2026 NPPES data Sleep Medicine (Internal Medicine) Physician NPI 1396792867 MD PHD
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CARL NICOLEAU, MD PHD

Sleep Medicine (Internal Medicine) Physician in FAR ROCKAWAY, New York. 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
2K
Medicare Part D claims · 167 beneficiaries · Sleep Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
90%
generic claims · 10% brand-name · higher generic rates reduce patient out-of-pocket costs

What the federal data shows

CARL NICOLEAU, MD PHD filed 1,673 Medicare Part D claims in 2023 as a Sleep Medicine (Internal Medicine) Physician in FAR ROCKAWAY, New York, prescribing 90% generic.

2K
Part D claims, 2023
90%
generic prescribing

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 NICOLEAU, MD PHD's Medicare Part D volume vs every U.S. prescriber

Total Medicare Part D claims, 2023 — across all CMS prescribers nationally

1,673 Top 18% higher than 82% of 1,370,886 prescribers

0–200: 670,926 prescribers (49%). Below this entry. 200–400: 182,923 prescribers (13%). Below this entry. 400–600: 90,619 prescribers (7%). Below this entry. 600–800: 56,224 prescribers (4%). Below this entry. 800–1,000: 40,919 prescribers (3%). Below this entry. 1,000–1,200: 31,827 prescribers (2%). Below this entry. 1,200–1,400: 26,224 prescribers (2%). Below this entry. 1,400–1,600: 21,710 prescribers (2%). Below this entry. 1,600–1,800: 19,072 prescribers (1%). This entry sits in this band. 1,800–2,000: 16,451 prescribers (1%). Above this entry. 2,000–2,200: 213,991 prescribers (16%). Above this entry. This provider 0 2K+ every Part D prescriber (claims/yr), bucketed by value

Each bar is a band; taller bars hold more prescribers. 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 Medicare Part D Prescriber Public Use File · 2023

Board-eligible specialty (heuristic — not verified)

CARL NICOLEAU, MD PHD practices in an ABMS-board-eligible specialty but we don't have enough CMS-participation signals to confirm active board-certified status. Consult CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about CARL NICOLEAU, MD PHD?

Quality data not reported

NPI registry status

Active

Issued 05/28/2006

NPI 1396792867

Primary specialty

Sleep Medicine (Internal Medicine) Physician

Niche

857 US NPIs in this specialty

Medicare Part D claims

1,673 28% vs specialty avg

2023 prescription claims

Specialty avg: 1,310

Specialty distribution in New York

How Sleep Medicine (Internal Medicine) Physician compares to other specialties among New York providers

New York providers

Sleep Medicine (Internal Medicine) Physician share within New York

1. Sleep Medicine (Internal Medicine) Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Sleep Medicine (Internal Medicine) Physician share within New York

Specialty board-certification context

Estimated specialty board-certified rate — Sleep Medicine (Internal Medicine) Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Sleep Medicine (Internal Medicine) Physician ABMS/AOA estimate

Est. board-certified rate (Sleep Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Sleep Medicine (Internal Medicine) Physician) — ABMS / AOA estimate

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 NICOLEAU, MD PHD appears in the CMS NPPES registry as a Sleep Medicine (Internal Medicine) Physician provider holding MD PHD credentials at 2008 SEAGIRT BLVD, FAR ROCKAWAY, NY, 11691, with a listed phone of (718) 565-6880. NPI 1396792867 was issued on 05/28/2006. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NICOLEAU 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 1,673 prescription claims written by this provider, covering 167 Medicare beneficiaries and totaling roughly $370K in drug spend, split 10% brand-name and 90% 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.

Sleep Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 857 enrolled providers across 52 states and an average of 1,310 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

2008 SEAGIRT BLVD
FAR ROCKAWAY, NY 11691

Provider Details

NPI 1396792867
Specialty Sleep Medicine (Internal Medicine) Physician
Credentials MD PHD
Gender Male
NPI Issued 05/28/2006

License & disciplinary context — New York NYSBPMC 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 ~100K New York medical licensees in 2023 — they are NOT specific to CARL NICOLEAU, MD PHD. To verify CARL NICOLEAU, MD PHD's current license status, search the NYSBPMC public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

312
Total board actions, New York 2023
Across 302 cases
3.12
Actions per 1,000 licensees
New York statewide rate
probation
Most common action type
89 cases

NYSBPMC 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 New York disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CARL NICOLEAU, MD PHD — brand share 10.0%
Specialty average (est.)

