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DR. MICHAEL CANDIO CARUSO MD
NPI 1720267891
Family Medicine in Clayton, GA

Active since October 25, 2007PECOS EnrolledAccepts Medicare Assignment
156 N MAIN ST, CLAYTON, GA 30525(706) 782-0293(706) 782-0118 Get Directions Write a Review

NPPES record last updated: July 17, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Candio Caruso Md NPPES

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

DR. MICHAEL CANDIO CARUSO MD (NPI 1720267891) is an individual family medicine provider in Clayton, Georgia, licensed in Georgia (057558) and active in the NPI registry since October 2007. He is enrolled in Medicare PECOS and is a graduate of University Of South Alabama College Of Medicine (1988).

NPPES Registry Identity

NPI1720267891
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. MICHAEL CANDIO CARUSOCredential: MD
Location Address156 N MAIN STClayton, GA 30525-4266
Mailing Address156 N Main StClayton, GA 30525-4266 · (706) 782-0293 · Fax (706) 782-0118
Phone(706) 782-0293
Fax(706) 782-0118
Sole ProprietorYes
Medical School CMSUniversity Of South Alabama College Of MedicineGraduated 1988
Enumeration DateOctober 25, 2007
Last NPPES UpdateJuly 17, 2025
NPPES CertifiedJuly 17, 2025
✔ NPI 1720267891 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses✔ Licensed in GA · 057558✔ Licensed in AL · 14848
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.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 14848 (AL)
156 N MAIN ST, Clayton, GA 30525
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, Ambetter of Tennessee.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

Dr. Michael Candio Caruso 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 ID1951465947
PECOS Enrollment IDI20141029002378
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 Reassignments

2

Medicare enrollment records show Michael Caruso reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

American Family Care, LLC
160 mi
Primary Care
366 EAST MEIGHAN BLVD
Gadsden, AL 35903
  • Reassigned Medicare billing, Alabama enrollment
  • 660 clinicians in this Medicare group
NPI 1730587338 (256) 485-0982
Foley Family Practice Management
397 mi
Primary Care
205 W ORANGE AVE
Foley, AL 36535
  • Reassigned Medicare billing, Alabama enrollment
  • 5 clinicians in this Medicare group
NPI 1083080600 (251) 943-6108

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 30525 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 8

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

DR. CARL W. LYNN D.C.
Chiropractor
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-7005
MOUNTAIN LAUREL MEDICAL CLINICS, LLC
Family Medicine
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-0293
EDWARD DENT FREDERICKSON MD
Internal Medicine
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 212-0390
CARL W. LYNN, D.C., P.C.
Chiropractor
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-7005
MS. GYAN GOLDEN LMT
Massage Therapist
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-4799
BECK'S HEALTHCARE, LLC
Internal Medicine
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-5044
MOUNTAIN MEDICAL SPECILITIES INC
Orthopaedic Surgery
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (706) 782-4799
GAINESVILLE PHYSICAL THERAPY-CLAYTON
Physical Therapist
156 N MAIN ST
CLAYTON, GA 30525
Rabun County (770) 297-1700

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 Michael Caruso's NPI number?

The NPI number for Michael Caruso is 1720267891. It was assigned to this individual provider in the NPPES registry on October 25, 2007.

Where is Michael Caruso located?

Michael Caruso practices at 156 N Main St, Clayton, GA 30525. The listed phone number is (706) 782-0293.

What is Michael Caruso's specialty?

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

Is Michael Caruso enrolled in Medicare?

Yes. Michael Caruso 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 Michael Caruso's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Caruso reassigns Medicare benefits to 2 organizations: American Family Care, LLC (Gadsden, AL) and Foley Family Practice Management (Foley, AL). 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 Michael Caruso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Michael Caruso accept?

Health plans from Ambetter Health, Ambetter of Alabama and Ambetter of Tennessee list Michael Caruso 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.

When was this NPI record last updated?

The NPPES record for Michael Caruso was last updated on July 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.