VILMA B. CARLONE MD
NPI 1962459339
Internal Medicine - Endocrinology, Diabetes & Metabolism in Northampton, MA

Q: What is Vilma Carlone's NPI number?

The NPI number for Vilma Carlone is 1962459339. It was assigned to this individual provider in the NPPES registry on May 30, 2006.

Q: What is Vilma Carlone's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Q: When was this NPI record last updated?

The NPPES record for Vilma Carlone was last updated on December 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.

Active since May 30, 2006PECOS EnrolledAccepts Medicare Assignment

325B KING ST, NORTHAMPTON, MA 01060(413) 586-0611(413) 586-4441 Get Directions Write a Review

NPPES record last updated: December 28, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 28, 2016, Nov 22, 2016, Feb 19, 2016 (3 updates tracked since 2016).

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About Vilma B. Carlone Md NPPES

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

VILMA B. CARLONE MD (NPI 1962459339) is an individual endocrinology, diabetes & metabolism provider in Northampton, Massachusetts, licensed in Massachusetts (226609) and active in the NPI registry since May 2006. She is enrolled in Medicare PECOS, is affiliated with Cooley Dickinson Hospital Inc,the, and is a graduate of University Of Connecticut School Of Medicine (1999).

NPPES Registry Identity

NPI1962459339

Entity TypeIndividualFemale

Primary Taxonomy207RE0101X

Provider Legal NameVILMA B. CARLONECredential: MD

Location Address325B KING STNorthampton, MA 01060-2370

Mailing Address280 Chestnut St, 2nd FloorSpringfield, MA 01199-1001 · (413) 794-5700

Phone(413) 586-0611

Fax(413) 586-4441

Sole ProprietorNo

Medical School CMSUniversity Of Connecticut School Of MedicineGraduated 1999

Enumeration DateMay 30, 2006

Last NPPES UpdateDecember 28, 20163 updates tracked since enumeration

✔ NPI 1962459339 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians

Taxonomy Code207RE0101X

License✔ Licensed in MA · 226609

Definition

An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.

325B KING ST, Northampton, MA 01060

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.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

Vilma B. Carlone 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 ID7315042231

PECOS Enrollment IDI20070420000168

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 3

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.

307 services258 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.

18 services18 patients

Telephone medical discussion with physician, 11-20 minutes 99442

This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Cooley Dickinson Hospital Inc,the

Acute Care Hospitals · Northampton, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220015

Location30 Locust StreetNorthampton, MA 01060 · Hampshire County

Emergency services Birthing friendly

Baystate Wing Hospital

Acute Care Hospitals · Palmer, MA

4/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220030

Location40 Wright StreetPalmer, MA 01069 · Hampden County

Emergency services

Berkshire Medical Center

Acute Care Hospitals · Pittsfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number220046

Location725 North StreetPittsfield, MA 01201 · Berkshire County

Emergency services Birthing friendly

Baystate Noble Hospital

Acute Care Hospitals · Westfield, MA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220065

Location115 West Silver StreetWestfield, MA 01085 · Hampden County

Emergency services

Baystate Medical Center

Acute Care Hospitals · Springfield, MA

1/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number220077

Location759 Chestnut StreetSpringfield, MA 01199 · Hampden County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 01060 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

$134.47 typical visit price

range $58.86 – $177.36

Typical copayment $33.61 (range $14.71 – $44.34)

Most-billed visit code 99204

Established Patient

$103.48 typical visit price

range $19.11 – $144.84

Typical copayment $25.87 (range $4.77 – $36.21)

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.

Referred Medical Equipment & Supplies CMS DME claims 2

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

7 suppliers14 claims36 services$5.85 avg. paid by Medicare

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553

DME-Other DME · category DE017N

5 suppliers57 claims57 services$190.83 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 20

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

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