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RICHARD AUGUSTINE CARDONE M.D.
NPI 1932106853
Surgery in Bullhead City, AZ

Active since July 07, 2005PECOS EnrolledAccepts Medicare Assignment
17.28/100
CMS Quality Rating
5300 HWY 95, STE. C, BULLHEAD CITY, AZ 86426(928) 768-4100(928) 768-6522 Get Directions Write a Review

NPPES record last updated: October 18, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Richard Augustine Cardone M.d. NPPES

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

RICHARD AUGUSTINE CARDONE M.D. (NPI 1932106853) is an individual surgery provider in Bullhead City, Arizona, licensed in Arizona (26223) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Pennsylvania (1991).

NPPES Registry Identity

NPI1932106853
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameRICHARD AUGUSTINE CARDONECredential: M.D.
Location Address5300 HWY 95, STE. CBullhead City, AZ 86426-9251
Mailing AddressPo Box 9687Bullhead City, AZ 86427-9687 · (928) 768-4100 · Fax (928) 768-6522
Phone(928) 768-4100
Fax(928) 768-6522
Sole ProprietorYes
Medical School CMSMedical College Of PennsylvaniaGraduated 1991
Enumeration DateJuly 7, 2005
Last NPPES UpdateOctober 18, 2007
✔ NPI 1932106853 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in AZ · 26223
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
Also ListedColon & Rectal SurgeryTaxonomy 208C00000X · License G84346 (CA), MD050553L (PA)
5300 HWY 95, Bullhead City, AZ 86426
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Other Identifiers 4

Medicare PINZ25057AZ
Medicaid415390AZ
Medicare ID-Type Unspecified25057AZ
Medicare UPING65261

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona, UnitedHealthcare.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

Richard Augustine Cardone 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 ID8729072244
PECOS Enrollment IDI20040408001013
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 10

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.
456 services286 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.
192 services192 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.
85 services62 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
78 services77 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
66 services64 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
66 services66 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 86426 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
$85.89 typical visit price
range $55.44 – $168.60
Typical copayment $21.47 (range $13.86 – $42.15)
Most-billed visit code 99203
Established Patient
$69.24 typical visit price
range $17.72 – $137.41
Typical copayment $17.31 (range $4.43 – $34.35)
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.

17.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost57.6

Other Providers at the Same Location NPPES 3

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

VALLEY VIEW PHYSICIAN PRACTICES LLC
Surgery (Vascular Surgery)
5300 HWY 95, SUITE D
FORT MOHAVE, AZ 86426
Mohave County (928) 770-4984
VALLEY VIEW PHYSICIAN PRACTICES, LLC
Internal Medicine
5300 HWY 95, SUITE I
FORT MOHAVE, AZ 86426
Mohave County (928) 788-1920
VALLEY VIEW PHYSICIAN PRACTICES LLC
Surgery
5300 HWY 95, SUITE A
FORT MOHAVE, AZ 86426
Mohave County (928) 768-1616

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 Richard Cardone's NPI number?

The NPI number for Richard Cardone is 1932106853. It was assigned to this individual provider in the NPPES registry on July 7, 2005.

Where is Richard Cardone located?

Richard Cardone practices at 5300 Hwy 95 Ste. C, Bullhead City, AZ 86426. The listed phone number is (928) 768-4100.

What is Richard Cardone's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Richard Cardone enrolled in Medicare?

Yes. Richard 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 Richard Cardone accept?

Health plans from Blue Cross Blue Shield of Arizona and UnitedHealthcare list Richard 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.

When was this NPI record last updated?

The NPPES record for Richard Cardone was last updated on October 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.