2026 NPPES data Rheumatology Physician NPI 1225022387 M.D.
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Carlos Diola, M.D.

Rheumatology Physician in Midland, Michigan. This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 6,181 in Rheumatology 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
3K
Medicare Part D claims · 669 beneficiaries · Rheumatology Physician avg: 2K
Generic prescribing
67%
generic claims · 32% brand-name · higher generic rates reduce patient out-of-pocket costs
Compiled from official public sources by the PlainDoctor editorial team.

What the federal data shows

Carlos Diola, M.D. filed 2,608 Medicare Part D claims in 2023 as a Rheumatology Physician in Midland, Michigan, prescribing 67% generic.

3K
Part D claims, 2023
67%
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 Diola, M.D.'s Medicare Part D volume vs every U.S. prescriber

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

2,608 Top 13% higher than 87% 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%). Below this entry. 1,800–2,000: 16,451 prescribers (1%). Below this entry. 2K+: 213,991 prescribers (16%). This entry sits in this band. 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 certification likely (heuristic, not verified)

Carlos Diola, M.D. practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 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 Diola, M.D.?

Quality data not reported

NPI registry status

Active

Issued 09/06/2005

NPI 1225022387

Primary specialty

Rheumatology Physician

Mid-sized

6,181 US NPIs in this specialty

Medicare Part D claims

2,608 27% vs specialty avg

2023 prescription claims

Specialty avg: 2,054

Specialty distribution in Michigan

How Rheumatology Physician compares to other specialties among Michigan providers

Michigan providers

Largest specialties in Michigan (% of in-state providers)

Behavior Technician - 21.4%Behavior Technician21.4%Clinical Social Worker - 5.8%Clinical Social Worker5.8%Student in an Organized Health Care Education/Training Program - 3.6%Student in an Organized Health Care Education/Training Program3.6%Physical Therapist - 3.4%Physical Therapist3.4%Social Worker - 3.4%Social Worker3.4%Pharmacist - 3%Pharmacist3%Rheumatology Physician - 0.1%Rheumatology Physician0.1%
Largest specialties in Michigan (% of in-state providers)

Board certification

Not published by CMS

CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Rheumatology Physician. Verify directly:

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 Diola, M.D. appears in the CMS NPPES registry as a Rheumatology Physician provider holding M.D. credentials at 4401 N CAMPUS RIDGE DR, Midland, MI, 48640, with a listed phone of (989) 837-9033. NPI 1225022387 was issued on 09/06/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what Diola 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 2,608 prescription claims written by this provider, covering 669 Medicare beneficiaries and totaling roughly $5.5 million in drug spend, split 32% brand-name and 67% generic by claim count, with an opioid prescribing rate of 3.6%. 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.

Rheumatology Physician is a mid-sized specialty nationwide, with 6,181 enrolled providers across 52 states and an average of 2,054 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

4401 N CAMPUS RIDGE DR
Midland, MI 48640

Provider Details

NPI 1225022387
Specialty Rheumatology Physician
Credentials M.D.
Gender Male
NPI Issued 09/06/2005

Hospital and facility affiliations

Facilities where Carlos Diola, M.D. 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.

Mymichigan Medical Center Midland
★★★★☆ 4/5
Midland, MI
Acute Care Hospitals
CMS CCN: 230222

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

License & disciplinary context - Michigan MI-BOM 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 ~41K Michigan medical licensees in 2023 - they are NOT specific to Carlos Diola, M.D.. To verify Carlos Diola, M.D.'s current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM 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 Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Above average

Carlos Diola, M.D. - brand share 32.0%
Rheumatology Physician average

32% brand-name claims vs 67% generic, on 2,608 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.

2,608
Total Claims
$5.5M
Total Drug Cost
669
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
4,699
Total Day Supply
137,423
Brand vs Generic
32% brand / 67% generic
Brand Drug Cost
$5.5M
Generic Drug Cost
$67K
Opioid Claims
95 (3.6% rate)
Antibiotic Claims
30

Patient Demographics

Average Patient Age
70.8 years
Avg HCC Risk Score
1.54
Gender Split
71% female / 29% male
Age Distribution
<65: 143, 65-74: 283, 75-84: 199, 85+: 44

Top Prescribed Drugs (Medicare Part D)

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

What Carlos Diola, M.D. 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
Methotrexate
Methotrexate Sodium
335
Prednisone
257
Humira(Cf) Pen
Adalimumab
184
Duloxetine Hcl
180
Enbrel Sureclick
Etanercept
148
Hydroxychloroquine Sulfate
148
Tizanidine Hcl
102
Leflunomide
93
Gabapentin
71
Sulfasalazine
61

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

Rheumatology Physician Overview

How Carlos Diola, M.D. fits within the Rheumatology Physician landscape nationally.

6,181
Rheumatology Physician Providers in US
52
States with Rheumatology Physician
2,054
Avg Claims per Provider

Carlos Diola, M.D.'s 2,608 claims are above the specialty average of 2,054.

Nearby Rheumatology Physician Providers in Michigan

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

Compare Rheumatology 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 Michigan medical board, federal registration is not a license check. Credential verification guide
  • Weigh a second option: compare this provider with a nearby Rheumatology 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.

Frequently Asked Questions

What is Carlos Diola, M.D.'s specialty?
Carlos Diola, M.D. specializes in Rheumatology Physician and practices in Midland, Michigan. Credentials: M.D..
How much does Carlos Diola, M.D. prescribe under Medicare Part D?
In 2023, Carlos Diola, M.D. wrote 2,608 Medicare Part D claims totaling $5.5M in drug costs for 669 beneficiaries.
Where is Carlos Diola, M.D. located?
Carlos Diola, M.D. is located at 4401 N CAMPUS RIDGE DR, Midland, MI, 48640. Phone: (989) 837-9033.
What is Carlos Diola, M.D.'s NPI number?
Carlos Diola, M.D.'s National Provider Identifier (NPI) is 1225022387, issued on 09/06/2005.
Does Carlos Diola, M.D. prescribe more brand-name or generic drugs?
Carlos Diola, M.D.'s prescribing is 32% brand-name and 67% generic drugs by claim count, with $5.5M in brand drug costs.
Does Carlos Diola, M.D. prescribe opioids?
Yes, Carlos Diola, M.D. had 95 opioid claims in 2023 with an opioid prescribing rate of 3.6%.
How many Rheumatology Physician providers are there in the US?
There are 6,181 Rheumatology Physician providers across 52 states in the US. The average Rheumatology Physician provider writes 2,054 Medicare Part D claims per year.
What drugs does Carlos Diola, M.D. prescribe most often?
Based on 2023 Medicare Part D data, Carlos Diola, M.D.'s most frequently prescribed drugs include Methotrexate, Prednisone, Humira(Cf) Pen. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does Carlos Diola, M.D. accept Medicare?
Carlos Diola, M.D. appears in CMS Medicare data with 2,608 Part D claims and 669 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Carlos Diola, M.D.'s credentials?
Carlos Diola, M.D.'s NPI is 1225022387 with credentials M.D.. 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

Compiled from official public sources by the PlainDoctor editorial team.