health Plan Community, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Garren James Decaro M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 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 nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
130 services60 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
56 services51 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
18 services16 patients
Subsequent nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes 99310
A follow-up nursing facility visit is a routine check-up that typically lasts about 35 minutes. During this visit, your health status is evaluated, any changes in your condition are noted, and necessary adjustments to your care plan are made. It's an essential part of maintaining your health.
18 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44130 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
7 suppliers20 claims40 services$4.98 avg. paid by Medicare
Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034
DME-Other DME · category DE001N
3 suppliers13 claims13 services$53.08 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
4 suppliers11 claims66 services$1.90 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$62.55 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.

CLAIRE MARGARET LOCKHART CCC-SLP
Speech-Language Pathologist
16600 W SPRAGUE RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (216) 227-7700
MRS. ANNA MARIE SCOTT-GREEN PT, DPT
Physical Therapist
16600 W SPRAGUE RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (216) 227-7700
SALMAN RAHMAN M.D.
Internal Medicine
16600 W SPRAGUE RD, SUITE 120
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 826-0500
MS. MIRIAM BRIDGET LSW
Counselor (Mental Health)
16600 W SPRAGUE RD, SUITE 245
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 523-0370
LISA LIND HANSEN PTA
Physical Therapy Assistant
16600 W SPRAGUE RD, SUITE 365
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (216) 227-7700
JENNIFER TOMASCH
Occupational Therapist
16600 W SPRAGUE RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (216) 820-4492
JENNIFER GIBBS LPCC
Counselor (Professional)
16600 W SPRAGUE RD
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 523-0370
KATHERINE B BELTZ CNP
Nurse Practitioner
16600 W SPRAGUE RD, STE 120
MIDDLEBURG HEIGHTS, OH 44130
Cuyahoga County (440) 826-0500

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 Garren Decaro's NPI number?

The NPI number for Garren Decaro is 1326381682. It was assigned to this individual provider in the NPPES registry on April 4, 2013.

Where is Garren Decaro located?

Garren Decaro practices at 16600 W Sprague Rd Ste 120, Middleburg Heights, OH 44130. The listed phone number is (440) 826-0500.

What is Garren Decaro's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Garren Decaro enrolled in Medicare?

Yes. Garren Decaro is registered in the Medicare PECOS enrollment system.

What insurance does Garren Decaro accept?

Health plans from CareSource, McLaren Health Plan Community and Molina Healthcare list Garren Decaro 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.

When was this NPI record last updated?

The NPPES record for Garren Decaro was last updated on December 19, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.