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Data sources: NPPES · PECOS · Colorado DORA · OIG LEIE · SAM.gov · CMS Care Compare · Medicare Utilization · FHIR · Carrier Transparency in Coverage Filings

All findings derived exclusively from publicly available federal and state datasets.

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PETER CARBONE

NPI 1871655670 · Pathology - Anatomic & Clinical · Anthem

Provider Status Assessment
Verified Active

Strong multi-source corroboration of active practice across 2 carrier networks with confirmed Colorado DORA license.

Confidence: High
Evidence: 6645 items from 8 sources
Signals: 6 supporting · 0 opposing · 1 missing
Resolution: All evidence sources corroborate active practice. 6 supporting signals with no contradictions across 8 evaluated sources.

Data Source Signals

✓

NPPES

DENVER, 80239

Freshness: Unknown

✓

Network Status

Listed with 3 carriers

  • anthem_co — in_network (commercial)
  • anthem_co — in_network (commercial)
  • kaiser_co — in_network (commercial)
✓

DORA License

Active

✗

Medicare

Enrolled but no billing activity

—

Care Compare

No Care Compare data

✓

PECOS Enrollment

Medicare enrolled

Order/Referring eligible: Yes

System Reasoning

Claim Under Evaluation
Provider is actively practicing and appropriately listed in carrier networks
Evidence Evaluated
Medicare Billing: Enrolled in Medicare but no recent billing data
NPPES Registry: Active NPI, registered in DENVER
Colorado DORA License: License status: Active
PECOS Enrollment: Medicare enrollment confirmed
Federal Exclusion Check: No federal exclusions found (OIG LEIE, SAM.gov)
Carrier Networks: Listed in 3 carrier networks
FHIR Directory: Active endpoint in carrier FHIR directory
CMS Care Compare: Not found in CMS Care Compare
Trust Evaluation
identity:0.75Strong
licensure:0.90Strong
activity:1.00

Dimension Scores

Composite0.80
Identity0.75 — Moderate

Active NPI with specialty classification

Licensure0.90 — Strong

Active Colorado DORA license confirmed

Activity1.00 — Strong

Active Medicare billing confirmed

Reachability0.60 — Moderate

Single address source (NPPES)

Network0.60 — Moderate

Limited carrier network presence

Why is this provider classified as “verified active”?
Strong multi-source corroboration of active practice. All dimensions above 0.55 with evidence depth ≥ 5. Active license confirmed.

Carrier Network Listings

2 networks across 2 carriers

Anthem(1 network)
1 DOI 6C-3
Anthem Blue Cross Blue ShieldDOI 6C-3
View carrier →
Kaiser Permanente(1 network)
1 DOI 6C-3
Kaiser PermanenteDOI 6C-3
View carrier →

Related Investigations

All providers in Anthem Blue Cross Blue Shield networkView →All Pathology - Anatomic & Clinical providers statewideView →All providers in DENVER 80239View →All providers classified as Verified ActiveView →

Known Addresses

NPPESDENVER, 80239

Evidence

Loading evidence lineage...

Disclaimer: This analysis uses publicly available federal and state data sources. It does not constitute a determination of provider status or network participation. Contact the provider or health plan directly to verify current status.

Strong
reachability:0.60Moderate
network:0.60Moderate
System Determination
Verified Active
Composite score: 0.797
Strong multi-source corroboration of active practice across 2 carrier networks with confirmed Colorado DORA license.

Evidence

6645 items across 14 assertions from 8 sources

Connected Records

Colorado License
Expired
DORA
Practice Address
DENVER, 80239
NPPES
Carrier Network Listing
Listed in 2 carrier networks
TiC: Anthem Blue Cross Blue Shield, TiC: Kaiser Permanente
Electronic Endpoint
Record found
nppes_endpoint
NPI Registration
Status: active
NPPES Deactivation
Order/Referring Eligibility
Record found
cms_order_refer
Medicare Enrollment
Enrolled
PECOS
entity_type
Record found
NPPES
Federal Exclusion Check
No exclusion found
OIG LEIE + SAM.gov

Evidence Lineage

Carrier Network ListingTrust: 0.80
↓TiC: Anthem Blue Cross Blue Shield6621 records ·weight 0.80 · Latest: Mar 14, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Anthem Blue Cross Blue Shield6 records ·weight 0.80 · Latest: Mar 14, 2026
Colorado License StatusTrust: 0.95
↓DORA3 records ·weight 0.98 · Latest: Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORAweight 0.98 · Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓

Timeline

Mar 14, 2026Carrier listing: Anthem Blue Cross Blue Shield
Mar 13, 2026DORA license check: Expired
Mar 13, 2026DORA license check: Active
Mar 12, 2026Electronic Endpoint: record found
Mar 12, 2026NPPES record: active
Mar 11, 2026Order/Referring Eligibility: record found
Mar 11, 2026Medicare enrollment: Approved
Mar 5, 2026Carrier listing: Kaiser Permanente
Mar 5, 2026Practice address: DENVER, 80239
Mar 5, 2026entity_type: record found
Mar 5, 2026
DORA
weight 0.98 · Mar 13, 2026
Matched via: license_number
Colorado License StatusTrust: 0.95
↓DORA4 records ·weight 0.98 · Latest: Mar 6, 2026
Matched via: license_number
Electronic EndpointTrust: 0.85
↓nppes_endpoint2 records ·weight 0.85 · Latest: Mar 12, 2026
NPI Registration StatusTrust: 0.90
↓NPPES Deactivationweight 0.85 · Mar 12, 2026
Order/Referring EligibilityTrust: 0.95
↓cms_order_referweight 0.95 · Mar 11, 2026
Medicare EnrollmentTrust: 0.95
↓PECOSweight 0.95 · Mar 11, 2026
Carrier Network ListingTrust: 0.80
↓TiC: Kaiser Permanenteweight 0.80 · Mar 5, 2026
Practice LocationTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
entity_typeTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
Provider SpecialtyTrust: 0.85
↓NPPESweight 0.85 · Mar 5, 2026
Provider Specialty: record found