2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1851337828 MD
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CARL DANDREA, MD

Emergency Medical Services (Emergency Medicine) Physician in SHARON, Connecticut. 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
245
Medicare Part D claims · 138 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
76.5288/100
▼ 7 pts below national avg 83.1 · [object Object]

What the federal data shows

CARL DANDREA, MD reported a CMS MIPS final score of 76.5288/100 — below the 83.1 national average — and filed 245 Medicare Part D claims in 2023.

76.5288/100
MIPS score · -7 vs avg
245
Part D claims, 2023
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.

CARL DANDREA, MD's MIPS score vs every scored U.S. clinician

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

77 21st percentile higher than 21% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 90–100: 189,403 scored providers (40%). Above this entry. 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)

CARL DANDREA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — 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 CARL DANDREA, MD?

Below national average

NPI registry status

Active

Issued 06/20/2006

NPI 1851337828

Primary specialty

Emergency Medical Services (Emergency Medicine) Physician

Niche

3,616 US NPIs in this specialty

Medicare Part D claims

245 38% vs specialty avg

2023 prescription claims

Specialty avg: 394

MIPS final score

76.5288/100 6.57119999999999% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in Connecticut

How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Connecticut providers

Connecticut providers

Emergency Medical Services (Emergency Medicine) Physician share within Connecticut

1. Emergency Medical Services (Emergency Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Emergency Medical Services (Emergency Medicine) Physician share within Connecticut

Medicare quality performance — MIPS

CARL DANDREA, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average

Below national average
MIPS Final Score
76.5288/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 76.5288/100 vs national avg 83.1

0%100%National avg83%76.5%
MIPS final score (Emergency Medical Services (Emergency Medicine) Physician) — 76.5288/100 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).

CARL DANDREA, MD appears in the CMS NPPES registry as a Emergency Medical Services (Emergency Medicine) Physician provider holding MD credentials at 50 HOSPITAL HILL DRIVE, SHARON, CT, 06069, with a listed phone of (800) 795-5820. NPI 1851337828 was issued on 06/20/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DANDREA 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 245 prescription claims written by this provider, covering 138 Medicare beneficiaries and totaling roughly $11K in drug spend. 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 76.5288/100 for the 2023 performance year (Quality 64.0296, Cost 57.7329), compared with the national average of 83.1.

Emergency Medical Services (Emergency Medicine) Physician is a narrow specialty nationwide, with 3,616 enrolled providers across 55 states and an average of 394 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

50 HOSPITAL HILL DRIVE
SHARON, CT 06069

Provider Details

NPI 1851337828
Specialty Emergency Medical Services (Emergency Medicine) Physician
Credentials MD
Gender Male
NPI Issued 06/20/2006

CMS Quality Score (MIPS)

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

76.5288
Final Score
Avg: 83.1
64.0296
Quality
57.7329
Cost
100
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARL DANDREA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

BRIDGEPORT HOSPITAL
★★★★☆ 4/5
BRIDGEPORT, CT
Acute Care Hospitals
CMS CCN: 070010

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Medicare Part D Prescribing Data

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

245
Total Claims
$11K
Total Drug Cost
138
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
253
Total Day Supply
3,767
Generic Drug Cost
$3K
Antibiotic Claims
57

Patient Demographics

Average Patient Age
63.3 years
Avg HCC Risk Score
1.59
Gender Split
70% female / 30% male
Age Distribution
<65: 55, 65-74: 56, 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.

Drug Claims
Prednisone
31
Albuterol Sulfate Hfa
Albuterol Sulfate
28

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

Emergency Medical Services (Emergency Medicine) Physician Overview

How CARL DANDREA, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.

3,616
Emergency Medical Services (Emergency Medicine) Physician Providers in US
55
States with Emergency Medical Services (Emergency Medicine) Physician
394
Avg Claims per Provider

CARL DANDREA, MD's 245 claims are below the specialty average of 394.

Nearby Emergency Medical Services (Emergency Medicine) Physician Providers in Connecticut

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

Compare Emergency Medical Services (Emergency Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARL DANDREA, MD's specialty?
CARL DANDREA, MD specializes in Emergency Medical Services (Emergency Medicine) Physician and practices in SHARON, Connecticut. Credentials: MD.
How much does CARL DANDREA, MD prescribe under Medicare Part D?
In 2023, CARL DANDREA, MD wrote 245 Medicare Part D claims totaling $11K in drug costs for 138 beneficiaries.
What is CARL DANDREA, MD's Medicare quality score?
CARL DANDREA, MD has a CMS MIPS Final Score of 76.5288/100 (Quality: 64.0296, Cost: 57.7329). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARL DANDREA, MD located?
CARL DANDREA, MD is located at 50 HOSPITAL HILL DRIVE, SHARON, CT, 06069. Phone: (800) 795-5820.
What is CARL DANDREA, MD's NPI number?
CARL DANDREA, MD's National Provider Identifier (NPI) is 1851337828, issued on 06/20/2006.
How many Emergency Medical Services (Emergency Medicine) Physician providers are there in the US?
There are 3,616 Emergency Medical Services (Emergency Medicine) Physician providers across 55 states in the US. The average Emergency Medical Services (Emergency Medicine) Physician provider writes 394 Medicare Part D claims per year.
What drugs does CARL DANDREA, MD prescribe most often?
Based on 2023 Medicare Part D data, CARL DANDREA, MD's most frequently prescribed drugs include Prednisone, Albuterol Sulfate Hfa. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL DANDREA, MD accept Medicare?
CARL DANDREA, MD appears in CMS Medicare data with 245 Part D claims and 138 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL DANDREA, MD's credentials?
CARL DANDREA, MD's NPI is 1851337828 with credentials MD. 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