Medicare Enrolled
Dr. Kenneth Carbone, DO
Family Medicine · Avon, OH
Practice pattern: Clinical Cardiology
— Primarily office-based clinical cardiology
Low-engagement
Very High
DATA COVERAGE
Data in 4 of 4 federal sources
Measures public federal data availability — not provider quality
Informational, not a quality rating.
This page presents federal public records about Dr. Carbone from CMS (NPPES, Open Payments, Medicare Provider Utilization, PECOS). It is not medical advice, an endorsement, or a judgment of clinical quality. Always consult the provider directly and a licensed clinician for medical decisions. Read methodology →
Are you Dr. Carbone?
Request a correction or review of any data shown here. Provider portal →
What this data tells you about Dr. Carbone
Dr. Kenneth Carbone is a family medicine specialist in Avon, OH, with 19 years of NPI registration. Based on federal Medicare data, Dr. Carbone performed 2,885 Medicare services across 1,788 unique beneficiaries.
Between the years covered by Open Payments, Dr. Carbone received a total of $24,983 from 96 pharmaceutical and/or device companies across 1599 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common in family medicine. Most payments are for meals and travel — low-value interactions common across virtually all practicing physicians. Patients may wish to discuss these relationships with their provider.
The Data Coverage level for Dr. Carbone is Very High — reflecting how much public federal data is available about this provider. Patients are encouraged to use this data as one of several factors when choosing a healthcare provider.
✓ 19 years in practice
▲ Top 3% volume in OH
$24,983 industry payments
Medicare Practice Summary
Medicare Utilization ↗2,885
Medicare services
Top 3% in OH for family medicine
1,788
Unique beneficiaries
$40
Avg. Medicare payment
Medicare patients only (65+ / disabled) · How to read this →
~152 Medicare services per year of practice
Top procedures by volume
Ranked by number of services performed for Medicare patients. Avg. submitted charge is what the provider billed; avg. Medicare payment is what CMS paid.
| Procedure | Volume | Avg. paid | Avg. submitted |
|---|---|---|---|
| Office visit, established patient (30-39 min) A follow-up office visit for an existing patient lasting between 30 and 39 minutes. The visit involves medical evaluation and management of the patient's condition. |
641 | $43 | $175 |
| Steroid injection (triamcinolone) A 10 mg injection of triamcinolone acetonide, a corticosteroid medication. This code specifies the drug and dosage administered. |
285 | $1 | $7 |
| Office visit, established patient (20-29 min) An office visit for an existing patient lasting between 20 and 29 minutes. The visit involves medical evaluation and management of the patient's condition. |
220 | $30 | $125 |
| Annual wellness visit, follow-up A follow-up annual wellness visit that includes a personalized prevention plan of service. |
207 | $46 | $203 |
| Blood glucose test using hand-held instrument A test that measures the level of sugar in the blood using a portable device. The result helps monitor blood glucose levels. |
198 | $3 | $15 |
| Hemoglobin A1c test (diabetes monitoring) A blood test that measures your average blood sugar levels over the past two to three months. |
194 | $9 | $40 |
| Pneumonia vaccine administration This procedure involves the injection of a vaccine to protect against pneumococcal disease. It is administered by a healthcare provider. |
127 | $29 | $44 |
| Pneumococcal conjugate vaccine (PCV20) An intramuscular injection of the 20-valent pneumococcal conjugate vaccine. It is used to protect against diseases caused by Streptococcus pneumoniae bacteria. |
126 | $283 | $665 |
| Flu vaccine administration This procedure involves the administration of the influenza virus vaccine. It covers the process of delivering the vaccine to the patient. |
109 | $29 | $44 |
| Flu vaccine, high-dose High-dose seasonal influenza vaccine for adults aged 65 and older. Contains four times the antigen of standard-dose flu vaccines (60 mcg per strain), split-virus formulation, preservative-free, single-dose syringe. |
105 | $66 | $67 |
| Telephone medical discussion, 11-20 minutes A phone conversation with a physician lasting between 11 and 20 minutes. |
93 | $61 | $100 |
| Chronic care management, first 20 min/month This service covers the first 20 minutes of clinical staff time directed by a healthcare professional each calendar month to manage chronic conditions. |
74 | $48 | $75 |
| Ceftriaxone antibiotic injection This code represents the administration of ceftriaxone sodium, an antibiotic medication. The charge is calculated for every 250 mg of the drug administered. |
