NPI registry status
Active
2026 NPPES data Orthopaedic Surgery Physician NPI 1871578666 MD
Verify on CMS → Carlos Berrios, MD
Orthopaedic Surgery Physician in Indianapolis, Indiana.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 25,781 in Orthopaedic Surgery 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
501
Medicare Part D claims · 107 beneficiaries · Orthopaedic Surgery Physician avg: 324
Generic prescribing
97%
generic claims · 3% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
63.6/100
▼ 20 pts below national avg 83.1 · Mid-tier
Source: CMS Medicare Part D Prescriber Public Use File, 2023
Compiled from official public sources by the PlainDoctor editorial team.
What the federal data shows
Carlos Berrios, MD reported a CMS MIPS final score of 63.6/100 - below the 83.1 national average - and filed 501 Medicare Part D claims in 2023.
- 63.6/100
- MIPS score · -20 vs avg
- 501
- Part D claims, 2023
- 97%
- 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.
Carlos Berrios, MD's MIPS score vs every scored U.S. clinician
CMS Merit-based Incentive Payment System (MIPS) final score, 2023, the federal quality measure
64 6th percentile higher than 6% of 477,587 scored providers
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
Where Carlos Berrios, MD sits
This provider among orthopaedic surgery physician peers
Across the 8,194 orthopaedic surgery physician providers who report both Medicare Part D prescribing and a MIPS quality score, Carlos Berrios, MD writes more Part D claims than 72% of them and scores higher on MIPS quality than 10% - placing this provider in the high-volume, lower-quality quadrant. Volume reflects patient-panel size and specialty, not quality; the two axes are independent.
Part D claim volume vs MIPS quality, by specialty percentile
Each dot is one orthopaedic surgery physician peer from a representative sample of 60; the gold marker is Carlos Berrios, MD. Source: CMS Medicare Part D Prescriber data and the CMS Merit-based Incentive Payment System, 2023.
✓
Board certification likely (heuristic, not verified)
Carlos Berrios, 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 Carlos Berrios, MD?
Below national averagePrimary specialty
Orthopaedic Surgery Physician
Medicare Part D claims
501 55% vs specialty avg
MIPS final score
63.6/100 19.5 pts vs avg
Specialty distribution in Indiana
How Orthopaedic Surgery Physician compares to other specialties among Indiana providers
Medicare quality performance, MIPS
Carlos Berrios, MD's 2023 MIPS final score plotted against the Orthopaedic Surgery Physician national average
- MIPS Final Score
- 63.6/100
- vs 83.1 national avg · 2023 performance year
MIPS final score (Orthopaedic Surgery Physician) - 63.6/100 vs national avg 83.1
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).
Carlos Berrios, MD appears in the CMS NPPES registry as a Orthopaedic Surgery Physician provider holding MD credentials at 8450 NORTHWEST BLVD, Indianapolis, IN, 46278, with a listed phone of (317) 802-2000. NPI 1871578666 was issued on 12/14/2005.
Medicare Part D records for calendar year 2023 show 501 prescription claims written by this provider, covering 107 Medicare beneficiaries and totaling roughly $9K in drug spend, split 3% brand-name and 97% generic by claim count, with an opioid prescribing rate of 26.5%. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 63.6/100 for the 2023 performance year (Quality 28.2, Cost 61.3), compared with the national average of 83.1.
Orthopaedic Surgery Physician is a mid-sized specialty nationwide, with 25,781 enrolled providers across 56 states and an average of 324 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
Provider Details
| NPI | 1871578666 |
|---|---|
| Specialty | Orthopaedic Surgery Physician |
| Credentials | MD |
| Gender | Male |
| NPI Issued | 12/14/2005 |
CMS Quality Score (MIPS)
Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.
63.5912
Final Score
Avg: 83.1
28.1576
Quality
61.313
Cost
87
Promoting Interoperability
Reporting: Group practice
Hospital and facility affiliations
Facilities where Carlos Berrios, 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.
Orthopaedics-Indianapolis, Inc
Indianapolis, IN
Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).
Brand vs generic prescribing mix · Generic-heavy
Carlos Berrios, MD - brand share 3.0%
Orthopaedic Surgery Physician average
3% brand-name claims vs 97% generic, on 501 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.
