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MONICA MARIA CARMONA MD
NPI 1467491738
Internal Medicine in Marion, OH

Active since June 05, 2006PECOS EnrolledAccepts Medicare Assignment
81.3/100
CMS Quality Rating
1000 MCKINLEY PARK DR, MARION, OH 43302(614) 566-8883(614) 566-8149 Get Directions Write a Review

NPPES record last updated: March 24, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 24, 2026, Jul 21, 2022, Dec 8, 2020 and 2 more (5 updates tracked since 2016).

About Monica Maria Carmona Md NPPES

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

MONICA MARIA CARMONA MD (NPI 1467491738) is an individual internal medicine provider in Marion, Ohio, licensed in Ohio (35085006) and active in the NPI registry since June 2006. She is enrolled in Medicare PECOS, is affiliated with Marion General Hospital, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1467491738
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameMONICA MARIA CARMONACredential: MD
Location Address1000 MCKINLEY PARK DRMarion, OH 43302-6399
Mailing AddressPo Box 7527Dublin, OH 43017-0727 · (614) 544-6366 · Fax (614) 544-6350
Phone(614) 566-8883
Fax(614) 566-8149
Sole ProprietorYes
Medical School CMSOtherGraduated 1995
Enumeration DateJune 5, 2006
Last NPPES UpdateMarch 24, 20265 updates tracked since enumeration
NPPES CertifiedMarch 24, 2026
✔ NPI 1467491738 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35085006
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.
1000 MCKINLEY PARK DR, Marion, OH 43302
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Other Identifiers 1

Medicaid2535902OH

Accepted Insurance

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

Monica Maria Carmona Md 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 ID1153375001
PECOS Enrollment IDI20050303000792
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

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 straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services13 patients

Hospital Affiliations CMS Care Compare

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

Marion General Hospital

Acute Care Hospitals · Marion, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360011
Location1000 Mckinley Park DriveMarion, OH 43302 · Marion County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43302 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.

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.

81.3/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.58
Promoting Interoperability98
Improvement Activities40
Cost65.77

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.

JENNIFER BIANCA COFFEY CNP
Nurse Practitioner (Acute Care)
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8400
MRS. DELLA LANE RICE NP
Nurse Practitioner
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8473
JILL R THOMAS PAC
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700
ASHLEY JUDSON RD
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8616
FRANKLIN R MILLARD PAC
Physician Assistant
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700
VEERA CHANDRA SEKHAR VEERLA MD
Hospitalist
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8473
BRAD BABINES RDN, LD
Dietitian, Registered
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8400
DR. MELISSA O'RYAN MEKESA M.D.
Emergency Medicine
1000 MCKINLEY PARK DR
MARION, OH 43302
Marion County (740) 383-8700

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 Monica Carmona's NPI number?

The NPI number for Monica Carmona is 1467491738. It was assigned to this individual provider in the NPPES registry on June 5, 2006.

Where is Monica Carmona located?

Monica Carmona practices at 1000 Mckinley Park Dr, Marion, OH 43302. The listed phone number is (614) 566-8883.

What is Monica Carmona's specialty?

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

Is Monica Carmona enrolled in Medicare?

Yes. Monica Carmona 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.

What insurance does Monica Carmona accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Monica Carmona 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 Monica Carmona affiliated with any hospitals?

According to CMS data, Monica Carmona is affiliated with Marion General Hospital.

When was this NPI record last updated?

The NPPES record for Monica Carmona was last updated on March 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.