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Dr. Mary Theresa Cardone , MD

Internal Medicine • Cincinnati, OH

Active NPI 1235185588 Individual Practitioner Female Practitioner
Practice location in NPPES

6045 Bridgetown Rd
Cincinnati, OH 452485127

Call 5139814105 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

6045 Bridgetown Rd

Cincinnati, OH 452485127

Telephone 5139814105
Fax 5133474620
Organization at the Same NPPES Address or Phone
Alliance Primary Care Facility NPI 1699945113

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Medicare-allowed amount

About $18,249 in 2021

The total amount Medicare approved for these services in 2021. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.

What this does not show: Medicare-allowed amount

This is not the clinician's income. Part of it can go to a clinic or group practice, staff, equipment or drugs. It is not the price you will pay.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

Paid by Medicare

About $6,239 in 2021

The part of the Medicare-allowed amount that Medicare itself paid in 2021, after patients' deductibles and coinsurance.

What this does not show: Paid by Medicare

This is not the clinician's income and not a measure of quality.

Source: CMS, Medicare Physician & Other Practitioners – by Provider and Service, 2021.

30-day fills

95 standardized 30-day fills in 2024

CMS converts prescriptions to 30-day supplies so they can be compared. A 90-day prescription counts as about three 30-day fills.

What this does not show: 30-day fills

It is not a count of patients and not a measure of quality.

Part D drug cost

$4,100 in 2024

The total cost of these prescriptions in 2024, paid by Medicare drug plans, patients and other payers together.

What this does not show: Part D drug cost

A higher cost often reflects the type of medicines a specialty uses. It is not your out-of-pocket cost and not a measure of quality.

Source: CMS, Medicare Part D Prescribers – by Provider and Drug, 2024.

Open Payments general payments, program year 2021

All general payments: $352.75 across 27 records.

By nature of payment

  • Food and Beverage: $352.75 across 27 records.

Reporting-company totals (3 largest of 9)

  • AbbVie Inc.: $166.39 across 14 records.
  • Novo Nordisk Inc: $41.86 across 3 records.
  • Eli Lilly and Company: $28.68 across 2 records.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2021 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2006

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Cardone has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Cardone as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Cincinnati and Ohio

Billing and prescribing volume is not a quality rating.

Medicare Part D prescriptions

Fewer Part D prescriptions than 80% of clinicians listed under Internal Medicine in Cincinnati, OH (2024, 348 clinicians with data). Median for this group: 1,977. Middle half: 178 to 5,162.

Fewer Part D prescriptions than 75% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: 883. Middle half: 119 to 5,445.

Part D drug cost

A lower Part D drug cost than 80% of clinicians listed under Internal Medicine in Cincinnati, OH (2024, 348 clinicians with data). Median for this group: $160,991. Middle half: $9,924 to $414,544.

A lower Part D drug cost than 70% of clinicians listed under Internal Medicine in Ohio (2024, 3,362 clinicians with data). Median for this group: $79,160. Middle half: $4,027 to $440,452.

Medicare Part B

Comparisons use 2024 data. The latest CMS data for Dr. Cardone are from 2021.

566 active clinicians are listed under Internal Medicine with a practice address in Cincinnati, OH (5,283 in Ohio).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Cincinnati

13.6% of these 566 clinicians have the CMS telehealth indicator.

59.4% of these 566 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Medicare Physician & Other Practitioners (2021), CMS Medicare Part D Prescribers (2024), CMS Open Payments (2021), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2021
Disclosure Year:

Program year 2021 (payments made January 1 – December 31, 2021): 27 records totaling $352.75.

Manufacturer Payment Nature Product Type Amount ($)
AbbVie Inc.
Food and Beverage
In-kind items and services
UBRELVY General $22.21
AbbVie Inc.
Food and Beverage
In-kind items and services
UBRELVY General $20.51
Boehringer Ingelheim Pharmaceuticals, Inc.
Food and Beverage
In-kind items and services
JARDIANCE General $20.28
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $18.37
Amarin Pharma Inc.
Food and Beverage
In-kind items and services
Vascepa General $17.82
Eli Lilly and Company
Food and Beverage
In-kind items and services
TRULICITY General $15.80
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $15.77
SI-BONE, INC.
Food and Beverage
Cash or cash equivalent
IFUSE IMPLANT General $14.99
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $14.59
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $13.86
Amgen Inc.
Food and Beverage
In-kind items and services
Aimovig General $13.27
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $12.98
Eli Lilly and Company
Food and Beverage
In-kind items and services
EMGALITY General $12.88
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $12.88
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
ENTRESTO General $12.77
Novartis Pharmaceuticals Corporation
Food and Beverage
In-kind items and services
ENTRESTO General $12.57
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $12.32
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $12.20
Amgen Inc.
Food and Beverage
In-kind items and services
Aimovig General $12.18
Merck Sharp & Dohme Corporation
Food and Beverage
In-kind items and services
JANUVIA General $11.94
Novo Nordisk Inc
Food and Beverage
In-kind items and services
Ozempic General $11.17
AbbVie Inc.
Food and Beverage
In-kind items and services
UBRELVY General $10.61
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $9.76
AbbVie Inc.
Food and Beverage
In-kind items and services
VRAYLAR General $9.55
AbbVie Inc.
Food and Beverage
In-kind items and services
UBRELVY General $7.53

