2026 NPPES data Addiction Medicine (Internal Medicine) Physician NPI 1740802313 MD, PHD
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CARLOS DOSTAL, MD, PHD

Addiction Medicine (Internal Medicine) Physician in GALVESTON, Texas. 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
463
Medicare Part D claims · 94 beneficiaries · Addiction Medicine (Internal Medicine) Physician avg: 1K
Generic prescribing
78%
generic claims · 22% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
74.9614/100
▼ 8 pts below national avg 83.1 · [object Object]

What the federal data shows

CARLOS DOSTAL, MD, PHD reported a CMS MIPS final score of 74.9614/100 — below the 83.1 national average — and filed 463 Medicare Part D claims in 2023.

74.9614/100
MIPS score · -8 vs avg
463
Part D claims, 2023
78%
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 DOSTAL, MD, PHD's MIPS score vs every scored U.S. clinician

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

75 12th percentile higher than 12% 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%). This entry sits in this band. 80–90: 129,887 scored providers (27%). Above this entry. 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

Board certification likely (heuristic — not verified)

CARLOS DOSTAL, MD, PHD 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 DOSTAL, MD, PHD?

Below national average

NPI registry status

Active

Issued 05/17/2020

NPI 1740802313

Primary specialty

Addiction Medicine (Internal Medicine) Physician

Niche

553 US NPIs in this specialty

Medicare Part D claims

463 67% vs specialty avg

2023 prescription claims

Specialty avg: 1,403

MIPS final score

74.9614/100 8.138599999999997% pts

Mid-tier band

vs 83.1 national avg

Specialty distribution in Texas

How Addiction Medicine (Internal Medicine) Physician compares to other specialties among Texas providers

Texas providers

Addiction Medicine (Internal Medicine) Physician share within Texas

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

Medicare quality performance — MIPS

CARLOS DOSTAL, MD, PHD's 2023 MIPS final score plotted against the Addiction Medicine (Internal Medicine) Physician national average

Below national average
MIPS Final Score
74.9614/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 74.9614/100 vs national avg 83.1

0%100%National avg83%75%
MIPS final score (Addiction Medicine (Internal Medicine) Physician) — 74.9614/100 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).

CARLOS DOSTAL, MD, PHD appears in the CMS NPPES registry as a Addiction Medicine (Internal Medicine) Physician provider holding MD, PHD credentials at PRIMARY CARE PAVILION, SUITE 107, GALVESTON, TX, 77555, with a listed phone of (409) 747-1883. NPI 1740802313 was issued on 05/17/2020. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what DOSTAL 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 463 prescription claims written by this provider, covering 94 Medicare beneficiaries and totaling roughly $102K in drug spend, split 22% brand-name and 78% generic by claim count, with an opioid prescribing rate of 4.8%. 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 74.9614/100 for the 2023 performance year (Quality 73.7789, Cost 47.7591), compared with the national average of 83.1.

Addiction Medicine (Internal Medicine) Physician is a narrow specialty nationwide, with 553 enrolled providers across 46 states and an average of 1,403 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

PRIMARY CARE PAVILION, SUITE 107
GALVESTON, TX 77555

Provider Details

NPI 1740802313
Specialty Addiction Medicine (Internal Medicine) Physician
Credentials MD, PHD
Gender Male
NPI Issued 05/17/2020

CMS Quality Score (MIPS)

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

74.9614
Final Score
Avg: 83.1
73.7789
Quality
47.7591
Cost
94
Promoting Interoperability

Reporting: Group practice

Hospital and facility affiliations

Facilities where CARLOS DOSTAL, MD, PHD 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.

UTMB FACULTY GROUP PRACTICE
GALVESTON, TX

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 — Texas TMB 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 ~77K Texas medical licensees in 2023 — they are NOT specific to CARLOS DOSTAL, MD, PHD. To verify CARLOS DOSTAL, MD, PHD's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases

TMB 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 Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Brand vs generic prescribing mix · Typical

CARLOS DOSTAL, MD, PHD — brand share 22.0%
Specialty average (est.)

