HEATHER L CARONE MD
NPI 1558324830
General Practice in Maumee, OH

Active since April 08, 2006PECOS EnrolledAccepts Medicare Assignment
97.11/100
CMS Quality Rating
1900 INDIAN WOOD CIR STE 202B, MAUMEE, OH 43537(419) 578-8594(855) 618-2622 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2023, Oct 31, 2023, Oct 27, 2023 (3 updates tracked since 2023).

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 is a graduate of University Of Toledo College Of Medicine (2001).

NPPES Registry Identity

NPI1558324830
Entity TypeIndividualFemale
Primary Taxonomy208D00000X
Provider Legal NameHEATHER L CARONECredential: MD
Location Address1900 INDIAN WOOD CIR STE 202BMaumee, OH 43537-4039
Mailing AddressPo Box 639295 Dept 93394Cincinnati, OH 45263-9295 · (248) 434-6169 · Fax (855) 618-6655
Fax(855) 618-2622
Sole ProprietorNo
Medical School CMSUniversity Of Toledo College Of MedicineGraduated 2001
Enumeration DateApril 8, 2006
Last NPPES UpdateOctober 27, 20233 updates tracked since enumeration
NPPES CertifiedOctober 27, 2023
NPI 1558324830 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in OH · 35087034
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35087034 (OH)
1900 INDIAN WOOD CIR STE 202B, Maumee, OH 43537

Other Identifiers 3

Medicaid104818437MI
OtherP00273838OH · Railroad Medicare #
Other000000387605OH · Bc/bs Individual #

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

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.

PECOS PAC ID4284656455
PECOS Enrollment IDI20060103000061
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 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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
24 services24 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
16 services16 patients

Hospital Affiliations CMS Care Compare 3

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

Lima Memorial Health System

Acute Care Hospitals · Lima, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360009
Location1001 Bellefontaine AvenueLima, OH 45804 · Allen County
Emergency services Birthing friendly

Ohiohealth O'bleness Hospital

Acute Care Hospitals · Athens, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360014
Location55 Hospital DriveAthens, OH 45701 · Athens County
Emergency services Birthing friendly

Summa Western Reserve Hospital

Acute Care Hospitals · Cuyahoga Falls, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360150
Location1900 23rd StreetCuyahoga Falls, OH 44223 · Summit County
Emergency services

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.

97.11/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality96.6
Improvement Activities40

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.

Nebulizer, with compressor E0570
DME-Other DME · category DE000N
1 supplier12 claims12 services$8.25 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 5

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

Family Medicine
1900 INDIAN WOOD CIR STE 202B
MAUMEE, OH 43537
Family Medicine
1900 INDIAN WOOD CIR STE 202B
MAUMEE, OH 43537
Family Medicine
1900 INDIAN WOOD CIR STE 202B
MAUMEE, OH 43537
Family Medicine
1900 INDIAN WOOD CIR STE 202B
MAUMEE, OH 43537
Social Worker (Clinical)
1900 INDIAN WOOD CIR STE 202B
MAUMEE, OH 43537

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.

What insurance does Heather Carone accept?

Health plans from CareSource and Oscar Insurance Company 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, Ohiohealth O'bleness Hospital 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 2 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.