Dr. Heather L Carone , MD
General Practice โข Cleveland, OH
16600 W Sprague Rd Ste 120
Cleveland, OH 441306300
This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.
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Dr. Heather Carone is listed in NPPES under General Practice.
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NPI assigned on April 8, 2006; this date does not establish years in practice.
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Published CMS data list 40 Original Medicare Part B services in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Published rows only; this is not a quality measure.
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Published Part B service records, 2024:
- 99285 โ Emergency department visit with high level of medical decision making: 24 service units.
- 99284 โ Emergency department visit with moderate level of medical decision making: 16 service units.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Units differ by code; these are not visits or a measure of quality.
CPTยฎ only copyright 2023 American Medical Association. All rights reserved. Service names are shortened from CPT Consumer Friendly Descriptors (CMS data, 2024). CPT notice
See the full table ยท Guide: How to read Medicare Part B data
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Published CMS data list 41 Medicare Part D prescriptions, including refills, in 2023.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Published rows only; this is not a quality measure.
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Published Part D records, 2023:
- Hydrocodone-Acetaminophen (Hydrocodone/Acetaminophen) โ 16 prescription fills, including refills.
- Cephalexin โ 13 prescription fills, including refills.
- Prednisone โ 12 prescription fills, including refills.
Source: CMS, Medicare Part D Prescribers โ by Provider and Drug, 2023. Drug names come from pharmacy claims. Listing a drug here is not an endorsement or a recommendation.
See the full table ยท Guide: How to read Medicare Part D prescriber data
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Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: 411. Middle half: 174 to 1,419.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2024. Billing and prescribing volume is not a quality rating.
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Medicare Part B services went from 328 in 2020 to 40 in 2024.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider and Service, 2020โ2024.
Practice Location & Contact Primary Location
16600 W Sprague Rd Ste 120
Cleveland, OH 441306300
Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.
NPPES lists 2 distinct additional practice-address records in Maumee, OH; Toledo, OH. See the list
Source: CMS NPPES NPI Registry, practice location records; release date unavailable.
CMS Doctors and Clinicians lists 3 distinct group names: Emergency Physicians Of Northwest Ohio, Inc.; Ohio Valley Physicians Inc; Wrh Physicians, Inc. See the list
Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.
Listings do not confirm current availability, employment or a shared ownership network.
Medicare Profile & Education
Source: CMS Doctors and Clinicians National Downloadable File
University Of Toledo College Of Medicine
2001
What Public CMS Data Show
General Practice: NPPES taxonomy is a reported classification, not proof of board certification.
Medicare patients
46 people with Original Medicare in 2024
It gives a sense of how many people with Medicare this clinician treated that year.
Source: CMS, Medicare Physician & Other Practitioners โ by Provider, 2024.
Medicare-allowed amount
About $5,664 in 2024
The total amount Medicare approved for these services in 2024. It includes what Medicare paid and what patients or their other insurance owed, such as the deductible and coinsurance.
It shows the total cost of this clinician's Original Medicare services under Medicare's fee rules.
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 โ by Provider and Service, 2024.
Paid by Medicare
About $4,039 in 2024
The part of the Medicare-allowed amount that Medicare itself paid in 2024, after patients' deductibles and coinsurance.
The gap between the allowed amount and this number is roughly what patients and their other insurance paid.
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 โ by Provider and Service, 2024.
30-day fills
41 standardized 30-day fills in 2023
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
$241 in 2023
The total cost of these prescriptions in 2023, paid by Medicare drug plans, patients and other payers together.
It shows the total spending on drugs this clinician prescribed, not what any one patient paid.
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 โ by Provider and Drug, 2023.
Industry payments (Open Payments)
Fewer than 11 payment records totaling $15.73 in 2025
Drug and medical device companies must report certain payments to doctors and some other clinicians to CMS, such as meals, travel, speaking fees or research funding.
It shows reported financial ties between this clinician and companies. You can ask your clinician about them.
These records are submitted by drug and medical device companies, and a reported payment does not necessarily mean the financial relationship is improper.
General: payments not tied to research, such as meals, travel, consulting or speaking fees.
