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CAROLYN A PICCONE M.D.
NPI 1780677500
Obstetrics & Gynecology in Willow Grove, PA

Active since August 26, 2005PECOS EnrolledAccepts Medicare Assignment
2729 BLAIR MILL RD STE C, WILLOW GROVE, PA 19090(215) 443-0660(215) 443-8422 Get Directions Write a Review

NPPES record last updated: April 20, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 20, 2018, Feb 2, 2017 (2 updates tracked since 2017).

About Carolyn A Piccone M.d. NPPES

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

CAROLYN A PICCONE M.D. (NPI 1780677500) is an individual obstetrics & gynecology provider in Willow Grove, Pennsylvania, licensed in Pennsylvania (MD053443L) and active in the NPI registry since August 2005. She is enrolled in Medicare PECOS, is affiliated with Holy Redeemer Hospital And Medical Center, and is a graduate of Temple University School Of Medicine (1992).

NPPES Registry Identity

NPI1780677500
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROLYN A PICCONECredential: M.D.
Location Address2729 BLAIR MILL RD STE CWillow Grove, PA 19090-1042
Mailing Address2729 Blair Mill Rd Ste CWillow Grove, PA 19090-1042 · (215) 443-0660 · Fax (215) 443-8422
Phone(215) 443-0660
Fax(215) 443-8422
Sole ProprietorNo
Medical School CMSTemple University School Of MedicineGraduated 1992
Enumeration DateAugust 26, 2005
Last NPPES UpdateApril 20, 20182 updates tracked since enumeration
✔ NPI 1780677500 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in PA · MD053443L
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
2729 BLAIR MILL RD STE C, Willow Grove, PA 19090
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware.Insurance ›

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

Carolyn A Piccone M.d. 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 ID4183684251
PECOS Enrollment IDI20100726000555
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 4

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.

Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
106 services106 patients
Stool analysis for blood to screen for colon tumors 82270
A stool analysis for blood is a non-invasive procedure used to check for the presence of hidden blood in your stool. This can be an early sign of colon tumors. The test involves collecting a small sample of stool at home and sending it to a lab for analysis.
88 services88 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.
46 services38 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
27 services27 patients

Hospital Affiliations CMS Care Compare 4

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

Holy Redeemer Hospital And Medical Center

Acute Care Hospitals · Meadowbrook, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number390097
Location1648 Huntingdon PikeMeadowbrook, PA 19046 · Montgomery County
Emergency services Birthing friendly

Albert Einstein Medical Center

Acute Care Hospitals · Philadelphia, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390142
Location5501 Old York RoadPhiladelphia, PA 19141 · Philadelphia County
Emergency services Birthing friendly

Doylestown Hospital

Acute Care Hospitals · Doylestown, PA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390203
Location595 West State StDoylestown, PA 18901 · Bucks County
Emergency services Birthing friendly

Abington Memorial Hospital

Acute Care Hospitals · Abington, PA
2/5 CMS rating
OwnershipProprietary
CMS Certification Number390231
Location1200 Old York RoadAbington, PA 19001 · Montgomery County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19090 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$74.47 typical visit price
range $19.30 – $147.29
Typical copayment $18.61 (range $4.82 – $36.82)
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.

Other Providers at the Same Location NPPES

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

DR. SHARON M RICE MD
Obstetrics & Gynecology
2729 BLAIR MILL RD STE C
WILLOW GROVE, PA 19090
Montgomery County (215) 443-0660

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 Carolyn Piccone's NPI number?

The NPI number for Carolyn Piccone is 1780677500. It was assigned to this individual provider in the NPPES registry on August 26, 2005.

Where is Carolyn Piccone located?

Carolyn Piccone practices at 2729 Blair Mill Rd Ste C, Willow Grove, PA 19090. The listed phone number is (215) 443-0660.

What is Carolyn Piccone's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carolyn Piccone enrolled in Medicare?

Yes. Carolyn Piccone 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.

What insurance does Carolyn Piccone accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Carolyn Piccone 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.

Is Carolyn Piccone affiliated with any hospitals?

According to CMS data, Carolyn Piccone is affiliated with Holy Redeemer Hospital And Medical Center, Albert Einstein Medical Center, Doylestown Hospital and Abington Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Carolyn Piccone was last updated on April 20, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.