72 | $0 | $9 |
| Office visit, established patient (10-19 min) An office visit for an existing patient lasting 10 to 19 minutes. The visit involves medical evaluation and management of the patient's condition. |
67 | $5 | $80 |
| Advance care planning consultation, first 30 min A session focused on discussing and documenting future healthcare preferences and goals. This service covers the initial 30 minutes of the planning discussion. |
65 | $8 | $165 |
| Urinalysis, manual A manual laboratory examination of a urine sample to check for various substances and cells. |
54 | $3 | $17 |
| Drug injection, under skin or into muscle A procedure involving the administration of a medication or substance via injection into the subcutaneous tissue or muscle. |
52 | $10 | $52 |
| Automated urinalysis An automated laboratory test performed on a urine sample to analyze its chemical and physical properties. The procedure uses machinery to detect various substances and cells within the urine. |
30 | $2 | $17 |
| Hemoglobin blood test A blood test that measures the amount of hemoglobin, the protein in red blood cells that carries oxygen. |
28 | $2 | $15 |
| Transitional care management, high complexity Coordination of care for a patient transitioning from a short-term hospital stay or other facility to home or another care setting. This service addresses a high-complexity medical problem. |
28 | $58 | $426 |
| Joint injection, major joint Removal of fluid from a large joint and/or injection of medication into the joint space. |
26 | $44 | $170 |
| Telephone medical discussion, 21-30 minutes A telephone conversation with a physician lasting between 21 and 30 minutes. This code covers the time spent discussing medical matters over the phone. |
26 | $92 | $158 |
| Electrocardiogram (EKG), 12-lead A standard heart rhythm test using at least 12 leads to record electrical activity. A healthcare provider interprets the results and provides a written report. |
23 | $11 | $72 |
| Ear wax removal by washing This procedure involves the removal of impacted ear wax using a washing technique. |
13 | $8 | $35 |
| Destruction of precancerous skin growth, 1 Removal of a single precancerous skin growth. This procedure destroys abnormal skin cells to prevent them from developing into cancer. |
11 | $47 | $180 |
| Initial preventive physical examination, new Medicare beneficiary A comprehensive preventive health visit for new Medicare beneficiaries during their first 12 months of enrollment. The service is conducted as a face-to-face visit and is limited to preventive care. |
11 | $138 | $241 |
How to read this data: This reflects Medicare patients only (typically 65+). Payment amounts are what Medicare paid the provider, not your out-of-pocket cost. A higher procedure volume generally indicates more experience with that procedure.
Industry Payment Transparency
Open Payments through 2024 ↗$24,983
Total received (2018-2024)
Avg $3,569/year across 7 years
Top 1% in OH for family medicine
A higher payment rank reflects disclosed industry relationships (consulting, research, speaking) common among subspecialists — not wrongdoing.
96
Companies
1,599
Individual payments
All payments are legal and publicly reported · Not evidence of wrongdoing · How to interpret →
Payment profile
Industry payments classified by relationship type. Not all payments are equal — research and consulting reflect different relationships than speaking programs or meals.
Meals & Travel
Food, beverages, travel, and lodging — typically low-value
$24,962 (99.9%)
Speaking / Promotional
Speaker programs, honoraria, and industry-sponsored educational events
$21 (0.1%)
Payment trend by year
Annual totals from pharmaceutical and medical device companies.
2024
$3,753
2023
$3,661
2022
$3,327
2021
$3,443
2020
$2,669
2019
$3,410
2018
$4,720
Payments by company (2024)
Consulting
Speaking
Meals & Travel
Research
AstraZeneca Pharmaceuticals LP
$673
ABBVIE INC.
$538
PFIZER INC.
$369
Novo Nordisk Inc
$238
Novartis Pharmaceuticals Corporation
$193
GlaxoSmithKline, LLC.
$192
Lilly USA, LLC
$159
Janssen Pharmaceuticals, Inc
$149
E.R. Squibb & Sons, L.L.C.
$122
Merck Sharp & Dohme LLC
$95
Vanda Pharmaceuticals Inc.
$90
Bausch Health US, LLC
$77
Amgen Inc.
$72
Xeris Pharmaceuticals, Inc.
$64
IRONSHORE PHARMACEUTICALS INC.
$62
Exact Sciences Corporation
$61
Astellas Pharma US Inc
$55
Dexcom, Inc.
$50
Axsome Therapeutics, Inc.
$47
Lexicon Pharmaceuticals, Inc.
$45
Otsuka America Pharmaceutical, Inc.
$42
Bayer Healthcare Pharmaceuticals Inc.
$41
Lundbeck LLC
$35
Pacira Pharmaceuticals Incorporated
$34
Phathom Pharmaceuticals, Inc.
$31
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$30
Boehringer Ingelheim Pharmaceuticals, Inc.
