2026 NPPES data Primary Care Nurse Practitioner NPI 1023467321
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CARLO PEPIA

Primary Care Nurse Practitioner in NEW YORK, 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
11
Medicare Part D claims · Primary Care Nurse Practitioner avg: 1K
MIPS score
84.4744/100
▲ 1 pts above national avg 83.1 · [object Object]

What the federal data shows

CARLO PEPIA reported a CMS MIPS final score of 84.4744/100 — above the 83.1 national average — and filed 11 Medicare Part D claims in 2023.

84.4744/100
MIPS score · +1 vs avg
11
Part D claims, 2023

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.

CARLO PEPIA's MIPS score vs every scored U.S. clinician

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

84 45th percentile higher than 45% 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%). This entry sits in this band. 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

What does the federal data show about CARLO PEPIA?

Near national average

NPI registry status

Active

Issued 06/07/2016

NPI 1023467321

Primary specialty

Primary Care Nurse Practitioner

Mid-sized

10,138 US NPIs in this specialty

Medicare Part D claims

11 99% vs specialty avg

2023 prescription claims

Specialty avg: 1,363

MIPS final score

84.4744/100 1.3744000000000085% pts

Above neutral band

vs 83.1 national avg

Specialty distribution in New York

How Primary Care Nurse Practitioner compares to other specialties among New York providers

New York providers

Primary Care Nurse Practitioner share within New York

1. Primary Care Nurse Practitioner42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Primary Care Nurse Practitioner share within New York

Medicare quality performance — MIPS

CARLO PEPIA's 2023 MIPS final score plotted against the Primary Care Nurse Practitioner national average

Near national average
MIPS Final Score
84.4744/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Primary Care Nurse Practitioner) — 84.4744/100 vs national avg 83.1

0%100%National avg83%84.5%
MIPS final score (Primary Care Nurse Practitioner) — 84.4744/100 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).

CARLO PEPIA is a Primary Care Nurse Practitioner provider practicing in NEW YORK, New York, according to the CMS National Plan and Provider Enumeration System (NPPES). NPI: 1023467321. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

CARLO PEPIA appears in the CMS NPPES registry as a Primary Care Nurse Practitioner provider at 550 1ST AVE, NEW YORK, NY, 10016, with a listed phone of (212) 263-5590. NPI 1023467321 was issued on 06/07/2016. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what PEPIA 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 11 prescription claims written by this provider, covering N/A Medicare beneficiaries and totaling roughly $180 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 84.4744/100 for the 2023 performance year (Quality 93.334, Cost 54.914), compared with the national average of 83.1.

Primary Care Nurse Practitioner is a mid-sized specialty nationwide, with 10,138 enrolled providers across 54 states and an average of 1,363 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

550 1ST AVE
NEW YORK, NY 10016

Provider Details

NPI 1023467321
Specialty Primary Care Nurse Practitioner
Gender Male
NPI Issued 06/07/2016

CMS Quality Score (MIPS)

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

84.4744
Final Score
Avg: 83.1
93.334
Quality
54.914
Cost
100
Promoting Interoperability

Reporting: Group practice

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 CARLO PEPIA. To verify CARLO PEPIA'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.

Medicare Part D Prescribing Data

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

11
Total Claims
$180
Total Drug Cost
N/A
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
11
Total Day Supply
287
Brand Drug Cost
$0
Generic Drug Cost
$180

Patient Demographics

Average Patient Age
76.2 years
Avg HCC Risk Score
1.50

Primary Care Nurse Practitioner Overview

How CARLO PEPIA fits within the Primary Care Nurse Practitioner landscape nationally.

10,138
Primary Care Nurse Practitioner Providers in US
54
States with Primary Care Nurse Practitioner
1,363
Avg Claims per Provider

CARLO PEPIA's 11 claims are below the specialty average of 1,363.

Nearby Primary Care Nurse Practitioner Providers in New York

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

Compare Primary Care Nurse Practitioner nationally: see state-by-state distribution →

Frequently Asked Questions

What is CARLO PEPIA's specialty?
CARLO PEPIA specializes in Primary Care Nurse Practitioner and practices in NEW YORK, New York.
How much does CARLO PEPIA prescribe under Medicare Part D?
In 2023, CARLO PEPIA wrote 11 Medicare Part D claims totaling $180 in drug costs for N/A beneficiaries.
What is CARLO PEPIA's Medicare quality score?
CARLO PEPIA has a CMS MIPS Final Score of 84.4744/100 (Quality: 93.334, Cost: 54.914). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLO PEPIA located?
CARLO PEPIA is located at 550 1ST AVE, NEW YORK, NY, 10016. Phone: (212) 263-5590.
What is CARLO PEPIA's NPI number?
CARLO PEPIA's National Provider Identifier (NPI) is 1023467321, issued on 06/07/2016.
How many Primary Care Nurse Practitioner providers are there in the US?
There are 10,138 Primary Care Nurse Practitioner providers across 54 states in the US. The average Primary Care Nurse Practitioner provider writes 1,363 Medicare Part D claims per year.
Does CARLO PEPIA accept Medicare?
CARLO PEPIA appears in CMS Medicare data with 11 Part D claims and N/A Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLO PEPIA's credentials?
CARLO PEPIA's NPI is 1023467321. 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