A reported payment does not necessarily mean the financial relationship is improper. Research payments can go to a hospital or university for a study the clinician leads, not to the clinician personally. Clinicians can dispute records with the company that reported them.
Source: CMS Open Payments, program year 2025.
Years since graduation
25 years (graduated 2001)
CMS Doctors and Clinicians data list 2001 as the year this clinician finished professional school.
It tells you roughly how long ago the clinician finished school.
What this does not show: Years since graduation
It is not the number of years in practice, and more years does not mean better care.
Source: CMS Doctors and Clinicians National Downloadable File.
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.
Accepts Medicare assignment
CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.
With Original Medicare, you usually pay only your deductible and coinsurance, and the office sends the claim to Medicare for you.
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, โDoes your provider accept Medicare as full payment?โ
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.
Enrolled in Medicare (PECOS)
Dr. Carone 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.
Can order Medicare-covered services
CMS lists Dr. Carone 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.
Medicare pays for these items and services only when they are ordered by an eligible clinician.
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.
Compared with the same specialty in Cleveland and Ohio
Billing and prescribing volume is not a quality rating.
Medicare Part B services
Fewer Medicare Part B services than 90% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: 411. Middle half: 174 to 1,419.
Too few clinicians listed under General Practice in Cleveland have Medicare Part B data for 2024 to compare.
Medicare-allowed amount
A lower Medicare-allowed amount than 90% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: $38,086. Middle half: $12,805 to $83,690.
Too few clinicians listed under General Practice in Cleveland have Medicare Part B data for 2024 to compare.
Paid by Medicare
A lower Medicare payment amount than 90% of clinicians listed under General Practice in Ohio (2024, 46 clinicians with data). Median for this group: $27,260. Middle half: $10,193 to $60,685.
Too few clinicians listed under General Practice in Cleveland have Medicare Part B data for 2024 to compare.
Medicare Part D
Comparisons use 2024 data. The latest CMS data for Dr. Carone are from 2023.
20 active clinicians are listed under General Practice with a practice address in Cleveland, OH (281 in Ohio).
Addresses are self-reported to NPPES and may be out of date.
Telehealth indicator in Cleveland
10% of these 20 clinicians have the CMS telehealth indicator.
20% of these 20 clinicians are listed by CMS as accepting Medicare assignment.
CMS data by year
Changes may reflect reporting, coverage or privacy limits, not changes in care quality.
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Medicare Part B services
Medicare Part B services decreased 88% from 328 in 2020 to 40 in 2024.
- 2020: 328
- 2021: 230
- 2022: 254
- 2023: 225
- 2024: 40
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Medicare-allowed amount
Medicare-allowed amount decreased 88% from $48,045 in 2020 to $5,664 in 2024.
- 2020: $48,045
- 2021: $34,204
- 2022: $38,132
- 2023: $32,965
- 2024: $5,664
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Paid by Medicare
Paid by Medicare decreased 89% from $37,255 in 2020 to $4,039 in 2024.
- 2020: $37,255
- 2021: $26,883
- 2022: $29,874
- 2023: $25,921
- 2024: $4,039
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Medicare Part D prescriptions
Medicare Part D prescriptions varied from year to year: 38 in 2019 and 41 in 2023.
- 2019: 38
- 2020: 52
- 2021: 42
- 2022: 32
- 2023: 41
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30-day fills
30-day fills varied from year to year: 38 in 2019 and 41 in 2023.
- 2019: 38
- 2020: 52
- 2021: 42
- 2022: 32
- 2023: 41
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Part D drug cost
Part D drug cost went from $236 in 2019 to $241 in 2023.
- 2019: $236
- 2020: $249
- 2021: $216
- 2022: $131
- 2023: $241
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Industry payments (Open Payments)
Industry payments (Open Payments) went from $370.28 in 2023 to $15.73 in 2025.
- 2023: $370.28
- 2025: $15.73
Sources: CMS Medicare Physician & Other Practitioners (2024), CMS Medicare Part D Prescribers (2023), CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.
