SYDNEY CARON
NPI 1467000109
Nurse Practitioner - Family in Russellville, KY

Active since August 27, 2019PECOS EnrolledAccepts Medicare Assignment
1151 W 9TH ST, RUSSELLVILLE, KY 42276(270) 847-4033(270) 847-4151 Get Directions Write a Review

NPPES record last updated: August 27, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Sydney Caron NPPES

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

SYDNEY CARON (NPI 1467000109) is an individual family provider in Russellville, Kentucky, licensed in Kentucky (3013523) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS, is affiliated with Baptist Health Deaconess Madisonville, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1467000109
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameSYDNEY CARON
Location Address1151 W 9TH STRussellville, KY 42276-9760
Mailing AddressPo Box 1258Waynesboro, TN 38485-1258 · (931) 253-1110 · Fax (256) 664-4280
Fax(270) 847-4151
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateAugust 27, 2019
NPI 1467000109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in KY · 3013523
1151 W 9TH ST, Russellville, KY 42276

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

Sydney Caron 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 ID8628308673
PECOS Enrollment IDI20190918001419
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 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit, 10-19 minutes 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
143 services111 patients
Established patient office or other outpatient visit, 20-29 minutes 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.
100 services74 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
26 services22 patients
New patient office or other outpatient visit, 30-44 minutes 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Baptist Health Deaconess Madisonville

Acute Care Hospitals · Madisonville, KY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180093
Location900 Hospital DriveMadisonville, KY 42431 · Hopkins County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 42276 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
$82.24 typical visit price
range $52.76 – $162.27
Typical copayment $20.56 (range $13.19 – $40.56)
Most-billed visit code 99203
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
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 19

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
4 suppliers67 claims67 services$44.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
11 suppliers148 claims148 services$104.90 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
11 suppliers110 claims257 services$40.97 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
11 suppliers84 claims278 services$24.75 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
8 suppliers42 claims127 services$17.94 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
13 suppliers106 claims106 services$66.99 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 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
1151 W 9TH ST
RUSSELLVILLE, KY 42276
Clinic/Center (Rural Health)
1151 W 9TH ST
RUSSELLVILLE, KY 42276
Nurse Practitioner (Family)
1151 W 9TH ST
RUSSELLVILLE, KY 42276
Nurse Practitioner (Family)
1151 W 9TH ST
RUSSELLVILLE, KY 42276
Nurse Practitioner (Family)
1151 W 9TH ST
RUSSELLVILLE, KY 42276
Nurse Practitioner (Family)
1151 W 9TH ST
RUSSELLVILLE, KY 42276

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1467000109, enumerated as an "individual" on August 27, 2019.

The provider is located at 1151 W 9TH ST RUSSELLVILLE, KY 42276 and the phone number is (270) 847-4033.

Nurse Practitioner with taxonomy code 363LF0000X and a focus in Family.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.

Sydney Caron is affiliated with: BAPTIST HEALTH DEACONESS MADISONVILLE.