MS. ERICA MARIE CARDONA MD
NPI 1700052933
Family Medicine in Pelham, NY

Active since May 07, 2008PECOS EnrolledAccepts Medicare Assignment
116 FIFTH AVE, PELHAM, NY 10803(914) 813-3133(914) 813-3138 Get Directions Write a Review

NPPES record last updated: August 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 3, 2021, Aug 27, 2020 (2 updates tracked since 2020).

About Ms. Erica Marie Cardona Md NPPES

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

MS. ERICA MARIE CARDONA MD (NPI 1700052933) is an individual family medicine provider in Pelham, New York, licensed in New York (244452) and active in the NPI registry since May 2008. She is enrolled in Medicare PECOS and is a graduate of Albany Medical College Of Union University (2004).

NPPES Registry Identity

NPI1700052933
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameMS. ERICA MARIE CARDONACredential: MD
Location Address116 FIFTH AVEPelham, NY 10803-1504
Mailing Address116 Fifth AvePelham, NY 10803-1504 · (914) 813-3133 · Fax (914) 813-3138
Fax(914) 813-3138
Sole ProprietorNo
Medical School CMSAlbany Medical College Of Union UniversityGraduated 2004
Enumeration DateMay 7, 2008
Last NPPES UpdateAugust 3, 20212 updates tracked since enumeration
NPPES CertifiedAugust 3, 2021
NPI 1700052933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in NY · 244452
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
116 FIFTH AVE, Pelham, NY 10803

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

Ms. Erica Marie Cardona 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 ID941360754
PECOS Enrollment IDI20081125000047
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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
98 services48 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
70 services50 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
15 services14 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10803 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

Other Providers at the Same Location NPPES 4

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

General Practice
116 FIFTH AVE
PELHAM, NY 10803
Internal Medicine (Cardiovascular Disease)
116 FIFTH AVE
PELHAM, NY 10803
Internal Medicine
116 FIFTH AVE
PELHAM, NY 10803
Internal Medicine (Cardiovascular Disease)
116 FIFTH AVE
PELHAM, NY 10803

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 Erica Cardona's NPI number?

The NPI number for Erica Cardona is 1700052933. It was assigned to this individual provider in the NPPES registry on May 7, 2008.

Where is Erica Cardona located?

Erica Cardona practices at 116 Fifth Ave, Pelham, NY 10803. The listed phone number is (914) 813-3133.

What is Erica Cardona's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Erica Cardona enrolled in Medicare?

Yes. Erica Cardona 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.

When was this NPI record last updated?

The NPPES record for Erica Cardona was last updated on August 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.