Heather L. Carone, MD
General Practice Physician · Cleveland, OH
Heather L. Carone, MD is a general practice physician with a practice address in Cleveland, Ohio, and NPI 1558324830, issued on Apr 8, 2006. Check the license (Ohio 35087034, as entered in NPPES) on the State Medical Board of Ohio; the Medicare figures below come from public CMS files.
- Name
- Heather L. Carone
- Credential
- MD
- Primary taxonomy
- General Practice Physician 208D00000X
- License number
- 35087034 OH
Self-reported in NPPES; status is on the state search - Practice location
- 16600 W Sprague RD Ste 120, Cleveland, OH 44130
- Phone
- (248) 434-6169
- Enumerated
- Apr 8, 2006
- Record last updated
- Nov 8, 2023
- Medicaid ID
- 104818437 MI
- Medicare enrollment
- Enrolled (PECOS I20060103000061); accepts Medicare assignment
- Medical or professional school
- University Of Toledo College Of Medicine, 2001
- Entity
- Type 1 · individual
8 nearest general practice physician records → All 280 in Ohio → Look up another NPI →
Verify Heather L. Carone in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersState Medical Board of Ohio
Search for license 35087034Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
99% fewer Medicare Part D claims than the average general practice physician in 2024
40 Medicare Part D claims for 32 beneficiaries, against an average of 3,030 among the 8,395 providers of this specialty who prescribed in Part D.
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 97.1 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Bills Medicare through 3 group practices
- Emergency Physicians OF Northwest Ohio, Inc.Lima, OH
- Ohio Valley Physicians IncAthens, OH
- Wrh Physicians, IncCuyahoga Falls, OH
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Heather L. Carone among 280 general practice physician records in Ohio
Heather L. Carone, MD is one of 280 general practice physician records with a practice address in Ohio. 47% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 16% of them.
- NPI issued2006 · 16% of these records are older, 58% newer
- In a Medicare fileYes · 47% of these records are
- In the CMS Doctors and Clinicians fileYes · 25% of these records are
- Graduated2001 · median 2005 among the 70 with a school on file
- Record last updated2023 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208D00000X and a Ohio practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
General Practice Physician providers in Ohio
There are 280 general practice physician records in Ohio.
All 280 in Ohio → Every provider in Cleveland → General Practice Physician nationwide →
The 8 general practice physician records with the nearest ZIP codes
- Jaime Go, MDParma Heights, OH 441301548257850
- Agripino Gonzales, MDMiddleburg Heights, OH 441301548280373
- Muyuan Ma, MDParma Heights, OH 441301932526498
- Teresita Falconi, M.D.Seven Hills, OH 441311629379763
- Alan Palo, MDParma, OH 441291780782797
- Ildiko Varga, M.D.Parma, OH 441291992035281
- Melissa McCutcheon, LMTWarrensville Heights, OH 441281912239484
- Song-Lim Yuh, MDCleveland, OH 441271063513810
Common questions
What is Heather L. Carone, MD's NPI number?
Heather L. Carone, MD's National Provider Identifier (NPI) is 1558324830, issued on Apr 8, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Heather L. Carone, MD located?
The NPPES record lists a practice address at 16600 W Sprague RD Ste 120, Cleveland, OH, 44130. Phone: (248) 434-6169. Providers update this record themselves, so call before visiting.
How can I verify Heather L. Carone, MD's license?
NPPES lists Ohio license number 35087034, as entered by the provider. Search the State Medical Board of Ohio at https://elicense.ohio.gov/oh_verifylicense. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Heather L. Carone, MD prescribe under Medicare Part D?
In 2024, Heather L. Carone, MD had 40 Medicare Part D claims for 32 beneficiaries; the average among general practice physician prescribers was 3,030. Part D covers Medicare prescriptions only.
What is Heather L. Carone, MD's MIPS final score?
The 2023 MIPS final score is 97.1 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.