Heather Carone, MD
NPI 1558324830 · General Practice Physician · Cleveland, OH
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Heather Carone, MD is a General Practice Physician provider in Cleveland, OH (NPI 1558324830).
Provider details
- NPI number
- 1558324830
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- License
- 35087034 (OH)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
40 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 24 | $162 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 16 | $111 |
Typical Medicare-allowed amounts for these services range $111–$162 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote 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.
Practice location
Mailing address
Additional practice locations (2)
- 1900 Indian Wood Cir Ste 202bMaumee, OH 43537-4039Phone: (419) 578-8594Fax: (855) 618-2622
- 2213 Cherry StToledo, OH 43608-2603Phone: (419) 251-3232
Registry dates
- Enumerated
- 2006-04-08
- Last updated
- 2023-11-08
- Certified
- 2023-11-08
Frequently asked questions
- What is Heather Carone's NPI number?
- Heather Carone's National Provider Identifier (NPI) is 1558324830, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Heather Carone's specialty?
- Heather Carone is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Heather Carone located?
- Heather Carone's practice location on file with NPPES is 16600 W Sprague Rd Ste 120, Cleveland, OH 44130-6300.
- What is Heather Carone's phone number?
- The practice phone number listed in the NPPES registry for Heather Carone is (248) 434-6169.
- Does Heather Carone accept Medicare?
- Heather Carone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Heather Carone's NPI active?
- Yes — Heather Carone's NPI (1558324830) is active in the NPPES registry as of the last update on 2023-11-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.