Garry Carbone, MD
NPI 1578512299 · Nephrology Physician · Lehighton, PA
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Garry Carbone, MD is a Nephrology Physician provider in Lehighton, PA (NPI 1578512299).
Provider details
- NPI number
- 1578512299
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MD043165L (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
797 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 431 | $120 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 109 | $84 |
| Residence Visit for Established Patient With Low Level of Medical Decision Making, Per Day, If Using Time, at Least 30 Minutes99348 | 70 | $73 |
| Continuous Monitoring of Blood Sugar Level in Tissue Fluid Using Sensor Under Skin With Interpretation and Report95251 | 63 | $32 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 36 | $154 |
| Residence Visit for Established Patient With Straightforward Medical Decision Making, Per Day, If Using Time, at Least 15 Minutes |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 112 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Levothyroxine Sodium | 346 | 60 |
| Atorvastatin Calcium | 278 | 53 |
| Gabapentin | 225 | 40 |
| Pantoprazole Sodium | 210 | 46 |
| Furosemide | 209 | 38 |
| Metformin Hcl | 184 | 35 |
| Apixabanbrand: Eliquis |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$344 across 17 records (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
Additional practice locations (1)
- 220 Claremont AveTamaqua, PA 18252-4460Phone: (610) 379-4740Fax: (610) 379-4745
Registry dates
- Enumerated
- 2006-05-09
- Last updated
- 2024-02-16
- Certified
- 2024-02-16
Frequently asked questions
- What is Garry Carbone's NPI number?
- Garry Carbone's National Provider Identifier (NPI) is 1578512299, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Garry Carbone's specialty?
- Garry Carbone is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Garry Carbone located?
- Garry Carbone's practice location on file with NPPES is 281 N 12th St Ste C, Lehighton, PA 18235-1101.
- What is Garry Carbone's phone number?
- The practice phone number listed in the NPPES registry for Garry Carbone is (610) 379-4740.
- Does Garry Carbone accept Medicare?
- Garry Carbone is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Garry Carbone's NPI active?
- Yes — Garry Carbone's NPI (1578512299) is active in the NPPES registry as of the last update on 2024-02-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.