2026 NPPES data Psychiatry Physician NPI 1265870349 MD, MPH
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ANDREW CARLO, MD, MPH

Psychiatry Physician in CHICAGO, Illinois. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
663
Medicare Part D claims · 43 beneficiaries · Psychiatry Physician avg: 1K
Generic prescribing
93%
generic claims · 7% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
94.1036/100
▲ 11 pts above national avg 83.1 · [object Object]

What the federal data shows

ANDREW CARLO, MD, MPH reported a CMS MIPS final score of 94.1036/100 — above the 83.1 national average — and filed 663 Medicare Part D claims in 2023.

94.1036/100
MIPS score · +11 vs avg
663
Part D claims, 2023
93%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

ANDREW CARLO, MD, MPH's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

94 Top 25% higher than 75% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). Below this entry. 90–100: 189,403 scored providers (40%). This entry sits in this band. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

ANDREW CARLO, MD, MPH practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about ANDREW CARLO, MD, MPH?

High performer (top quartile)

NPI registry status

Active

Issued 06/11/2013

NPI 1265870349

Primary specialty

Psychiatry Physician

High-volume

53,104 US NPIs in this specialty

Medicare Part D claims

663 36% vs specialty avg

2023 prescription claims

Specialty avg: 1,038

MIPS final score

94.1036/100 11.003600000000006% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Illinois

How Psychiatry Physician compares to other specialties among Illinois providers

Illinois providers

Psychiatry Physician share within Illinois

1. Psychiatry Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Psychiatry Physician share within Illinois

Medicare quality performance — MIPS

ANDREW CARLO, MD, MPH's 2023 MIPS final score plotted against the Psychiatry Physician national average

High performer (top quartile)
MIPS Final Score
94.1036/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Psychiatry Physician) — 94.1036/100 vs national avg 83.1

0%100%National avg83%94.1%
MIPS final score (Psychiatry Physician) — 94.1036/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

ANDREW CARLO, MD, MPH appears in the CMS NPPES registry as a Psychiatry Physician provider holding MD, MPH credentials at 446 E ONTARIO ST STE 7-100, CHICAGO, IL, 60611, with a listed phone of (312) 695-5060. NPI 1265870349 was issued on 06/11/2013. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what CARLO most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 663 prescription claims written by this provider, covering 43 Medicare beneficiaries and totaling roughly $47K in drug spend, split 7% brand-name and 93% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 94.1036/100 for the 2023 performance year (Quality 82.5938), compared with the national average of 83.1.

Psychiatry Physician is a high-volume specialty nationwide, with 53,104 enrolled providers across 56 states and an average of 1,038 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

446 E ONTARIO ST STE 7-100
CHICAGO, IL 60611

Provider Details

NPI 1265870349
Specialty Psychiatry Physician
Credentials MD, MPH
Gender Male
NPI Issued 06/11/2013

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

94.1036
Final Score
Avg: 83.1
82.5938
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

License & disciplinary context — Illinois IDFPR 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~42K Illinois medical licensees in 2023 — they are NOT specific to ANDREW CARLO, MD, MPH. To verify ANDREW CARLO, MD, MPH's current license status, search the IDFPR public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

106
Total board actions, Illinois 2023
Across 103 cases
2.52
Actions per 1,000 licensees
Illinois statewide rate
probation
Most common action type
38 cases

IDFPR publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Illinois disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Generic-heavy

ANDREW CARLO, MD, MPH — brand share 7.0%
Specialty average (est.)

7% brand-name claims vs 93% generic, on 663 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

663
Total Claims
$47K
Total Drug Cost
43
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
944
Total Day Supply
28,121
Brand vs Generic
7% brand / 93% generic
Brand Drug Cost
$31K
Generic Drug Cost
$16K

Patient Demographics

Average Patient Age
61.5 years
Avg HCC Risk Score
1.67
Gender Split
74% female / 26% male
Age Distribution
<65: 22, 65-74: 17, 75-84: N/A, 85+: N/A

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

What ANDREW CARLO, MD, MPH prescribes most

Top Medicare Part D drugs by claim count, 2023

claims
Source CMS Medicare Part D Prescriber Public Use File As of 2023
Drug Claims
Trazodone Hcl
63
Lamotrigine
58
Duloxetine Hcl
50
Alprazolam
46
Sertraline Hcl
36
Bupropion Xl
Bupropion Hcl
31
Clonazepam
28
Gabapentin
28
Lorazepam
28
Dextroamphetamine-Amphet Er
Dextroamphetamine/Amphetamine
26

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Psychiatry Physician Overview

How ANDREW CARLO, MD, MPH fits within the Psychiatry Physician landscape nationally.

53,104
Psychiatry Physician Providers in US
56
States with Psychiatry Physician
1,038
Avg Claims per Provider

ANDREW CARLO, MD, MPH's 663 claims are below the specialty average of 1,038.

Nearby Psychiatry Physician Providers in Illinois

Other clinicians with the same primary specialty enrolled in Illinois, drawn from the same CMS NPPES roster as CARLO.

Compare Psychiatry Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is ANDREW CARLO, MD, MPH's specialty?
ANDREW CARLO, MD, MPH specializes in Psychiatry Physician and practices in CHICAGO, Illinois. Credentials: MD, MPH.
How much does ANDREW CARLO, MD, MPH prescribe under Medicare Part D?
In 2023, ANDREW CARLO, MD, MPH wrote 663 Medicare Part D claims totaling $47K in drug costs for 43 beneficiaries.
What is ANDREW CARLO, MD, MPH's Medicare quality score?
ANDREW CARLO, MD, MPH has a CMS MIPS Final Score of 94.1036/100 (Quality: 82.5938). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is ANDREW CARLO, MD, MPH located?
ANDREW CARLO, MD, MPH is located at 446 E ONTARIO ST STE 7-100, CHICAGO, IL, 60611. Phone: (312) 695-5060.
What is ANDREW CARLO, MD, MPH's NPI number?
ANDREW CARLO, MD, MPH's National Provider Identifier (NPI) is 1265870349, issued on 06/11/2013.
Does ANDREW CARLO, MD, MPH prescribe more brand-name or generic drugs?
ANDREW CARLO, MD, MPH's prescribing is 7% brand-name and 93% generic drugs by claim count, with $31K in brand drug costs.
How many Psychiatry Physician providers are there in the US?
There are 53,104 Psychiatry Physician providers across 56 states in the US. The average Psychiatry Physician provider writes 1,038 Medicare Part D claims per year.
What drugs does ANDREW CARLO, MD, MPH prescribe most often?
Based on 2023 Medicare Part D data, ANDREW CARLO, MD, MPH's most frequently prescribed drugs include Trazodone Hcl, Lamotrigine, Duloxetine Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does ANDREW CARLO, MD, MPH accept Medicare?
ANDREW CARLO, MD, MPH appears in CMS Medicare data with 663 Part D claims and 43 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify ANDREW CARLO, MD, MPH's credentials?
ANDREW CARLO, MD, MPH's NPI is 1265870349 with credentials MD, MPH. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology