DR. SUSAN JENNIFER CARBOGNIN M.D.
NPI 1407956956
Radiology - Diagnostic Radiology in Andrews Afb, MD

Q: What is Susan Carbognin's NPI number?

The NPI number for Susan Carbognin is 1407956956. It was assigned to this individual provider in the NPPES registry on September 25, 2006.

Q: What is Susan Carbognin's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Q: When was this NPI record last updated?

The NPPES record for Susan Carbognin was last updated on August 22, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since September 25, 2006PECOS EnrolledAccepts Medicare Assignment

1060 W PERIMETER RD, ANDREWS AFB, MD 20762(240) 612-2020 Get Directions Write a Review

NPPES record last updated: August 22, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Dr. Susan Jennifer Carbognin M.d. NPPES

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

DR. SUSAN JENNIFER CARBOGNIN M.D. (NPI 1407956956) is an individual diagnostic radiology provider in Andrews Afb, Maryland, licensed in California (AFE111304) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS, is affiliated with Ascension Columbia St Mary's Hospital Milwaukee, and is a graduate of Uniformed Services Uhs Fe Hebert School Of Med (2005).

NPPES Registry Identity

NPI1407956956

Entity TypeIndividualFemale

Primary Taxonomy2085R0202X

Provider Legal NameDR. SUSAN JENNIFER CARBOGNINCredential: M.D.

Location Address1060 W PERIMETER RDAndrews Afb, MD 20762-6601

Mailing Address1060 W Perimeter RdAndrews Afb, MD 20762-6601 · (240) 612-2020

Phone(240) 612-2020

Sole ProprietorNo

Medical School CMSUniformed Services Uhs Fe Hebert School Of MedGraduated 2005

Enumeration DateSeptember 25, 2006

Last NPPES UpdateAugust 22, 2016

✔ NPI 1407956956 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085R0202X

License✔ Licensed in CA · AFE111304

Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

1060 W PERIMETER RD, Andrews Afb, MD 20762

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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

Dr. Susan Jennifer Carbognin 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 ID1456857184

PECOS Enrollment IDI20251001004460

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.

Hospital Affiliations CMS Care Compare 2

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

Ascension Columbia St Mary's Hospital Milwaukee

Acute Care Hospitals · Milwaukee, WI

3/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520051

Location2323 N Lake DrMilwaukee, WI 53211 · Milwaukee County

Emergency services Birthing friendly

Ascension SE Wisconsin Hospital

Acute Care Hospitals · Milwaukee, WI

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number520136

Location5000 W Chambers StMilwaukee, WI 53210 · Milwaukee County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20762 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

$100.31 typical visit price

range $65.18 – $194.86

Typical copayment $25.07 (range $16.29 – $48.71)

Most-billed visit code 99203

Established Patient

$80.66 typical visit price

range $21.40 – $158.88

Typical copayment $20.16 (range $5.35 – $39.72)

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.

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.

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