Text: T-MedInfo ยท 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
Program year 2025 (payments made January 1 โ December 31, 2025): fewer than 11 records totaling $15.73.
| Manufacturer | Payment Nature | Product | Type | Amount ($) |
|---|---|---|---|---|
| Pfizer Inc. |
Food and Beverage
In-kind items and services
|
ELIQUIS | General | $15.73 |
Source: CMS Open Payments, program year 2025, released June 30, 2026.
Performed Procedures & Service Volume
CPTยฎ is a registered trademark of the American Medical Association. CPT codes, descriptions and other data only are copyright 2016โ2023 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 โ by Provider and Service data, 2017โ2024; 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 |
|---|---|---|---|---|
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99285
Emergency department visit with high level of medical decision making
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24 | 24 | $1680.96 | $162.05 |
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99284
Emergency department visit with moderate level of medical decision making
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16 | 16 | $742.00 | $110.94 |
Source: CMS Part B by Provider and Service, 2024; 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 2023.
| Brand Name | Generic Name | Prescriptions | Day Supply | Total Cost | Patients |
|---|---|---|---|---|---|
| Hydrocodone-Acetaminophen | Hydrocodone/Acetaminophen | 16 | 49 | $50.74 | 16 |
| Cephalexin | Cephalexin | 13 | 109 | $123.12 | 13 |
| Prednisone | Prednisone | 12 | 89 | $66.82 | 12 |
Source: CMS Part D by Provider and Drug, 2023; rows below 11 claims omitted by CMS; volume isn’t quality. Privacy limits
Specialties & License Numbers Reported to NPPES
Self-certified to NPPES: 2023-11-08NUCC Taxonomy Code: 208D00000X
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
NUCC Taxonomy Code: 207P00000X
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Additional State Medicaid & Healthcare Payer Identifiers
Medicare (PECOS) Enrollment & Ordering Eligibility
Source: CMS PECOSPRACTITIONER - GENERAL PRACTICE
I20060103000061
OH
4284656455
Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.
Medicare Group Practice Enrollments
Source: CMS Doctors and Clinicians National Downloadable File
Wrh Physicians, Inc
1900 23rd St, Cuyahoga Falls, OH 442231404
Phone: 3309717246
Emergency Physicians Of Northwest Ohio, Inc.
1001 Bellefontaine Ave, Lima, OH 458042800
Phone: 4192283335
Ohio Valley Physicians Inc
55 Hospital Dr, Athens, OH 457012302
Phone: 7405929349
Secondary Practice Locations
2213 Cherry St
Toledo, OH 436082603
Phone: 4192513232
1900 Indian Wood Cir Ste 202b
Maumee, OH 435374039
Phone: 4195788594
Clinicians Sharing This Practice Address or Phone
Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.
Family Medicine
Doctor of Medicine (M.D.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Gerontology
Nurse Practitioner
Nurse Practitioner
Adult-Gerontology Nurse Practitioner (Certified)
Nurse Practitioner
Nurse Practitioner (Certified)
Nurse Practitioner - Family
Nurse Practitioner (Certified)
Career & Practice History Timeline
Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status
Registered at 16600 W SPRAGUE RD STE 120, CLEVELAND, OH 441306300 (Tel: 2484346169)
Registered at PO BOX 639295 DEPT 93394, CINCINNATI, OH 452639295 (Tel: 2484346169)
NPI status registered as active in NPPES database
Registered at 2213 CHERRY ST, TOLEDO, OH 436082603 (Tel: 4192513232)
Registered at 4750 HEMPSTEAD STATION DR, KETTERING, OH 454295164 (Tel: 8008750136)
Recorded as HEATHER CARONE, MD
Emergency Medicine (license number reported to NPPES: OH 35087034)
First registered as active Individual Practitioner in NPPES Database.
NPI Administrative Meta
Other General Practices in Cleveland
- Moustafa Moussally
- Dr. Daniel Boyce, MD
- Dr. Jenelle Hao-Galera, MD
- Dr. Nardine Zakhary, DO
- Dr. Bakhtiar Mohammed, MD
- Dr. Song-Lim Yuh, MD
Mailing Address
Po Box 639295 Dept 93394
Cincinnati, OH 452639295
Phone: 2484346169