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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

Active since April 07, 2017PECOS Enrolled
97.58/100
CMS Quality Rating
2951 MAPLE AVE, ZANESVILLE, OH 43701(740) 454-5880 Get Directions Write a Review

NPPES record last updated: October 22, 2026. Verified against the NPPES registry weekly; last sync: October 25, 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 Zanesville, 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 is a graduate of Ohio State University College Of Medicine (2017).

NPPES Registry Identity

NPI1801329768
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL SCOTT CARDONECredential: MD
Location Address2951 MAPLE AVEZanesville, OH 43701-1406
Mailing Address5520 Caplestone LnDublin, OH 43017-2641 · (513) 377-7275
Phone(740) 454-5880
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2017
Enumeration DateApril 7, 2017
Last NPPES UpdateOctober 22, 2026
NPPES CertifiedOctober 22, 2026
✔ 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)
2951 MAPLE AVE, Zanesville, OH 43701
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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

3

Medicare enrollment records show Michael Cardone reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Emergency Physicians LLC
Same address
Emergency Medicine
2951 MAPLE AVE
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 53 clinicians in this Medicare group
NPI 1275773301 (740) 455-4932
Genesis Medical Group LLC
0.2 mi
General Practice
945 BETHESDA DR STE 200
Zanesville, OH 43701
  • Reassigned Medicare billing, Ohio enrollment
  • 300 clinicians in this Medicare group
NPI 1063663433 (740) 450-6147
Central Ohio Hospitalists, Inc
54 mi
Specialist
3525 OLENTANGY RIVER RD, SUITE 4330
Columbus, OH 43214
  • Reassigned Medicare billing, Ohio enrollment
  • 231 clinicians in this Medicare group
NPI 1659455145 (614) 255-6913

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 43701 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.

HANNAH MARIE BUGGLIN
Nurse Practitioner (Family)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-4000
MARY E. MOYER APRN-CRNA
Nurse Anesthetist, Certified Registered
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 450-3266
TRISHA ANN HARDMAN APRN
Nurse Practitioner (Family)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-4000
DANY S. ABOU ABDALLAH MD
Internal Medicine (Pulmonary Disease)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-5000
DAVID DEMASI
Nurse Practitioner
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (330) 592-4575
SHANNON PETCH
Nurse Practitioner (Acute Care)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-4000
DR. JORDAN NEIBARGER
Nurse Anesthetist, Certified Registered
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-4000
NIMISHA SRIVASTAVA MD
Internal Medicine (Hematology & Oncology)
2951 MAPLE AVE
ZANESVILLE, OH 43701
Muskingum County (740) 454-5271

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 2951 Maple Ave, Zanesville, OH 43701. The listed phone number is (740) 454-5880.

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.

Which organizations bill Medicare for Michael Cardone's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Cardone reassigns Medicare benefits to 3 organizations: Genesis Emergency Physicians LLC (Zanesville, OH), Genesis Medical Group LLC (Zanesville, OH) and Central Ohio Hospitalists, 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 Michael Cardone's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 October 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 days 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.