$30
Corcept Therapeutics
$24
Sumitomo Pharma America, Inc.
$23
Antares Pharma, Inc.
$19
SCILEX PHARMACEUTICALS INC.
$19
SANOFI PASTEUR INC.
$18
Tris Pharma Inc
$17
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$14
Abbott Laboratories
$14
IDORSIA PHARMACEUTICALS US INC
$14
Top 3 companies account for 42.1% of 2024 payments
All-time payments by company (2018-2024) ›
AstraZeneca Pharmaceuticals LP
$2,327
PFIZER INC.
$2,111
Novo Nordisk Inc
$2,022
GlaxoSmithKline, LLC.
$1,598
Amgen Inc.
$1,576
AbbVie Inc.
$1,271
Novartis Pharmaceuticals Corporation
$1,218
ABBVIE INC.
$1,134
Lilly USA, LLC
$1,024
Boehringer Ingelheim Pharmaceuticals, Inc.
$853
Janssen Pharmaceuticals, Inc
$787
Astellas Pharma US Inc
$624
E.R. Squibb & Sons, L.L.C.
$587
Takeda Pharmaceuticals U.S.A., Inc.
$544
AbbVie, Inc.
$398
Merck Sharp & Dohme Corporation
$352
Allergan Inc.
$330
Teva Pharmaceuticals USA, Inc.
$325
Merck Sharp & Dohme LLC
$296
Salix Pharmaceuticals, a division of Bausch Health US, LLC
$287
Allergan, Inc.
$270
Amarin Pharma Inc.
$269
Corcept Therapeutics
$260
Bausch Health US, LLC
$237
Biohaven Pharmaceuticals, Inc.
$213
Biohaven Pharmaceutical Holding Company Ltd.
$205
Sunovion Pharmaceuticals Inc.
$200
Kowa Pharmaceuticals America, Inc.
$186
Bayer HealthCare Pharmaceuticals Inc.
$184
Ironshore Pharmaceuticals Inc.
$181
Xeris Pharmaceuticals, Inc.
$172
Bayer Healthcare Pharmaceuticals Inc.
$171
Pernix Therapeutics Holdings, Inc.
$157
Lundbeck LLC
$155
Otsuka America Pharmaceutical, Inc.
$147
Dexcom, Inc.
$129
Horizon Therapeutics plc
$123
Exact Sciences Corporation
$119
Organogenesis Inc.
$100
Vanda Pharmaceuticals Inc.
$90
Hikma Pharmaceuticals USA
$87
Shire North American Group Inc
$85
Scilex Pharmaceuticals Inc.
$78
Axsome Therapeutics, Inc.
$75
SANOFI PASTEUR INC.
$72
Nestle HealthCare Nutrition Inc.
$71
IRONSHORE PHARMACEUTICALS INC.
$62
IBSA Pharma Inc.
$53
SANOFI-AVENTIS U.S. LLC
$52
IDORSIA PHARMACEUTICALS US INC
$45
Lexicon Pharmaceuticals, Inc.
$45
Gilead Sciences, Inc.
$43
Nevro Corp.
$40
Circassia Pharmaceuticals Inc
$39
Eisai Inc.
$37
Supernus Pharmaceuticals, Inc.
$35
Tris Pharma Inc
$34
Pacira Pharmaceuticals Incorporated
$34
ITI, Inc.
$33
JAZZ PHARMACEUTICALS INC.
$33
Jazz Pharmaceuticals Inc.
$32
Phathom Pharmaceuticals, Inc.
$31
Sanofi Pasteur Inc.
$31
ITI, Inc. (d/b/a Intra-Cellular Therapies, Inc.)
$30
Clarus Therapeutics Inc.
$30
Evoke Pharma, Inc.
$30
Genentech USA, Inc.
$27
Abbott Laboratories
$27
Collegium Pharmaceutical, Inc.
$26
NESTLE HEALTHCARE NUTRITION INC.
$26
Amneal Pharmaceuticals LLC
$25
Ironwood Pharmaceuticals, Inc
$23
Sumitomo Pharma America, Inc.
$23
DEXCOM, INC.
$22
Valeritas, Inc.
$20
Antares Pharma, Inc.
$19
SCILEX PHARMACEUTICALS INC.
$19
Shield Therapeutics Inc
$19
VIVUS LLC
$16
Avanir Pharmaceuticals, Inc.
$16
Medtronic, Inc.
$16
Eyevance Pharmaceuticals LLC
$15
Azurity Pharmaceuticals, Inc.
$15
Melinta Therapeutics, Inc.
