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DR. MICHAEL SCOTT CARDONE MD
NPI 1801329768
Internal Medicine in Columbus, OH

Active since April 07, 2017PECOS EnrolledAccepts Medicare Assignment
97.58/100
CMS Quality Rating
410 W 10TH AVE, COLUMBUS, OH 43210(614) 293-3989 Get Directions Write a Review

NPPES record last updated: July 20, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Michael Scott Cardone Md NPPES

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

DR. MICHAEL SCOTT CARDONE MD (NPI 1801329768) is an individual internal medicine provider in Columbus, Ohio, licensed in Ohio (35.137463) and active in the NPI registry since April 2017. He is enrolled in Medicare PECOS, is affiliated with Genesis Hospital, and maintains a secondary practice location in Columbus.

NPPES Registry Identity

NPI1801329768
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL SCOTT CARDONECredential: MD
Location Address410 W 10TH AVEColumbus, OH 43210-1240
Mailing Address220 Liberty St Apt 10306Columbus, OH 43215-5831 · (513) 377-7275
Phone(614) 293-3989
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateJuly 20, 2022
NPPES CertifiedJuly 20, 2022
✔ NPI 1801329768 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35.137463
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35.137463 (OH)
410 W 10TH AVE, Columbus, OH 43210
Open in Google Maps ↗

Secondary Practice Location 1

Location 13525 Olentangy River Rd Ste 4330Columbus, OH 43214-3937 · Phone (614) 255-6900 · Fax (614) 255-6901

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Molina Healthcare.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

Dr. Michael Scott Cardone 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 ID4789953001
PECOS Enrollment IDI20220809002125
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 8

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.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
254 services246 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
118 services115 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
77 services50 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
51 services51 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
48 services35 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
44 services44 patients

Hospital Affiliations CMS Care Compare

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

Genesis Hospital

Acute Care Hospitals · Zanesville, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360039
Location2951 Maple AvenueZanesville, OH 43701 · Muskingum County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 43210 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
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.

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.

97.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.53
Promoting Interoperability100
Improvement Activities40

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.

LARA L. VANHUYSEN C.R.N.A.
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
LAUREN TALANDA-FATH SOUTHERLAND M.D.
Emergency Medicine
410 W 10TH AVE, EMERGENCY DEPARTMENT
COLUMBUS, OH 43210
Franklin County (614) 293-8305
RAFAL KOPANCZYK DO
Anesthesiology
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
RACHEL MARIE ASHWORTH CRNA
Nurse Anesthetist, Certified Registered
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8487
ADAM T. RAMEY MD
Hospitalist
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-7499
DR. AMY ELIZABETH SCHULTZ PHARM.D.
Pharmacist
410 W 10TH AVE, 368 DOAN HALL
COLUMBUS, OH 43210
Franklin County (614) 366-6754
MAYA HARARY MD
Neurological Surgery
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-8714
NICOLE L HESS APRN-CNP
Nurse Practitioner
410 W 10TH AVE
COLUMBUS, OH 43210
Franklin County (614) 293-9600

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 Cardone's NPI number?

The NPI number for Michael Cardone is 1801329768. It was assigned to this individual provider in the NPPES registry on April 7, 2017.

Where is Michael Cardone located?

Michael Cardone practices at 410 W 10th Ave, Columbus, OH 43210. The listed phone number is (614) 293-3989.

What is Michael Cardone's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Cardone enrolled in Medicare?

Yes. Michael Cardone 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 Michael Cardone accept?

Health plans from CareSource and Molina Healthcare list Michael Cardone 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 Michael Cardone affiliated with any hospitals?

According to CMS data, Michael Cardone is affiliated with Genesis Hospital.

When was this NPI record last updated?

The NPPES record for Michael Cardone was last updated on July 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.