NPI registry status
Active
2026 NPPES data Emergency Medical Services (Emergency Medicine) Physician NPI 1851337828 MD
Verify on CMS → Carl Dandrea, MD
Emergency Medical Services (Emergency Medicine) Physician in Sharon, Connecticut.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 3,618 in Emergency Medical Services (Emergency Medicine) Physician, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
Prescribing volume
245
Medicare Part D claims · 138 beneficiaries · Emergency Medical Services (Emergency Medicine) Physician avg: 394
MIPS score
76.5/100
▼ 7 pts below national avg 83.5 · Above neutral
What the federal data shows
Carl Dandrea, MD reported a CMS MIPS final score of 76.5/100 - below the 83.5 national average - and filed 245 Medicare Part D claims in 2023.
- 76.5/100
- MIPS score · -7 vs avg
- 245
- Part D claims, 2023
- Likely
- board-certified (heuristic)
- ≥17th
- pct among measured MIPS (lower-bound band)
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.
Federal trust snapshot
What official records show about Carl Dandrea, MD
Federal records show an active NPI with both Medicare prescribing volume and a measured CMS quality score — objective registry data, not patient reviews.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1851337828), first enumerated 06/20/2006.
Source: CMS NPPES
- Reported
Medicare Part D participation
Filed 245 Medicare Part D prescription claims in the 2023 CMS public use file — indicates active Medicare prescribing participation.
Source: CMS Part D Prescriber PUF
- Reported
CMS quality reporting (MIPS)
Reported a CMS MIPS final score of 76.5/100 in the Quality Payment Program — a federal quality measure, not a patient review.
Source: CMS Quality Payment Program
- Reported
Board certification signal
Heuristic suggests board-certified status based on ABMS-eligible specialty taxonomy plus active CMS participation signals — not a direct ABMS verification.
- Reported
Hospital affiliations
1 CMS Care Compare hospital affiliation on record — practice footprint from the Doctors and Clinicians file.
Source: CMS Care Compare
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1851337828 · Emergency Medical Services (Emergency Medicine) Physician
NPI-10 · ENUM-LEGACY · TAX-NARROW · MIPS-BELOW · RX-LIGHT · BOOK-THIN · PHOTO-FINISH
- NPI-10 1851337828
- ENUM-LEGACY 2006
- TAX-NARROW 3,618
- MIPS-BELOW 76.5/100
- RX-LIGHT 245
- BOOK-THIN 39 in Connecticut
- PHOTO-FINISH Scott Elberger · ±0.0
MIPS final-score neighbourhood
Same-specialty nationwide peers by CMS final score, not geographic proximity
- Dandrea · this p…
Dandrea · this provider
76.5 MIPS pts
- Bruce Sanderov ·…
Bruce Sanderov
76.5 MIPS pts
- Scott Elberger ·…
Scott Elberger
76.5 MIPS pts
- Brandon Lee · near
Brandon Lee
76.5 MIPS pts
- Russell Raskin ·…
Russell Raskin
76.5 MIPS pts
What this shows Nearest measured MIPS peers for this NUCC specialty (2023 performance year).
Carl Dandrea, MD's MIPS score vs every measured U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure. Clinicians whose score CMS assigned without scoring any category are excluded.
77 ≥ 17th percentile 17% of 454,083 measured providers are in lower value bands
Each bar is a band; taller bars hold more measured 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.
The percentile is a conservative whole-score-point band: it counts only measured clinicians in lower score bands. A CMS MIPS metric is not a recommendation or a clinical-quality rating by PlainDoctor. See methodology § corpus placement.
Source CMS Merit-based Incentive Payment System (MIPS) · 2023
Where Carl Dandrea, MD sits
This provider among emergency medical services (emergency medicine) physician peers
Across the 571 emergency medical services (emergency medicine) physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carl Dandrea, MD writes more Part D claims than 67% of them and scores higher on MIPS quality than 14% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Each dot is one emergency medical services (emergency medicine) physician peer from a representative sample of 60; the gold marker is Carl Dandrea, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 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 averagePrimary specialty
Emergency Medical Services (Emergency Medicine) Physician
Medicare Part D claims
245 38% vs specialty avg
MIPS final score
76.5/100 7 pts vs avg
Specialty distribution in Connecticut
How Emergency Medical Services (Emergency Medicine) Physician compares to other specialties among Connecticut providers
Medicare quality performance, MIPS
Carl Dandrea, MD's 2023 MIPS final score plotted against the Emergency Medical Services (Emergency Medicine) Physician national average
- MIPS Final Score
- 76.5/100
- vs 83.5 national avg · 2023 performance year
How MIPS and board certification work
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).
Practice Address
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
Measured-score avg: 83.5
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.
More Emergency Medical Services (Emergency Medicine) Physician in CT →
All providers in Connecticut →
Compare specialties →
Emergency Medical Services (Emergency Medicine) Physician Overview
How Carl Dandrea, MD fits within the Emergency Medical Services (Emergency Medicine) Physician landscape nationally.
3,618
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.
Nationwide Emergency Medical Services (Emergency Medicine) Physician peers with similar MIPS or enrollment year
Two federal-record peer sets for Dandrea, both outside Connecticut so the neighborhoods are not geographic containment.
Similar MIPS final score
Nearest same-specialty clinicians by CMS MIPS final score (76.5 here).
Same NPPES enumeration year (2006)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
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.
One of 39 Emergency Medical Services (Emergency Medicine) Physician providers enrolled in Connecticut, 5 are shown here.
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 76.5/100 (Quality: 64, Cost: 57.7). The average MIPS Final Score across the 454,083 clinicians with at least one published category score is 83.5; clinicians whose score CMS assigned without scoring any category are excluded from that average. 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 3,618 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
View source datasets and methodology notes
- 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
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of May 2026.