Priya Cardone, D.O.
NPI 1568819720 · Neurology Physician · Wexford, PA
Enrolled with Medicare as Practitioner - Neurology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Priya Cardone, D.O. is a Neurology Physician provider in Wexford, PA (NPI 1568819720).
Provider details
- NPI number
- 1568819720
- Entity type
- Individual
- Primary specialty
- Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- D.O.
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Student, Health Care
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
10 yrs in NPPES registry
- Profile completeness28% of score
83% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
231 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 150 | $121 |
| New Patient Office Or Other Outpatient Visit With a High Level of Medical Decision Making, If Using Time, 60 Minutes Or More99205 | 47 | $207 |
| Established Patient Office Or Other Outpatient Visit With High Level of Medical Decision Making, If Using Time, 40 Minutes Or More99215 | 34 | $171 |
Typical Medicare-allowed amounts for these services range $121–$207 (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.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 33 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Carbidopa/Levodopabrand: Carbidopa-Levodopa | 474 | 134 |
| Carbidopa/Levodopabrand: Carbidopa-Levodopa Er | 236 | 88 |
| Sertraline Hcl | 165 | 86 |
| Gabapentin | 100 | 34 |
| Entacapone | 84 | 30 |
| Amantadine Hclbrand: Amantadine | 81 | 28 |
| Levetiracetam | 62 | 18 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2016-05-18
- Last updated
- 2021-11-04
- Certified
- 2021-11-04
Frequently asked questions
- What is Priya Cardone's NPI number?
- Priya Cardone's National Provider Identifier (NPI) is 1568819720, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Priya Cardone's specialty?
- Priya Cardone is listed in the NPPES registry with a primary specialty of Neurology Physician (Allopathic & Osteopathic Physicians).
- Where is Priya Cardone located?
- Priya Cardone's practice location on file with NPPES is 12680 Perry Hwy Dept of, Wexford, PA 15090-8886.
- What is Priya Cardone's phone number?
- The practice phone number listed in the NPPES registry for Priya Cardone is (412) 748-5543.
- Does Priya Cardone accept Medicare?
- Priya Cardone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Priya Cardone's NPI active?
- Yes — Priya Cardone's NPI (1568819720) is active in the NPPES registry as of the last update on 2021-11-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.