DR. WAYNE ANTHONY CARDONI D.O.
NPI 1578622130
Otolaryngology in Frederick, MD

Active since December 08, 2006PECOS EnrolledAccepts Medicare Assignment
80.25/100
CMS Quality Rating
501 W 7TH ST, FREDERICK, MD 21701(301) 663-9573 Get Directions Write a Review

NPPES record last updated: January 24, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 24, 2020, Apr 30, 2019 (2 updates tracked since 2019).

About Dr. Wayne Anthony Cardoni D.o. NPPES

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

DR. WAYNE ANTHONY CARDONI D.O. (NPI 1578622130) is an individual otolaryngology provider in Frederick, Maryland, licensed in Maryland (H85869) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS, is affiliated with Frederick Health Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1578622130
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. WAYNE ANTHONY CARDONICredential: D.O.
Location Address501 W 7TH STFrederick, MD 21701-4586
Mailing AddressPo Box 37089Baltimore, MD 21297-3089 · (240) 439-8812
Sole ProprietorNo
Medical School CMSPhiladelphia College Of Osteopathic MedicineGraduated 2001
Enumeration DateDecember 8, 2006
Last NPPES UpdateJanuary 24, 20202 updates tracked since enumeration
NPI 1578622130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses Licensed in MD · H85869 Licensed in VA · 0102201384
Definition

An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.

501 W 7TH ST, Frederick, MD 21701

Secondary Practice Locations 2

Location 1Nnmc Ent Dept, 8901 ROCKVILLE PIKEBethesda, MD 20889-5600 · Phone (301) 295-4670
Location 27211 Bank CtFrederick, MD 21703-8483 · Phone (240) 575-2526

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

Dr. Wayne Anthony Cardoni D.o. 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 ID2365576816
PECOS Enrollment IDI20181105002620
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 11

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.

Removal of impacted ear wax 69210
Impacted ear wax removal is a safe procedure to clear blockages in the ear canal caused by hardened ear wax. A healthcare professional uses specialized tools or a gentle irrigation method to loosen and remove the wax, improving hearing and alleviating discomfort.
185 services148 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.
144 services115 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 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.
132 services132 patients
Exam of ear using a microscope 92504
An exam of the ear using a microscope allows a detailed view of the ear structures. This non-invasive procedure helps identify issues such as infections, blockages, or ear damage. It's a safe, quick, and painless way to evaluate ear health.
127 services105 patients
Diagnostic exam of voice box using a flexible endoscope 31575
This procedure involves a doctor examining your voice box using a flexible endoscope, a thin tube with a light and camera. It's inserted through your nose or mouth to visualize your throat area. It helps detect any abnormalities in your voice box, ensuring optimal vocal health.
112 services102 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 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.
94 services78 patients

Hospital Affiliations CMS Care Compare

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

Frederick Health Hospital

Acute Care Hospitals · Frederick, MD
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210005
Location400 West Seventh StFrederick, MD 21701 · Frederick County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21701 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
$133.05 typical visit price
range $57.99 – $175.57
Typical copayment $33.26 (range $14.49 – $43.89)
Most-billed visit code 99204
Established Patient
$72.23 typical visit price
range $18.66 – $143.02
Typical copayment $18.05 (range $4.66 – $35.75)
Most-billed visit code 99213
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.

80.25/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.29
Promoting Interoperability100
Improvement Activities40
Cost54.89

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.

Radiology (Radiation Oncology)
501 W 7TH ST, STE 2
FREDERICK, MD 21701
Internal Medicine (Hematology & Oncology)
501 W 7TH ST, SUITE 1A
FREDERICK, MD 21701
Physical Therapist
501 W 7TH ST, SUITE E
FREDERICK, MD 21701
Thoracic Surgery (Cardiothoracic Vascular Surgery)
501 W 7TH ST
FREDERICK, MD 21701
Radiology (Radiation Oncology)
501 W 7TH ST, STE. 2
FREDERICK, MD 21701
Surgery
501 W 7TH ST, SUITE D
FREDERICK, MD 21701
Pharmacist
501 W 7TH ST
FREDERICK, MD 21701
Physician Assistant
501 W 7TH ST
FREDERICK, MD 21701

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 Wayne Cardoni's NPI number?

The NPI number for Wayne Cardoni is 1578622130. It was assigned to this individual provider in the NPPES registry on December 8, 2006.

Where is Wayne Cardoni located?

Wayne Cardoni practices at 501 W 7th St, Frederick, MD 21701. The listed phone number is (301) 663-9573.

What is Wayne Cardoni's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Wayne Cardoni enrolled in Medicare?

Yes. Wayne Cardoni 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.

Is Wayne Cardoni affiliated with any hospitals?

According to CMS data, Wayne Cardoni is affiliated with Frederick Health Hospital.

When was this NPI record last updated?

The NPPES record for Wayne Cardoni was last updated on January 24, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.