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RALPH F CARBONE JR. DO
NPI 1447212006
Pain Medicine - Interventional Pain Medicine in Mishawaka, IN

Active since April 06, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 15D2016083 · Accreditation
212 W EDISON RD STE F, MISHAWAKA, IN 46545(574) 257-0621(574) 257-0641 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 21, 2022, Sep 21, 2017 (2 updates tracked since 2017).

About Ralph F Carbone Jr. Do NPPES

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

RALPH F CARBONE JR. DO (NPI 1447212006) is an individual interventional pain medicine provider in Mishawaka, Indiana, licensed in Indiana (02001120) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, holds an CLIA Accreditation certificate valid through May 5, 2027, and is a graduate of Chicago College Of Osteopathy (1988).

NPPES Registry Identity

NPI1447212006
Entity TypeIndividualMale
Primary Taxonomy208VP0014X
Provider Legal NameRALPH F CARBONE JR.Credential: DO
Location Address212 W EDISON RD STE FMishawaka, IN 46545-8301
Mailing Address212 W Edison Rd, Suite FMishawaka, IN 46545-8301 · (574) 257-0621 · Fax (574) 257-0641
Phone(574) 257-0621
Fax(574) 257-0641
Sole ProprietorYes
Medical School CMSChicago College Of OsteopathyGraduated 1988
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1447212006 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
License✔ Licensed in IN · 02001120
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X · License 02001120A (IN)
212 W EDISON RD STE F, Mishawaka, IN 46545
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Other Identifiers 1

Medicaid200540580IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Ralph F Carbone Jr. Do 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 ID6305742453
PECOS Enrollment IDI20031209001016
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 15D2016083

Dr Ralph Carbone · Mishawaka, IN
Active · expires May 5, 2027
CLIA Number15D2016083
Laboratory TypePhysician Office
Certificate Effective DateMay 6, 2025
Certificate Expiration DateMay 5, 2027
Laboratory DirectorMichelle Glinn
Laboratory Phone(574) 257-0621
Laboratory LocationDr Ralph Carbone212 W Edison Rd, Ste F, Mishawaka, IN 46545
CLIA data matches this NPI record on: Address Name Phone
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Areas of Expertise CMS Part B claims 9

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.

Testing for presence of drug, by chemistry analyzers 80307
Chemistry analyzers are used to detect the presence of drugs in your system. This test involves taking a small sample of your blood or urine. The sample is then analyzed for specific substances. The results help in understanding your health condition better.
575 services69 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
448 services64 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
150 services51 patients
Physician or allowed practitioner supervision of a patient receiving medicare-covered services provided by a participating home health agency (patient not present) requiring complex and multidisciplinary care modalities involving regular physician or allow G0181
This service involves a physician overseeing your care while you receive Medicare-covered services from a home health agency. The care you're receiving is complex and involves various disciplines. The physician isn't physically present but regularly supervises your treatment to ensure optimal health outcomes.
98 services14 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
80 services46 patients
Electrocardiogram (ecg) 1 to 3 leads with review by physician 93040
An Electrocardiogram (ECG) is a non-invasive test that records the electrical activity of your heart. It uses 1 to 3 leads (sensors) placed on your skin. A physician reviews the results to assess heart rate, rhythm, and detect any abnormalities.
29 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46545 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Ralph Carbone's NPI number?

The NPI number for Ralph Carbone is 1447212006. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Ralph Carbone located?

Ralph Carbone practices at 212 W Edison Rd Ste F, Mishawaka, IN 46545. The listed phone number is (574) 257-0621.

What is Ralph Carbone's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Ralph Carbone enrolled in Medicare?

Yes. Ralph 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.

Does Ralph Carbone hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 15D2016083) is associated with this NPI, valid through May 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ralph Carbone accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian and CareSource list Ralph 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.

When was this NPI record last updated?

The NPPES record for Ralph Carbone was last updated on July 21, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.