HEATHER L CARONE MD
NPI 1558324830
General Practice in Maumee, OH
About Heather L Carone Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
HEATHER L CARONE MD (NPI 1558324830) is an individual general practice provider in Maumee, Ohio, licensed in Ohio (35087034) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Lima Memorial Health System, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Heather L Carone 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.
Medicare Billing Reassignments
10Medicare enrollment records show Heather Carone reassigns Medicare billing to 10 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Maumee, OH 43537
- Reassigned Medicare billing, Ohio enrollment
- 268 clinicians in this Medicare group
Perrysburg, OH 43551
- Reassigned Medicare billing, Ohio enrollment
- 57 clinicians in this Medicare group
Toledo, OH 43606
- Reassigned Medicare billing, Ohio enrollment
- 147 clinicians in this Medicare group
Toledo, OH 43608
- Reassigned Medicare billing, Ohio enrollment
- 277 clinicians in this Medicare group
Bowling Green, OH 43402
- Reassigned Medicare billing, Ohio enrollment
- 23 clinicians in this Medicare group
Napoleon, OH 43545
- Reassigned Medicare billing, Ohio enrollment
- 36 clinicians in this Medicare group
Cuyahoga Falls, OH 44223
- Reassigned Medicare billing, Ohio enrollment
- 176 clinicians in this Medicare group
Columbus, OH 43215
- Reassigned Medicare billing, Ohio enrollment
- 474 clinicians in this Medicare group
Seaman, OH 45679
- Reassigned Medicare billing, Ohio enrollment
- 894 clinicians in this Medicare group
Huntington, WV 25703
- Reassigned Medicare billing, Ohio enrollment
- 176 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 2
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lima Memorial Health System
Acute Care Hospitals · Lima, OHSumma Western Reserve Hospital
Acute Care Hospitals · Cuyahoga Falls, OHMedicare 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.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Heather Carone's NPI number?
The NPI number for Heather Carone is 1558324830. It was assigned to this individual provider in the NPPES registry on April 8, 2006.
Where is Heather Carone located?
Heather Carone practices at 1900 Indian Wood Cir Ste 202B, Maumee, OH 43537. The listed phone number is (419) 578-8594.
What is Heather Carone's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Heather Carone enrolled in Medicare?
Yes. Heather Carone 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.
Which organizations bill Medicare for Heather Carone's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Heather Carone reassigns Medicare benefits to 10 organizations: Vpa PC (Maumee, OH), Riverwood Emergency Services Inc. (Perrysburg, OH), Emergency Physicians Of Northwest Ohio Inc. (Toledo, OH), Mercy Emergency Care Services, Inc. (Toledo, OH), Ultimate Care Emergency Physicians LLC (Bowling Green, OH) and 5 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Heather Carone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Heather Carone accept?
Health plans from CareSource, Oscar Health, Oscar Insurance Company and Paramount list Heather Carone 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 Heather Carone affiliated with any hospitals?
According to CMS data, Heather Carone is affiliated with Lima Memorial Health System and Summa Western Reserve Hospital.
When was this NPI record last updated?
The NPPES record for Heather Carone was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Heather L Carone, MD · NPI 1558324830
General Practice physician in Maumee, Ohio. Individual provider, active in the CMS NPPES registry since April 8, 2006.
## Identity
- **NPI:** 1558324830 (Entity type: Individual)
- **Enumerated:** April 8, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 35087034 (Ohio)
- **Sole proprietor:** No
## Practice location
- **Address:** 1900 INDIAN WOOD CIR STE 202B, Maumee, OH 43537-4039
- **Phone:** (419) 578-8594 · **Fax:** (855) 618-2622
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 10 organizations under Medicare reassignment (form CMS-855R): Vpa PC (NPI 1558917443, Maumee, OH); Riverwood Emergency Services Inc. (NPI 1104888536, Perrysburg, OH); Emergency Physicians Of Northwest Ohio Inc. (NPI 1043274418, Toledo, OH); Mercy Emergency Care Services, Inc. (NPI 1477957819, Toledo, OH); Ultimate Care Emergency Physicians LLC (NPI 1083202816, Bowling Green, OH); and 5 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Toledo College Of Medicine, class of 2001
## Record status
- **NPPES last updated:** October 27, 2023
- **Other identifiers:** Medicaid 104818437 (MI); Other P00273838 (OH); Other 000000387605 (OH)
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Source: [NPI Profile](https://npiprofile.com/npi/1558324830) · Data from the CMS NPPES public registry.