NICOLE CARONE (PA-C) – Surgical Physician Assistant, NPI 1326401373
Surgical Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,578 PHYSICIAN ASSISTANT in NJ
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Provider Addresses for NICOLE CARONE (PA-C)
24 HIGHBOY CT
RED BANK, NJ 077015017
Phone:
Type: Mailing
English Creek Avenue, Harbor Acres, English Creek, Egg Harbor Township, Atlantic County, New Jersey, 08234, United States
BUILDING 800
EGG HARBOR TOWNSHIP, NJ 082345549
Phone: (609) 407-2332
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 8 Open Payments records for all available years, with a total value of $239.
Total Amount is formed as General ($239) + Research ($0) + Ownership ($0) = $239.
Last reported payment date: 2024-12-13 • Largest payer in this snapshot: Bioventus LLC ($55).
Total Amount
$239
General + Research + Ownership
Payments
8
Total payment records
General Amount
$239
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-13
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Bioventus LLC | $55 |
| Kerecis Limited | $50 |
| Urgo Medical North America, LLC | $37 |
| Organogenesis Inc. | $35 |
| ConvaTec Inc. | $21 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2016-06-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20160602000956 | I | Physician Assistant | NJ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 682 | 369 | $0 |
| 99231 | Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes | 75 | 66 | $0 |
| 99221 | Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes | 67 | 65 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 41 | 41 | $0 |
Insurance plans in this area (ZIP 07701)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NY | |
| - | NJ | |
| Geriatric Medicine, Internal Medicine | NJ | |
| Nurse Practitioner | NJ | |
| Physician Assistant | NJ | |
| Vascular Surgery | NY | |
| Physician Assistant | NJ | |
| Physician Assistant | NY | |
| Orthopedic Surgery | NJ | |
| General Surgery | NJ |
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