501
Total Claims
$9K
Total Drug Cost
107
Medicare Beneficiaries
Prescribing Breakdown
- 30-Day Fills
- 582
- Total Day Supply
- 12,381
- Brand vs Generic
- 3% brand / 97% generic
- Brand Drug Cost
- $2K
- Generic Drug Cost
- $7K
- Opioid Claims
- 133 (26.5% rate)
- Antibiotic Claims
- 13
Patient Demographics
- Average Patient Age
- 66.1 years
- Avg HCC Risk Score
- 1.32
- Gender Split
- 67% female / 33% male
- Age Distribution
- <65: 31, 65-74: 43, 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 Carlos Berrios, MD prescribes most
Top Medicare Part D drugs by claim count, 2023
- Meloxicam
Meloxicam
130 claims
- Hydrocodone-Acetam…
Hydrocodone-Acetaminophen
76 claims
- Diclofenac Sodium
Diclofenac Sodium
66 claims
- Celecoxib 44
Celecoxib
44 claims
- Tramadol Hcl 42
Tramadol Hcl
42 claims
- Gabapentin 26
Gabapentin
26 claims
- Baclofen 24
Baclofen
24 claims
- Diazepam 15
Diazepam
15 claims
| Drug | Claims |
|---|---|
| Meloxicam | 130 |
| Hydrocodone-Acetaminophen Hydrocodone/Acetaminophen | 76 |
| Diclofenac Sodium | 66 |
| Celecoxib | 44 |
| Tramadol Hcl | 42 |
| Gabapentin | 26 |
| Baclofen | 24 |
| Diazepam | 15 |
| Ondansetron Hcl | 15 |
| Oxycodone-Acetaminophen Oxycodone Hcl/Acetaminophen | 15 |
* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.
Orthopaedic Surgery Physician Overview
How Carlos Berrios, MD fits within the Orthopaedic Surgery Physician landscape nationally.
25,781
Orthopaedic Surgery Physician Providers in US
56
States with Orthopaedic Surgery Physician
324
Avg Claims per Provider
Carlos Berrios, MD's 501 claims are above the specialty average of 324.
Nearby Orthopaedic Surgery Physician Providers in Indiana
Other clinicians with the same primary specialty enrolled in Indiana, drawn from the same CMS NPPES roster as Berrios.
Dr. Matthew Abbott
MD
Indianapolis, IN
Dr. Kristopher Abeln
M.D.
New Albany, IN
Dr. Thomas Akre
DO
South Bend, IN
Dr. Paul Alley
M.D.
Evansville, IN
Dr. David Almdale
M.D.
Fort Wayne, IN
Compare Orthopaedic Surgery Physician nationally: see state-by-state distribution →
Before you book an appointment
Use this federal record as your verification checklist, not as a recommendation.
- Confirm the NPI record is current in the official CMS registry, providers update their own NPPES details, and moves can lag. Verify this NPI
- Check the active license and any disciplinary history with the Indiana medical board, federal registration is not a license check. Credential verification guide
- Weigh a second option: compare this provider with a nearby Orthopaedic Surgery Physician peer on Medicare volume and prescribing patterns. Compare providers
Medicare Part D and MIPS figures describe practice patterns in federal programs only, they are not quality ratings, and PlainDoctor does not rate, rank, or recommend providers.
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Frequently Asked Questions
What is Carlos Berrios, MD's specialty? ▼
Carlos Berrios, MD specializes in Orthopaedic Surgery Physician and practices in Indianapolis, Indiana. Credentials: MD.
How much does Carlos Berrios, MD prescribe under Medicare Part D? ▼
In 2023, Carlos Berrios, MD wrote 501 Medicare Part D claims totaling $9K in drug costs for 107 beneficiaries.
What is Carlos Berrios, MD's Medicare quality score? ▼
Carlos Berrios, MD has a CMS MIPS Final Score of 63.6/100 (Quality: 28.2, Cost: 61.3). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is Carlos Berrios, MD located? ▼
Carlos Berrios, MD is located at 8450 NORTHWEST BLVD, Indianapolis, IN, 46278. Phone: (317) 802-2000.
What is Carlos Berrios, MD's NPI number? ▼
Carlos Berrios, MD's National Provider Identifier (NPI) is 1871578666, issued on 12/14/2005.
Does Carlos Berrios, MD prescribe more brand-name or generic drugs? ▼
Carlos Berrios, MD's prescribing is 3% brand-name and 97% generic drugs by claim count, with $2K in brand drug costs.
Does Carlos Berrios, MD prescribe opioids? ▼
Yes, Carlos Berrios, MD had 133 opioid claims in 2023 with an opioid prescribing rate of 26.5%.
How many Orthopaedic Surgery Physician providers are there in the US? ▼
There are 25,781 Orthopaedic Surgery Physician providers across 56 states in the US. The average Orthopaedic Surgery Physician provider writes 324 Medicare Part D claims per year.
What drugs does Carlos Berrios, MD prescribe most often? ▼
Based on 2023 Medicare Part D data, Carlos Berrios, MD's most frequently prescribed drugs include Meloxicam, Hydrocodone-Acetaminophen, Diclofenac Sodium. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Berrios, MD accept Medicare? ▼
Carlos Berrios, MD appears in CMS Medicare data with 501 Part D claims and 107 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Berrios, MD's credentials? ▼
Carlos Berrios, MD's NPI is 1871578666 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
Compiled from official public sources by the PlainDoctor editorial team.