$15
EVOKE PHARMA, INC.
$14
Esperion Therapeutics, Inc.
$14
Hologic, LLC
$13
Synergy Pharmaceuticals Inc
$12
West-Ward Pharmaceuticals
$12
UPSHER-SMITH LABORATORIES LLC
$12
Radius Health, Inc.
$12
IRONWOOD PHARMACEUTICALS, INC
$12
VIVUS, Inc.
$12
Dynavax Technologies Corporation
$11
ARBOR PHARMACEUTICALS, INC.
$11
Janssen Biotech, Inc.
$11
Top 3 companies account for 25.9% of all-time payments
Associated products mentioned in payments ›
ACCRUFER · AIMOVIG · AIRSUPRA · AJOVY · ANORO · ANORO ELLIPTA · APLENZIN · AREXVY · Aimovig · AirDuo Digihaler · Apligraf · Auvelity · BAQSIMI · BASAGLAR · BELSOMRA · BEXSERO · BREO · BREO ELLIPTA · BREZTRI · BREZTRI AEROSPHERE · BYDUREON · BYSTOLIC · Baxdela · CAPLYTA · CHANTIX · COLOGUARD · COLOGUARD DNA CAPTURE REAGENTS · COMIRNATY · COSENTYX · CREON · Cologuard Collection Kit · Creon · DEXCOM G6 TRANSMITTER · DUEXIS · Dayvigo · Dexcom G6 Transmitter · Dyanavel XR · ELIQUIS · ELYXYB - celecoxib · EMGALITY · ENTRESTO · EUCRISA · EVENITY · EVUSHELD · Edarbi · Edarbyclor · Exparel · FARXIGA · FASENRA · FLUBLOK QUADRIVALENT NORTHERN HEMISPHERE · FLUZONE HIGH-DOSE · FORTEO · FREESTYLE LIBRE 3 · GARDASIL · GARDASIL 9 · GEMTESA · GIMOTI · GVOKE HYPOPEN · GVOKE PFS · HETLIOZ · HeartMate 3 Left Ventricular Dev · Heplisav-B · Humira · INTELLIS ADAPTIVESTIM · INVOKANA · JANUVIA · JARDIANCE · JATENZO · JORNAY PM · Jornay PM 20mg capsules (Bottle of 100) · KRYSTEXXA · Kerendia · Kloxxado · Korlym · LEQVIO · LINZESS · LYRICA · Linzess · Livalo · M-M-R II · MENACTRA · MIGRANAL · MOTEGRITY · MOUNJARO · MYDAYIS · MYRBETRIQ · Mitigare · Motegrity · Myrbetriq · NEXLETOL · NORTHERA · NUCALA · NURTEC ODT · Nuedexta · Omnia · Otezla · Ozempic · PAXLOVID · PENNSAID · PREVNAR - 13 · PREVNAR 13 · PREVNAR 20 · PROQUAD · Prolia · QELBREE · QSYMIA · QULIPTA · QUVIVIQ · RELISTOR · REXULTI · ROTATEQ · RYBELSUS · Repatha · Rybelsus · SEEBRI · SHINGRIX · SILENOR · SOLIQUA · SPRAVATO · STEGLATRO · STIOLTO RESPIMAT · SUNOSI · SYMBICORT · SYNTHROID · Saxenda · Seglentis · Synthroid · THINPREP 2000 PROCESSOR · TOSYMRA · TOUJEO · TRADJENTA · TRELEGY ELLIPTA · TREXIMET · TRINTELLIX · TRULICITY · TUDORZA PRESSAIR · Tirosint · Tobradex ST · Tresiba · Trintellix · Trulance · Tymlos · UBRELVY · Utibron · V-GO · VERQUVO · VIBERZI · VOQUEZNA · VRAYLAR · VYEPTI · VYVANSE · Vascepa · Veozah · Victoza · Vyvanse · Wegovy · XARELTO · XIFAXAN · XTAMPZA · XYOSTED · Xofluza · ZENPEP · ZOHYDRO ER · ZOMIG · ZOSTAVAX · ZTLido · ZTLido 30 POUCH in 1 CARTON 1 PATCH in 1 POUCH
Should you be concerned? Payments from pharmaceutical and device companies are legal and common — 57% of U.S. physicians receive at least one. They often reflect legitimate consulting, research, or education. What matters is whether a recommended drug or device appears in your doctor's payment records. If so, consider asking your doctor about it. How to interpret this data →
Most payments (100%) are for meals and travel — low-value interactions that are common across virtually all practicing physicians. Total industry engagement is in the top 1% for family medicine in OH.