(top 25 shown)

Source: CMS Open Payments, program year 2021, released June 30, 2026.

Performed Procedures & Service Volume

Services billed to Original Medicare Part B in 2021.

CMS Part B · Data Year 2021
Reporting Year:

CPT® is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016–2020 American Medical Association. All rights reserved. Applicable FARS/HHSARS apply. Descriptions of CPT codes are the AMA's CPT Consumer Friendly Descriptors as published by CMS in the Medicare Physician & Other Practitioners – by Provider and Service data, 2017–2021; they are plain-language summaries, not for clinical coding or documentation. HCPCS Level II codes and descriptions are from CMS. Fee schedules, relative value units, conversion factors and/or related components are not assigned by the AMA, are not part of CPT, and the AMA is not recommending their use. The AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for data contained or not contained herein.

HCPCS Code Services Patients Submitted Charge Medicare Allowed
99214 Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more
173 111 $187.67 $84.11
36415 Insertion of needle into vein for collection of blood sample
137 110 $8.00 $3.00
99213 Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more
42 37 $128.05 $69.71
83036 Hemoglobin a1c level
37 22 $32.00 $9.71

Source: CMS Part B by Provider and Service, 2021; services under 11 beneficiaries omitted by CMS. Privacy limits

Submitted charges are billed amounts, not a price quote for your visit.

Medicare Part D Prescribing Profile & Medications

Medicare Part D prescriptions filled, including refills, in 2024.

CMS Part D · Data Year 2024
Prescription Year:
Brand Name Generic Name Prescriptions Day Supply Total Cost Patients
Levothyroxine Sodium Levothyroxine Sodium 24 671 $253.01 —
Gemfibrozil Gemfibrozil 13 336 $248.79 —
Atorvastatin Calcium Atorvastatin Calcium 12 329 $238.32 —
Bupropion Hcl Sr Bupropion Hcl 12 340 $298.02 —
Levetiracetam Er Levetiracetam 12 354 $2,693.09 —
Pantoprazole Sodium Pantoprazole Sodium 11 310 $186.17 —
Venlafaxine Hcl Er Venlafaxine Hcl 11 299 $183.07 —

Source: CMS Part D by Provider and Drug, 2024; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits

Specialties & License Numbers Reported to NPPES

Internal Medicine Primary Specialty

NUCC Taxonomy Code: 207R00000X

License # reported to NPPES OH 35058937

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: State Medical Board of Ohio.
Look Up on State Board Site

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid ID
0823970 (OH)

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - INTERNAL MEDICINE

Medicare Enrollment ID

I20060531000269

Enrollment State Jurisdiction

OH

PECOS Control ID

0648281881

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

10 listed
Dr. Javaria Anwar , MD

Internal Medicine

NPI 1447411822

Doctor of Medicine (M.D.)

NPI 1619002987

Doctor of Philosophy (Ph.D.)

Dr. Prasad Chandra , MD

Internal Medicine

NPI 1063468312

Doctor of Medicine (M.D.)

Sarah Doyle , APRN

Nurse Practitioner - Family

NPI 1891388351

Advanced Practice Registered Nurse

Dr. Juanita Gaines , MD

Internal Medicine

NPI 1801826763

Doctor of Medicine (M.D.)

Jared Galloway

Internal Medicine

NPI 1114487758

Career & Practice History

NPI enumerated May 26, 2006.

No changes to the name, practice address, taxonomy or NPI status in this record have been observed in the monthly NPPES data files from January 2017 to August 2026.

No reviews have been published yet. Leave a review.

NPI Administrative Meta

NPI Number: 1235185588
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: May 26, 2006
Last Update: August 02, 2011
Sole Proprietor: No

Other Internal Medicine Providers in Cincinnati

All Internal Medicine Providers in Cincinnati

Mailing Address

6045 Bridgetown Rd

Cincinnati, OH 452485127

Phone: 5139814105

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.