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DR. JOHN STEPHEN CARBONE MD
NPI 1578646378
Psychiatry & Neurology - Psychiatry in Rothschild, WI

Active since October 23, 2006PECOS Enrolled
1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC), ROTHSCHILD, WI 54474(608) 372-3971(252) 744-2419 Get Directions Write a Review

NPPES record last updated: January 17, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Feb 7, 2019, Sep 6, 2018 (2 updates tracked since 2018).

About Dr. John Stephen Carbone Md NPPES

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

DR. JOHN STEPHEN CARBONE MD (NPI 1578646378) is an individual psychiatry provider in Rothschild, Wisconsin, licensed in North Carolina (200300952) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578646378
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. JOHN STEPHEN CARBONECredential: MD
Location Address1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC)Rothschild, WI 54474
Mailing Address1105 East Grand Avenue (veterans Admin Clinic)Rothschild, WI 54474 · (608) 372-3971
Phone(608) 372-3971
Fax(252) 744-2419
Sole ProprietorNo
Enumeration DateOctober 23, 2006
Last NPPES UpdateJanuary 17, 20252 updates tracked since enumeration
✔ NPI 1578646378 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NC · 200300952
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Forensic PsychiatryTaxonomy 2084F0202X · License 200300952 (NC)
1105 EAST GRAND AVENUE (VETERANS ADMIN CLINIC), Rothschild, WI 54474
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Other Identifiers 5

Medicaid1578646378NC
Other19ANWNC · Bcbs Of Nc
OtherNCL784BNC · Medicare
Medicaid7102267VA
Medicaid188206TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. John Stephen Carbone Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show John Carbone reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albemarle Regional Health Services
919 mi
Public Health, State or Local
711 ROANOKE AVE
Elizabeth City, NC 27909
  • Reassigned Medicare billing, North Carolina enrollment
  • 27 clinicians in this Medicare group
NPI 1659468130 (252) 338-4404

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 54474 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
$163.24 typical visit price
range $53.90 – $163.24
Typical copayment $40.81 (range $13.47 – $40.81)
Most-billed visit code 99205
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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.

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 John Carbone's NPI number?

The NPI number for John Carbone is 1578646378. It was assigned to this individual provider in the NPPES registry on October 23, 2006.

Where is John Carbone located?

John Carbone practices at 1105 East Grand Avenue (veterans Admin Clinic), Rothschild, WI 54474. The listed phone number is (608) 372-3971.

What is John Carbone's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is John Carbone enrolled in Medicare?

Yes. John Carbone is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for John Carbone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Carbone reassigns Medicare benefits to Albemarle Regional Health Services (Elizabeth City, NC). The 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 John Carbone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for John Carbone was last updated on January 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 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.