22% brand-name claims vs 78% generic, on 463 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.

463
Total Claims
$102K
Total Drug Cost
94
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
982
Total Day Supply
28,287
Brand vs Generic
22% brand / 78% generic
Brand Drug Cost
$91K
Generic Drug Cost
$10K
Opioid Claims
22 (4.8% rate)
Antibiotic Claims
19

Patient Demographics

Average Patient Age
70.2 years
Avg HCC Risk Score
2.00
Gender Split
60% female / 40% male

Top Prescribed Drugs (Medicare Part D)

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

What CARLOS DOSTAL, 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
Atorvastatin Calcium
25
Furosemide
21
Amlodipine Besylate
15
Hydrocodone-Acetaminophen
Hydrocodone/Acetaminophen
14
Levothyroxine Sodium
14
Trulicity
Dulaglutide
13
Lisinopril
12
Pantoprazole Sodium
12

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

Addiction Medicine (Internal Medicine) Physician Overview

How CARLOS DOSTAL, MD, PHD fits within the Addiction Medicine (Internal Medicine) Physician landscape nationally.

553
Addiction Medicine (Internal Medicine) Physician Providers in US
46
States with Addiction Medicine (Internal Medicine) Physician
1,403
Avg Claims per Provider

CARLOS DOSTAL, MD, PHD's 463 claims are below the specialty average of 1,403.

Nearby Addiction Medicine (Internal Medicine) Physician Providers in Texas

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

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

Frequently Asked Questions

What is CARLOS DOSTAL, MD, PHD's specialty?
CARLOS DOSTAL, MD, PHD specializes in Addiction Medicine (Internal Medicine) Physician and practices in GALVESTON, Texas. Credentials: MD, PHD.
How much does CARLOS DOSTAL, MD, PHD prescribe under Medicare Part D?
In 2023, CARLOS DOSTAL, MD, PHD wrote 463 Medicare Part D claims totaling $102K in drug costs for 94 beneficiaries.
What is CARLOS DOSTAL, MD, PHD's Medicare quality score?
CARLOS DOSTAL, MD, PHD has a CMS MIPS Final Score of 74.9614/100 (Quality: 73.7789, Cost: 47.7591). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is CARLOS DOSTAL, MD, PHD located?
CARLOS DOSTAL, MD, PHD is located at PRIMARY CARE PAVILION, SUITE 107, GALVESTON, TX, 77555. Phone: (409) 747-1883.
What is CARLOS DOSTAL, MD, PHD's NPI number?
CARLOS DOSTAL, MD, PHD's National Provider Identifier (NPI) is 1740802313, issued on 05/17/2020.
Does CARLOS DOSTAL, MD, PHD prescribe more brand-name or generic drugs?
CARLOS DOSTAL, MD, PHD's prescribing is 22% brand-name and 78% generic drugs by claim count, with $91K in brand drug costs.
Does CARLOS DOSTAL, MD, PHD prescribe opioids?
Yes, CARLOS DOSTAL, MD, PHD had 22 opioid claims in 2023 with an opioid prescribing rate of 4.8%.
How many Addiction Medicine (Internal Medicine) Physician providers are there in the US?
There are 553 Addiction Medicine (Internal Medicine) Physician providers across 46 states in the US. The average Addiction Medicine (Internal Medicine) Physician provider writes 1,403 Medicare Part D claims per year.
What drugs does CARLOS DOSTAL, MD, PHD prescribe most often?
Based on 2023 Medicare Part D data, CARLOS DOSTAL, MD, PHD's most frequently prescribed drugs include Atorvastatin Calcium, Furosemide, Amlodipine Besylate. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does CARLOS DOSTAL, MD, PHD accept Medicare?
CARLOS DOSTAL, MD, PHD appears in CMS Medicare data with 463 Part D claims and 94 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify CARLOS DOSTAL, MD, PHD's credentials?
CARLOS DOSTAL, MD, PHD's NPI is 1740802313 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.
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