Geographic Context
Family medicine physicians within 10 mi
535
Per 100K population
170.1
County median income
$70,693
Nearest hospital
CLEVELAND CLINIC AVON HOSPITAL
0.0 mi
0.0 mi
Data Sources
| Provider Registry | ✓ NPPES | Weekly updates |
| Medicare Enrollment | ✓ PECOS | Monthly updates |
| Practice Data | ✓ Medicare Util. | Annual (CY lag) |
| Industry Payments | ✓ Open Payments | CY 2024 |
| Disciplinary History | — Not public | N/A |
This provider has data in 4 of 4 available federal datasets, with a Data Coverage level of Very High. This reflects how much public data is available about a provider. How we calculate this →
Summary
Dr. Carbone is a clinical cardiology specialist, with above-average Medicare volume (top 3% in OH), with low-engagement industry engagement in the top 1% of OH peers, with 19 years of NPI registration.
This summary is auto-generated from federal data, describing data availability and patterns. Read our methodology →
Frequently Asked Questions
Is Dr. Carbone experienced with office visit, established patient (30-39 min)?
Based on Medicare claims data, Dr. Carbone performed 641 office visit, established patient (30-39 min) services. Research suggests that higher procedure volume is often associated with better outcomes, particularly for complex procedures. Note that Medicare data only captures patients aged 65 and older, so the total practice volume across all patients is likely higher.
Does Dr. Carbone receive payments from pharmaceutical companies?
Yes. Dr. Carbone received a total of $24,983 from 96 companies across 1,599 individual payments. These payments are legal, publicly disclosed under the federal Sunshine Act, and common among physicians — 57% of all U.S. physicians receive at least one industry payment. Patients may wish to ask their doctor about these relationships, especially if a recommended drug or device appears in the payment records.
How do Dr. Carbone's costs compare to other family medicine physicians in Avon?
Dr. Carbone's average Medicare payment per service is $40. Note that these figures represent what Medicare pays, not your out-of-pocket cost, which depends on your specific insurance plan and deductible. Procedure-level data above shows both what was submitted and what Medicare paid for each service type.
What does Data Coverage mean?
Data Coverage (currently Very High for Dr. Carbone) measures how much public federal data is available about a provider. It is not a quality rating. A "Very High" or "High" level means the provider has data across multiple federal sources (NPPES, PECOS, Medicare Utilization, Open Payments), indicating a long track record of practice, Medicare participation, and industry disclosure. A "Low" or "Moderate" level may simply mean the provider is newer, does not see Medicare patients, or has not received any industry payments — none of which are inherently negative. Read our full methodology →
Is this data up to date?
Each data source has its own update cycle. Provider registry data (NPPES) is updated weekly. Medicare enrollment (PECOS) is updated monthly. Medicare practice data has a ~2 year lag — the most recent available is typically 2 years prior. Industry payment data (Open Payments) is published annually, usually in June, covering the prior calendar year. We display the data date prominently on each section so you always know how current it is. See our data freshness policy →
Explore related providers
Specialty guide
Understanding Family Medicine
Common procedures, typical costs, and what industry payments mean in family medicine.
Same specialty & city
Family Medicine Physicians in Avon
Browse family medicine physicians in Avon ranked by procedure volume and transparency data.
Highest volume
Top Family Medicine Physicians in OH
Family medicine physicians ranked by total Medicare services performed statewide.
Industry payments
Pharma Payments to Family Medicine Physicians in OH
Which OH family medicine physicians receive the most from drug and device companies.
By company
AstraZeneca Pharmaceuticals LP Payments to Doctors
See all physicians who received payments from AstraZeneca Pharmaceuticals LP.
By company
PFIZER INC. Payments to Doctors
See all physicians who received payments from PFIZER INC.
By company
Novo Nordisk Inc Payments to Doctors
See all physicians who received payments from Novo Nordisk Inc.
About this page
All data on this page is sourced verbatim from public federal records published by the U.S. Centers for Medicare & Medicaid Services (CMS): NPPES ↗, Open Payments ↗, Medicare Provider Utilization ↗, and PECOS. Publication is mandated by the Physician Payments Sunshine Act (§6002 ACA, 42 U.S.C. §1320a-7h) and the Freedom of Information Act.
This page is not medical advice, an endorsement, a recommendation, or a quality rating. Data Coverage reflects data completeness — how much federal information exists for this provider — not clinical performance, patient outcomes, or quality of care. Always verify information directly with the provider and consult a licensed clinician before making medical decisions.
Provider corrections: Provider portal · Privacy questions: Privacy Policy · Terms: Terms of Use · Methodology: Methodology