10% brand-name claims vs 90% generic, on 1,673 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.

1,673
Total Claims
$370K
Total Drug Cost
167
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,866
Total Day Supply
112,350
Brand vs Generic
10% brand / 90% generic
Brand Drug Cost
$155K
Generic Drug Cost
$214K
Antibiotic Claims
51

Patient Demographics

Average Patient Age
72.2 years
Avg HCC Risk Score
1.30
Gender Split
62% female / 38% male
Age Distribution
<65: 26, 65-74: 68, 75-84: 56, 85+: 17

Top Prescribed Drugs (Medicare Part D)

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

What CARL NICOLEAU, MD PHD 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
Amlodipine Besylate
176
Pravastatin Sodium
95
Metformin Hcl
85
Atorvastatin Calcium
79
Losartan Potassium
78
Glimepiride
50
Metoprolol Tartrate
47
Hydrochlorothiazide
42
Simvastatin
38
Alendronate Sodium
37

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

Sleep Medicine (Internal Medicine) Physician Overview

How CARL NICOLEAU, MD PHD fits within the Sleep Medicine (Internal Medicine) Physician landscape nationally.

857
Sleep Medicine (Internal Medicine) Physician Providers in US
52
States with Sleep Medicine (Internal Medicine) Physician
1,310
Avg Claims per Provider

CARL NICOLEAU, MD PHD's 1,673 claims are above the specialty average of 1,310.

Nearby Sleep Medicine (Internal Medicine) Physician Providers in New York

Other clinicians with the same primary specialty enrolled in New York, drawn from the same CMS NPPES roster as NICOLEAU.

Compare Sleep Medicine (Internal Medicine) Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARL NICOLEAU, MD PHD's specialty?
CARL NICOLEAU, MD PHD specializes in Sleep Medicine (Internal Medicine) Physician and practices in FAR ROCKAWAY, New York. Credentials: MD PHD.
How much does CARL NICOLEAU, MD PHD prescribe under Medicare Part D?
In 2023, CARL NICOLEAU, MD PHD wrote 1,673 Medicare Part D claims totaling $370K in drug costs for 167 beneficiaries.
Where is CARL NICOLEAU, MD PHD located?
CARL NICOLEAU, MD PHD is located at 2008 SEAGIRT BLVD, FAR ROCKAWAY, NY, 11691. Phone: (718) 565-6880.
What is CARL NICOLEAU, MD PHD's NPI number?
CARL NICOLEAU, MD PHD's National Provider Identifier (NPI) is 1396792867, issued on 05/28/2006.
Does CARL NICOLEAU, MD PHD prescribe more brand-name or generic drugs?
CARL NICOLEAU, MD PHD's prescribing is 10% brand-name and 90% generic drugs by claim count, with $155K in brand drug costs.
How many Sleep Medicine (Internal Medicine) Physician providers are there in the US?
There are 857 Sleep Medicine (Internal Medicine) Physician providers across 52 states in the US. The average Sleep Medicine (Internal Medicine) Physician provider writes 1,310 Medicare Part D claims per year.
What drugs does CARL NICOLEAU, MD PHD prescribe most often?
Based on 2023 Medicare Part D data, CARL NICOLEAU, MD PHD's most frequently prescribed drugs include Amlodipine Besylate, Pravastatin Sodium, Metformin Hcl. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARL NICOLEAU, MD PHD accept Medicare?
CARL NICOLEAU, MD PHD appears in CMS Medicare data with 1,673 Part D claims and 167 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARL NICOLEAU, MD PHD's credentials?
CARL NICOLEAU, MD PHD's NPI is 1396792867 with credentials MD PHD. 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.
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