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CARMEN STONE HIGHSMITH
NPI 1720774102
Pediatrics in Columbus, OH

Active since April 18, 2023PECOS Enrolled
700 CHILDRENS DR, COLUMBUS, OH 43205(614) 722-2000 Get Directions Write a Review

NPPES record last updated: June 1, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 1, 2026, May 6, 2026, Apr 28, 2026 and 1 more (4 updates tracked since 2026).

About Carmen Stone Highsmith NPPES

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

CARMEN STONE HIGHSMITH (NPI 1720774102) is an individual pediatrics provider in Columbus, Ohio, licensed in Ohio (35.156191) and active in the NPI registry since April 2023. She is enrolled in Medicare PECOS and maintains 15 additional practice locations.

NPPES Registry Identity

NPI1720774102
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameCARMEN STONE HIGHSMITH
Location Address700 CHILDRENS DRColumbus, OH 43205-2664
Mailing Address700 Childrens DrColumbus, OH 43205-2664 · (614) 722-2000
Phone(614) 722-2000
Sole ProprietorNo
Enumeration DateApril 18, 2023
Last NPPES UpdateJune 1, 20264 updates tracked since enumeration
NPPES CertifiedJune 1, 2026
✔ NPI 1720774102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in OH · 35.156191
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
700 CHILDRENS DR, Columbus, OH 43205
Open in Google Maps ↗

Secondary Practice Locations 15

Location 11777 E Dublin Granville RdColumbus, OH 43229-3502 · Phone (614) 722-2000
Location 23553 Cleveland AveColumbus, OH 43224-2909 · Phone (614) 722-2000
Location 31390 Cleveland AveColumbus, OH 43211-2767 · Phone (614) 722-2000
Location 41125 E Main StColumbus, OH 43205-1931 · Phone (614) 722-2000
Location 54560 Morse Centre RdColumbus, OH 43229-6602 · Phone (614) 722-2000
Location 65070 N High StColumbus, OH 43214-1526 · Phone (614) 722-2000
Location 7380 Butterfly Gardens DrColumbus, OH 43215-7508 · Phone (614) 722-2000
Location 81405 S High StColumbus, OH 43207-1043 · Phone (614) 722-2000
Location 94766 W Broad StColumbus, OH 43228-1613 · Phone (614) 722-2000
Location 10433 N Cleveland AveWesterville, OH 43082-8095 · Phone (614) 722-2000
Location 112599 S Hamilton RdColumbus, OH 43232-4964 · Phone (614) 722-2000
Location 121657 Georgesville Square DrColumbus, OH 43228-3689 · Phone (614) 722-2000
Location 1326 Hospital DrAthens, OH 45701-2471 · Phone (614) 722-2000
Location 14882 S Hamilton RdColumbus, OH 43213-3003 · Phone (614) 722-2000
Location 152857 W Broad StColumbus, OH 43204-2643 · Phone (614) 722-2000

Other Identifiers 1

Medicaid0171286OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carmen Stone Highsmith 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 Reassignments

2

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

Nationwide Children's Hospital
Same address
Multi-Specialty
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 976 clinicians in this Medicare group
NPI 1851179873 (614) 722-2055
Pediatric Academic Association, Inc.
Same address
Pediatrics
700 CHILDRENS DR
Columbus, OH 43205
  • Reassigned Medicare billing, Ohio enrollment
  • 1,246 clinicians in this Medicare group
NPI 1063419943 (614) 722-4579

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 43205 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
$84.72 typical visit price
range $54.34 – $166.65
Typical copayment $21.18 (range $13.58 – $41.66)
Most-billed visit code 99203
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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 20

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

BELA M GANDHI MD
Psychiatry & Neurology (Child & Adolescent Psychiatry)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-8212
AMRIK SINGH KHALSA M.D.
Pediatrics
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
DR. ROBERT MICHAEL DORMAN M.D.
Surgery
700 CHILDRENS DR, CCPR
COLUMBUS, OH 43205
Franklin County (614) 722-0449
MR. CHRISTOPHER JONES MD
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
LEANNE MURRAY PHARMD
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
CLAIRE ELIZABETH CHRISTIAN M.D.
Pediatrics (Pediatric Emergency Medicine)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000
MEGAN MCNICOL
Pharmacist
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2160
MARIA STRENG
Nurse Practitioner (Pediatrics)
700 CHILDRENS DR
COLUMBUS, OH 43205
Franklin County (614) 722-2000

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 Carmen Stone Highsmith's NPI number?

The NPI number for Carmen Stone Highsmith is 1720774102. It was assigned to this individual provider in the NPPES registry on April 18, 2023.

Where is Carmen Stone Highsmith located?

Carmen Stone Highsmith practices at 700 Childrens Dr, Columbus, OH 43205. The listed phone number is (614) 722-2000.

What is Carmen Stone Highsmith's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Carmen Stone Highsmith enrolled in Medicare?

Yes. Carmen Stone Highsmith is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carmen Stone Highsmith's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carmen Stone Highsmith reassigns Medicare benefits to 2 organizations: Nationwide Children's Hospital (Columbus, OH) and Pediatric Academic Association, Inc. (Columbus, OH). 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 Carmen Stone Highsmith's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carmen Stone Highsmith accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Carmen Stone Highsmith 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 Carmen Stone Highsmith was last updated on June 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.