DOMINICK JOHN CARBONE JR. MD
NPI 1790767382
Urology in Elkin, NC

Active since November 18, 2005PECOS EnrolledAccepts Medicare Assignment
95.42/100
CMS Quality Rating
200 JOHNSON RIDGE MEDICAL PARK, ELKIN, NC 28621(336) 526-0040(336) 526-0043 Get Directions Write a Review

NPPES record last updated: November 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dominick John Carbone Jr. Md NPPES

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

DOMINICK JOHN CARBONE JR. MD (NPI 1790767382) is an individual urology provider in Elkin, North Carolina, licensed in North Carolina (9700498) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Iredell Memorial Hospital Inc, and is a graduate of University Of Michigan Medical School (1990).

NPPES Registry Identity

NPI1790767382
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameDOMINICK JOHN CARBONE JR.Credential: MD
Location Address200 JOHNSON RIDGE MEDICAL PARKElkin, NC 28621-2443
Mailing Address200 Johnson Ridge Medical ParkElkin, NC 28621-2443 · (336) 526-0040 · Fax (336) 526-0043
Fax(336) 526-0043
Sole ProprietorNo
Medical School CMSUniversity Of Michigan Medical SchoolGraduated 1990
Enumeration DateNovember 18, 2005
Last NPPES UpdateNovember 3, 2011
NPI 1790767382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License Licensed in NC · 9700498
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
200 JOHNSON RIDGE MEDICAL PARK, Elkin, NC 28621

Other Identifiers 2

Medicare ID-Type Unspecified2238674BNC
Medicare UPING48723

Accepted 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

Dominick John Carbone Jr. 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 ID9335146778
PECOS Enrollment IDI20061027000389
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 24

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.
207 services148 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
191 services191 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
160 services132 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.
154 services128 patients
Diagnostic exam of bladder and urethra using an endoscope 52000
This procedure involves using a thin, flexible tube with a light, called an endoscope, to examine the bladder and urethra. It helps in identifying any abnormalities or issues that may be causing discomfort or other symptoms.
104 services100 patients
Injection, triptorelin pamoate, 3.75 mg J3315
Triptorelin pamoate 3.75 mg is a medication administered via injection. It helps regulate certain hormone levels in your body, managing various health conditions. It's important to follow your doctor's instructions for this treatment.
90 services11 patients

Hospital Affiliations CMS Care Compare

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

Iredell Memorial Hospital Inc

Acute Care Hospitals · Statesville, NC
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340039
Location557 Brookdale DrStatesville, NC 28677 · Iredell County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28621 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
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

95.42/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality90.85
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Intermittent urinary catheter; straight tip, with or without coating (teflon, silicone, silicone elastomer, or hydrophilic, etc.), each A4351
DME-Orthotic Devices · category DF008N
4 suppliers23 claims3,980 services$1.42 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

Urology
200 JOHNSON RIDGE MEDICAL PARK
ELKIN, NC 28621
Urology
200 JOHNSON RIDGE MEDICAL PARK
ELKIN, NC 28621

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 Dominick Carbone's NPI number?

The NPI number for Dominick Carbone is 1790767382. It was assigned to this individual provider in the NPPES registry on November 18, 2005.

Where is Dominick Carbone located?

Dominick Carbone practices at 200 Johnson Ridge Medical Park, Elkin, NC 28621. The listed phone number is (336) 526-0040.

What is Dominick Carbone's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Dominick Carbone enrolled in Medicare?

Yes. Dominick Carbone 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 Dominick Carbone accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Dominick Carbone 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 Dominick Carbone affiliated with any hospitals?

According to CMS data, Dominick Carbone is affiliated with Iredell Memorial Hospital Inc.

When was this NPI record last updated?

The NPPES record for Dominick Carbone was last updated on November 3, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.