Kristopher Carbone, M.D.
NPI 1205220423 · Emergency Medicine Physician · Houston, TX
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Kristopher Carbone, M.D. is a Emergency Medicine Physician provider in Houston, TX (NPI 1205220423).
Provider details
- NPI number
- 1205220423
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- Yes
- License
- 291261 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
11 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
147 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Critical Care, First 30-74 Minutes99291 | 61 | $207 |
| Emergency Department Visit With High Level of Medical Decision Making99285 | 30 | $172 |
| Routine Electrocardiogram (ecg) Using at Least 12 Leads With Interpretation and Report Only93010 | 23 | $8 |
| Ultrasound of Heart, Follow-Up93308 | 17 | $24 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 16 | $115 |
Typical Medicare-allowed amounts for these services range $8–$207 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$22 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2015-03-25
- Last updated
- 2021-07-22
- Certified
- 2021-07-22
Frequently asked questions
- What is Kristopher Carbone's NPI number?
- Kristopher Carbone's National Provider Identifier (NPI) is 1205220423, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kristopher Carbone's specialty?
- Kristopher Carbone is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Kristopher Carbone located?
- Kristopher Carbone's practice location on file with NPPES is 6411 Fannin St, Houston, TX 77030-1501.
- What is Kristopher Carbone's phone number?
- The practice phone number listed in the NPPES registry for Kristopher Carbone is (713) 704-4000.
- Does Kristopher Carbone accept Medicare?
- Kristopher Carbone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Kristopher Carbone's NPI active?
- Yes — Kristopher Carbone's NPI (1205220423) is active in the NPPES registry as of the last update on 2021-07-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.